[Expert Solution]: What is the Z code DENTIFYING/DEMOGRAPHIC…

What is the Z code DENTIFYING/DEMOGRAPHIC DATA: Annie is a White female, 29 years old who lives in Oregon with her husband Dwayne and four sons. She has been married 12 years. She is a homemaker and does not work outside the home. Annie and Dwayne own several mini golf locations throughout Oregon. CHIEF COMPLAINT/PRESENTING PROBLEM: Three weeks ago, Annie was driving back from attending a Christian event when a car ran a red light and hit her car. She sustained minor physical injuries (bruises, a mild concussion) but has been experiencing intense emotional distress since the incident. She reports frequent, distressing flashbacks of the crash, particularly when she hears loud noises or sees cars speeding past. She avoids driving and even refuses to be a passenger in a car, relying on public transportation or asking her husband to drive her places. She has difficulty sleeping due to recurring nightmares about the accident and wakes up startled if one of her children come in the room. HISTORY OF PRESENT ILLNESS: See chief complaint. The situation has caused Annie a lot of emotional distress. Annie describes persistent feelings of detachment, stating, “It’s like I’m not really here—I feel like I’m watching myself from the outside.” She also experiences moments of intense irritability and jumpiness, particularly when hearing sudden noises like honking or sirens. She finds it difficult to focus at work and has started calling in sick due to overwhelming anxiety. She feels embarrassed by her reaction, believing she should be “over it by now,” but admits that her symptoms are making daily life increasingly difficult. PAST PSYCHIATRIC HISTORY: Annie has never had a history of psychiatric treatment. SUBSTANCE USE HISTORY: Annie drinks socially. She denies any drug use. Her husband Dwayne concurs that Annie is not a big drinker and drinks on occasion. He has never seen Annie intoxicated. PAST MEDICAL HISTORY: Annie has yearly physicals. After a complete medical workup there is no evidence of organic brain dysfunction. There has never been any concern with medical issues. Annie at times has painful menstrual periods but not monthly. FAMILY HISTORY INCLUDING MEDICAL AND PSYCHIATRIC: Annie comes from a more affluent family. She met Dwayne in high school when the football teams were competing each other. She has been with Dwayne ever since. Her parents did not approve of Dwayne since he was Black. Annie has very little contact with her family even though her marriage to Dwayne has proven to be very successful. CURRENT FAMILY ISSUES AND DYNAMICS: Annie continues her role as wife and mother but is having difficulty. Annie stays mostly isolated since the accident from her social activities and friends. Annie was very involved with her children’s school and church activities. MENTAL STATUS EXAM: Annie is well-groomed but appears tense and fatigued. Annie is oriented to time, place and person. She could do serial 7’s and all memory tests. Concentration is not impaired. Patient denies homicide and suicide ideation. She is guarded, restless, often shifting in her seat. Her speech is clear but slightly rapid when discussing the accident. Her affect is restricted, becomes tearful when describing flashbacks and her mood was anxious and distressed. Annie indicates her sleep is impacted, sometimes waking up and worrying. Annie’s thought process was logical but preoccupied with traumatic memories. Her thought content has frequent intrusive thoughts about the accident, self-blame (“I should have been more careful”). There are no hallucinations or delusions. Her insight and judgment were appropriate.