Carl Landau had shown issues throughout an 8-year time frame. Current distressing symptoms have arisen to which halt a socially normative progression in varying forms. The varying symptoms have shown deviance, distress, dysfunction, and ultimately a danger to health, altogether coming to describe a disorder in all abnormal points (Comer, 4). The symptoms described have come as behavioral (i.e. hissing, excessive washing and showering), and have gone to such extremes such as isolating himself primarily in his room and hygiene to which has ranged from excessively hygienic to excessively unhygienic (i.e. excessive washing to no washing whatsoever). It was told that these acts had come due to habitually gaining negative thoughts associated with these tasks, the behaviors having had helped relieve the negative thoughts associated. …show more content…
From this a diagnosis of either obsessive-compulsive disorder (OCD) or obsessive-compulsive personality disorder (OCPD) come as the primary disorders.
But it was the nature of the behaviors that differentiated the disorder that Mr. Landau had come to in it that he was not obsessed with order but obsessions and compulsions to remove intrusive thoughts leading to the diagnosis obsessive-compulsive disorder (Comer, 127). Of note comes that Mr. Landau had displayed modest symptoms of obsessive-compulsive personality disorder in it that study habits had taken precedence over hygiene, that the behavior was not caused by intrusive thoughts but that of perfection. Also of note comes that OCD often tends to come associated with another mental disorder and thus often makes the diagnosis comorbid, a point that could definitively show OCPD alongside OCD as a major possibility (Obsessive Compulsive Disorder,
2014). Mr. Landau comes approximate to many points as far as those who come at risk for these disorder. For the first part Mr. Landau has come to display these in early adulthood, a primary time to which the disorder may come present (Obsessive Compulsive Disorder, 2014). The fact that the patient had the disorder for an elongated time period also indicates the justification for obsessive compulsive disorder (OCD) as it is incurable by means other than treatment, the client himself having had received symptoms 8 years prior and the symptoms progressing for 2 years (Obsessive Compulsive Disorder, 2014). The multicultural point that the client comes as an African American means that certain cultural facts go unknown alongside his case (Himle, Muroff, Taylor…, 2008). The severity in the client’s disorder was also marked as a norm to which associates with African Americans throughout the United States, leading this study to also request certain appropriate methods get utilized alongside the multicultural aspects for the client (Himle, Muroff, Taylor…, 2008). The client’s history included perfectionist parents, another major indicator for OCD; had mentioned major issues with overestimating danger, considering soda was a dangerous substance to consume as it was contaminated; and, finally, dangerous thoughts were soothed through certain obsessive/compulsive acts (i.e. blowing out breath to make his stomach “sterile”) (Wheaton, Berman, Fabricant, 2013). The fact that the client has contamination fears in OCD comes alongside African Americans primary cultural attitudes in OCD, but most information on African Americans comes minimally as studies were primarily done on European Americans (Wheaton, Berman, Fabricant, 2013). The way to resolve most symptoms still remains the same, but the multicultural factors had played a deep role in defining the client’s disorder. Also of note comes that the client had mentioned understanding that the thoughts and compulsions were irrational, though the patient had felt the irrational thoughts must get adhered to. The overall OCD diagnosis comes alongside the multicultural aspect for an African American, however. The psychology models would also agree in several different models, from the psychodynamic, to behavioral, and cognitive (the biological would necessitate a scan to appraise, however). The psychodynamic model could especially focus on the patient’s eventual need to calm his id impulses when dealing children from school as he was excessively ridiculed in school (Comer, 129).
Michael is a 56 year old male who lives alone in a small tin shed in the middle of the bush in central Queensland. He has no children, no partner and lives by himself. During the day he spends his time sleeping on the couch or doing chores around the property. If he isn’t asleep, he requires a stimuli to remain occupied. When he was a young boy, he was a very calm child with a great sense of humour. His physical health was perfect with good energy levels. When he was sexually abused at the age of 8, by his grandfather, these characteristics started to change. From the age of 16 he was having regular breakdowns in his thinking and emotional responses. Michael was constantly feeling irritable and having trouble sleeping with frequent nightmares. As the years went by his attitude was extremely negative which led on to him being withdrawn from his family and friends. During his last year of high school, he started to regularly use marijuana. He would experience countless amounts of paranoia episodes where he would hear voices and thought he was being spied on. At the age of 45 he was fin...
Members of the ‘Edgewater Homeless’ community, participated in the study and shared their experience in Chapter 3, “A Community of Addicted Bodies,” which explains some of the most vivid descriptions of what individual’s may experience, also known as ‘dopesickness.’ One member named Felix, explains his challenge with ‘dopesickness’ when waking at 1:00 A.M., in the morning. His sickness begins to take over his mind and body. Physically, Felix was not able to complete normal functions such as standing, staying still, lying down, or have coordinated bodily movements, because his body shook uncontrollably. When Bourgeois and Schoenberg found Felix the next morning, he explained to him the symptoms he experienced. Felix attempted to escape the winter night accompanied by rain in a nearby bus shelter. He mentions that he could not get comfortable due to the dopesickness; going from being cold to experiencing hot flashes, spitting out phlegm or a green substance, and not being able to control his bowel. He reported that during his sickness, he could not breathe or think and also that he could feel every nerve in all of his fingers. The most strangest way in
Mrs. A is a 71-year-old widow with CCF and osteoarthritis who has recently been exhibiting quite unusual behavior. Her daughter is concerned about her mother 's ability to remain independent and wishes to pursue nursing home admission arrangements. She fears the development of a dementing illness. Over the last two to three months Mrs. A has become confused, easily fatigued and very irritable. She has developed disturbing obsessive/compulsive behavior constantly complaining that her lace curtains were dirty and required frequent washing. Detailed questioning revealed that she thought they were yellow-green and possibly moldy. Her prescribed medications are:
The DSM-V was very useful in aiding to diagnose Howie Mandel with obsessive-compulsive disorder. The diagnostic criteria listed in the DSM-V for this disease states that obsessions and/or compulsions must be present. In the case of Mandel, both of these aspects are present as mentioned above. Mandel displayed obsessive thoughts concerning germs along with associated obsessions to refrain from contact with germs and compulsions such rechecking locked doors. Another criteria is that these obsessions/compulsions be time consuming which I also discussed above. The several symptoms that Mandel displayed did not seem to fit any other disease listed in the DSM-V.
Obsessive-Compulsive disorder (OCD) - is characterized by persistent, uncontrollable and unwanted feelings or thoughts (obsessions) and routines or rituals (compulsions) in which individuals engage to try to prevent or rid themselves of these thoughts. In example of common compulsions include washing hands or cleaning repeatedly for fear of germs.
She wrote, “His case was extreme. Not until the coroner's report, 3 months after his death, would I learn that it was diffuse LBD that took him. All 4 of the doctors I met with afterwards and who had reviewed his records indicated his was one of the worst pathologies they had seen. He had about 40% loss of dopamine neurons and almost no neurons were free of Lewy bodies throughout the entire brain and brainstem.” She tells us that his fear and anxiety had skyrocketed and later discovered it is an early indication of LBD. “Robin had been under his doctors' care. He had been struggling with symptoms that seemed unrelated: constipation, urinary difficulty, heartburn, sleeplessness and insomnia, and a poor sense of smell—and lots of stress. He also had a slight tremor in his left hand that would come and go.” (Schneider-Williams)
Obsessive-Compulsive Disorder is a disease that afflicts up to six million Americans, however all its characteristics are yet to be fully understood. Its causes, triggers, attributes, and variations are still unknown although effective medicines exist to treat the symptoms. OCD is a very peculiar disease as Rapoport discusses it comes in many different forms and have different symptoms yet have many similarities. One sure aspect is that it appears, or at least its symptoms do, out of the blue and is triggered either by stressful experiences or, most of the time, just appears out of nowhere. One example is a boy who's father was hard on him for being affected by the worlds "modern ways", the boy at a high school party tries LSD ( a hallucinatory drug), after that thoughts of whether his mind was dangerously affected by the drug. What seemed like completely appropriate worrying and anxiety turned into attacks of anxiety, he couldn't shake the thoughts that something was wrong with his mind. Essentially he had "his mind on his mind" constantly and that haunted his days his thought were as follows: " did the lsd do anything to my mind? The thought never went away ; instead it got more and more complicated. There must be something wrong with my mind if i am spending so much time worrying about it. Is there something wrong with my mind? Was this from the lsd? Will it ever get better?" (The boy who, J. L. Rapoport 125,126) Dr. Rapoport promptly put him on Anafranil (an anti-depressant, used for OCD, not marketed in the U.
Stone, D. (2011, May 8). Psychological Musings: Historical Perspectives of Abnormal Psychology. Retrieved April 23, 2014, from http://psychological-musings.blogspot.com/2011/05/historical-perspectives-of-abnormal.html
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Obsessive-Compulsive Disorder (OCD) is a disorder which causes people to develop an anxiety when certain obsessions or compulsions are not fulfilled. OCD can affect both children and adults with more than half of all adults with OCD stating that they experienced signs as a child. People living with OCD display many obvious signs such as opening and closing a door fifty times because they have to do it “just right”. Others exhibit extreme cleanliness and will wash their hands or take showers as often as they can because they constantly feel dirty. OCD devastates people’s social lives as they are fixated and obsessed with perfection that can take forever to achieve. However people living with OCD are often found to have an above average intelligence and typically excel at school due to their detail oriented mindset, cautious planning and patience. OCD can be caused by many different factors such as genetics or the ever changing world a...
Obsessive-compulsive disorder is placed on the lowest level of spectrum of the effects of personality disorders and mental illnesses. Obsessive-compulsive disorder, OCD, is a...
Randal initially sought a psychological assessment for the presenting problem of depression. He began by stating that he had been having a difficult time with simple tasks and was easily overwhelmed. After further questioning, Randal began to elaborate on some of the thoughts that occupied his time and led to difficulty concentrating. He was constantly absorbed in anxiety about himself, or his family, coming into contact with a microbial disease. This thought pattern led to him compulsively washing his hands, obsessively cleaning surfaces and doorknobs, and throwing out perfectly fine clothing due to fear of contamination. He went on to further state that he often avoided places due to anxiety about their cleanliness. Also, Randal explained that often just when thinking about dirt and germs, he would take a shower, as a result of feeling contaminated. When prompted, Randal intimated that this behavior has occurred for several years, but recently has begun to interrupt his day-to-day functioning.
• Blocking contact with previous and current doctors, family and doctors • Strong comprehension of textbook descriptions of illness, effective medical terminology, and extensive experience of hospitals • Presence of numerous surgical procedures and procedures • scars or a gridiron abdomen • Evidence of self-induced physical signs or artificial symptoms • Symptoms that appear only when the patient is not being observed or alone • New signs that materialize after test results come back negative • Willing and eager to have medical tests, operations or other procedures, demanding medical tests or procedures • Conditions become obviously worse when undergoing an active examination than he or she is with a casual interacting with healthcare providers or other patients • Inconsistent findings on neurologic examinations • Attitudes change from being cooperative to treatment to evasive and vague concerning the patient details • Mood and concern are cheerier than would be expected on the findings of the patient’s medical circumstance Diagnosis It is difficult for doctors to diagnose factitious disorder due to the dishonesty and inconsistencies that are involved with the diagnosis. The patient becomes very skilled with medical knowledge and terminology and becomes familiar with routine tests that are performed, and at pretending to have any real illnesses. The doctor has to follow the basic procedures for responding to the patients' signs and complaints and rule out any real physical conditions.
Obsessive compulsive disorder (OCD) is an anxiety disorder characterized by intrusive thoughts that produce uneasiness, apprehension, fear, or worry. The acts of those who have OCD may appear paranoid and potentially psychotic. However, OCD sufferers generally recognize their obsessions and compulsions as irrational and may become further distressed by this realization. Obsessive–compulsive disorder affects children and adolescents, as well as adults. Roughly one third to one half of adults with OCD reports a childhood onset of the disorder, suggesting the continuum of anxiety disorders across the life span. OCD may be a result of changes in your body's own natural chemistry or brain functions. OCD also may have a genetic component, but specific genes have yet to be identified. OCD may stem from behavior-related habits that you learned over time. Doctors do not know the exact cause of OCD, factors that may play a role include head injury, infections, and abnormal function in certain areas of the brain and family genes seems to play a strong role. Most people who develop OCD it shows the symptoms by age 30. Often the person carries out the behaviors to get rid of the obsessive thoughts, but this only provides temporary relief. Not doing the obsessive rituals can cause great anxiety.
...e several different theories that try to analyze the stem of this disorder. OCD can be attributed to stress, which can intensify or prompt the symptoms. Experts on this medical field also identify brain dysfunctions such as encephalitis, head trauma, or some other brain disorder as a possible cause of brain abnormalities that may result in OCD. The patient’s genetics can also have a pertinent role in the developing of the disorder experts believe that a person can inherit a tendency to develop OCD under certain conditions. An unbalanced level of brain chemicals according to serotonin theory can also be attributed to a person suffering from OCD. Lastly, learned behavior, is also a crucial factor that needs to be analyzed. If a child is taught that he/she may be predisposed to fear, he/she develop compulsions in order to reduce said fears when negative thoughts occur.