Phobias What Is a Presenting Problem? By Lisa Fritscher Lisa Fritscher Lisa Fritscher is a freelance writer and editor with a deep interest in phobias and other mental health topics. Learn about our editorial process Updated on June 08, 2020 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Steven Gans, MD Medically reviewed by Steven Gans, MD Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Print Universal Images Group / Getty Images Table of Contents View All Table of Contents What It Is Symptoms Diagnosis Causes Types Treatment Coping What Is a Presenting Problem? A presenting problem is an initial symptom that causes a person to seek professional help from a doctor, therapist, or another mental health provider. While it's normal to experience up and downs in your mental health, you may find that you need additional support for a particular symptom or set of symptoms. This concern is the presenting problem you'll share with your healthcare provider. To a patient, the presenting problem is the reason you're seeking professional help. To your healthcare provider, the presenting problem is one initial piece of information they will use for evaluation. As such, the presenting problem is often a key section of an intake and inquiry form mental health professionals write up and save as part of your medical record. When discussing your primary concerns with your therapist during the initial patient interview, you will explain your symptoms and your healthcare provider will further assess you to make a diagnosis. Symptoms Some of the mental health-related symptoms that might lead to a person to seek help from a doctor or therapist may include, but are not limited to: Anxiety Depression Mood changes Trouble falling or staying asleep Mood swings Social withdrawal Changes in eating habits Feelings of anger Negative thoughts Confused thinking Irritability Loss of interest Fatigue or low energy Difficulty concentrating Delusions Hallucinations Substance use Stress Trouble coping Feelings of fear Poor grades Poor work performance Excess worry Thoughts of suicide or self-harm If you are having suicidal thoughts, contact the National Suicide Prevention Lifeline at 988 for support and assistance. If you or a loved one are in immediate danger, call 911. For more mental health resources, see our National Helpline Database. How Different Mental Illnesses Are Diagnosed and Treated Diagnosis Before you make an appointment to seek your doctor or therapist, you might already have an idea of what your symptoms might mean. While your self-diagnosis might provide some clues, it is up to your provider to evaluate your symptoms and determine what might be causing them. Your self-described presenting problem—what motivated you to seek help—can provide valuable insight for your provider, but it alone does not lead to a diagnosis. Your provider will use the presenting problem as a jumping-off point for digging deeper into your experience and your symptoms. In order to come to a correct diagnosis, your provider will need additional information provided by you in the form of spoken answers, written explanations, and/or medical tests. A physical exam, lab tests, and medical history may also be used to help rule out any underlying medical conditions that might be contributing to your symptoms. Your doctor or therapist will ask questions about the type of symptoms you are experiencing, how long you have had these symptoms, and the impact the symptoms are having on your life. Provisional and Differential Diagnoses Causes There is no single factor that causes mental health problems. The underlying causes of mental health presenting problems often depend on the nature of the problem itself. Some of the potential causes include: Situational factors like stress or traumaPast experiences including abuse, trauma, or neglectCoping abilities and stress management skillsBiological factors such as genetics and brain chemistryFamily historyMedical conditionsSubstance useEnvironmental factors such as poor nutrition or exposure to toxinsLack of social support or poor quality social connections Types There are a number of mental health conditions that can contribute to the presenting problems that lead people to seek help. Doctors and therapists often use criteria established by the Diagnostic and Statistical Manual of Mental Disorder (DSM-5) published by the American Psychiatric Association (APA) to diagnose different mental conditions. Some types of mental conditions that might cause symptoms: Neurodevelopmental disordersBipolar and related disordersAnxiety disordersTrauma and stressor-related disordersDissociative disordersSomatic symptom and related disordersFeeding and eating disordersSleep-wake disordersDisruptive, impulse-control, and conduct disordersDepressive disordersSubstance-related and addictive disordersNeurocognitive disordersSchizophrenia spectrum and other psychotic disordersObsessive-compulsive and related disordersPersonality disorders The DSM-5 also outlines features that can be used to gauge the severity of the symptoms, although each of these varies by condition. These features may include the number of symptoms, the level of distress, or the degree of impairment that the symptoms cause. A List of Psychological Disorders Treatment While the presenting problem that leads you to seek help from a professional may be one symptom of a broader underlying diagnosis, it is often the point of distress that is most worrisome or disruptive for you at the time. Often, the presenting problem has a major impact on your life. It can affect your ability to function at work, school, and relationships. In many cases, it may interfere with day-to-day tasks and make self-care difficult. Your main symptoms may also have a ripple effect that contributes to other problems as well. For example, problems with sleep can lead to changes in mood, fatigue, irritability, and increased stress. For these reasons, it is important to seek help to address the presenting problem. Your treatment will depend on a number of factors including your diagnosis and the severity of your symptoms. Treatments often involve psychotherapy, medication, or a combination of the two. Psychotherapy There are many different psychotherapeutic approaches used to treat mental health conditions. Some of these options include: Cognitive behavioral therapy (CBT) Dialectical behavioral therapy (DBT) Psychodynamic therapy Exposure therapy Interpersonal therapy Eye movement desensitization and reprocessing therapy (EMDR) Some forms of treatment may be more appropriate for certain conditions. For example, specific phobias are often treated with exposure therapies. PTSD, on the other hand, may respond well to EMDR therapy. Talk to your doctor or therapist about which option might be best for your situation. Medication Your doctor may opt to prescribe a medication to address your symptoms, either on its own or in conjunction with psychotherapy. Some of the mental health medications that may be used to treat your presenting problem include: Antidepressants: These include selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants, monoamine oxidase inhibitors (MAOIs), and atypical antidepressants. Anti-anxiety medications: These include benzodiazepines such as alprazolam, lorazepam, and clonazepam. Stimulants: These medications may be used to treat conditions such as ADHD and are designed to increase alertness and attention. Antipsychotics: These medications are used to treat symptoms of psychosis such as delusions and hallucinations as well as in certain mood disorders. Mood stabilizers: These medications, such as lithium, are used to treat mood swings associated with conditions such as bipolar disorder. Coping In addition to seeing professional treatment for your symptoms, there are also things you can do to cope with what you are experiencing. Some strategies that may help with different presenting problems include: Stress management: Practicing stress relief techniques such as mindfulness, visualization, deep breathing, and progressive muscle relaxation.Exercise: Regular physical exercise is linked to better mental health. This can be a challenge, however, if your primary symptom is fatigue, low energy, depression, or if you have a physical limitation.Social support: Social connections are linked to better mental health. Reaching out to friends and family for support may help you better cope with the symptoms of your condition. If you or a loved one are struggling with symptoms of a mental health condition, contact the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-4357 for information on support and treatment facilities in your area. For more mental health resources, see our National Helpline Database. A Social Support System Is Imperative for Health and Well-Being 7 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Hutchings PS, Virden TB. Presenting Problem, History of Presenting Problem, and Social History. In: Segal D, Hersen M (eds) Diagnostic Interviewing. Boston, MA: Springer; 2010:39-59. doi:10.1007/978-1-4419-1320-3_3 CDC. Learn about mental health. Zimmerman M, Morgan TA, Stanton K. The severity of psychiatric disorders. World Psychiatry. 2018;17(3):258‐275. doi:10.1002/wps.20569 National Alliance on Mental Illness. Psychotherapy. National Institute of Mental Health. Mental health medications. Velten J, Bieda A, Scholten S, Wannemüller A, Margraf J. Lifestyle choices and mental health: A longitudinal survey with German and Chinese students. BMC Public Health. 2018;18(1):632. doi:10.1186/s12889-018-5526-2 American Psychological Association. Manage stress: Strengthen your support network. By Lisa Fritscher Lisa Fritscher is a freelance writer and editor with a deep interest in phobias and other mental health topics. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist Online Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.