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Paula’s profile is indicative of someone who is experiencing marked distress and impairment in functioning (ARD, DEP, SOM, BOR, and SCZ). Her profile suggest that there may be issues of anxiety related disorders and depression that are chronic and long-standing (BOR-N, BOR-I). This profile is common in people who are detail oriented, rigid in their attitudes and behaviors, conforming and ruminating (ARD-O). This profile pattern also reveals symptoms of a person with high anxiety and tension that may seem rigid and inflexible (ARD). Her profile further indicates an individual who attempts to control her emotions using maladaptive behavior strategies (ARD, ARD-0) to create order and predictability.
Paula may have a propensity to experience depression and anger (DEP-A and AGG-A), have a bad temper (BOR-A, AGG-A) and have low frustration tolerance (moderate MAN-I) as a result in her daily life and social situations she may appear as someone who is uncomfortable, unhappy, impulsive, angry, resentful and aggressive. Based on the elevations in her profile, Paula’s strategies may have been and may continue to be effective to an extent (ANX, ERD, ARD-P) and therefore have allowed her to function daily. However, the exertions of control and rigidity necessitated by her long standing strategies may be taking a toll and as a result they may be becoming less and less effective creating tension, unhappiness, pessimism, and rumination (DEP, ARD-O). Paula appears to
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be dealing with some long-term and short-term life stressors; sudden changes or an influx of changes can leave some people feeling uncertain and cynical about their future goals, priorities and plans (ARD, STR, BOR-I). It is possible for people with this profile to have significant concentration problems followed by worries related to their health and physical functioning (SOM) specifically a disruption in their cognition and attention (SCZ-T) in this case her concern that she may have neurological issues (ARD-O, SOM) and she may have an external locus of control (AGG-A). A person with this clinical profile is more likely to worry to the point they are not able to concentrate, focus and engage with others or in routine activities (ARD-O), and she may have difficulty relaxing and experience fatigue as a result of her stress (ARD-O, DEP, and SOM). Paula does not appear to be impulsive (BOR-S) or currently experiencing suicidal ideation (SUI). However, mild stressors may be sufficient enough to precipitate a major crisis. Based on her profile, she may be masking or denying suicidal thoughts and this combination of hopelessness, anxiety and stress may present an increased risk for self-harm, as such a follow-up risk assessment is needed.
Cognitively, there may be some confusion, problems with concentration and disorganization of her though process (SCH-T) as evidenced by the difficulties she reported experiencing such as problems attending, focusing and completing routine tasks (DEP, SCH-T) Paula may not perceive or be willing to believe that she may be the cause of the problems that she is experiencing (AGG-A) Conversely, at other times she may internalize the blame for her problems and evaluate herself as inadequate and having no strengths (MAN-G). Interpersonally she may appear to be confident and believe she is controlling of others (DOM). She may perceive herself as someone who is pragmatic and independent however others may view her as distant, reserved, and aloof (DOM, WRM). Paula my keep her emotions out of her interactions with the world and others and she may expect more from people in her life than she herself may be willing or able to give (DOM, WRM, BOR-N). Paula make use anger as a toll to control others however, her profile suggests that she has been able to suppress/control her anger thus far perhaps turn it inward. (AGG-A), Paula may also perceive that she is in a supportive environment that includes friends and family (NON) and this perception of support may be one reason why does not endorse her life as stressful but rather as predictable and stable (STR).
Rosa Lee Cunningham is a 52-year old African American female. She is 5-foot-1-inch, 145 pounds. Rosa Lee is married however, is living separately from her husband. She has eight adult children, Bobby, Richard, Ronnie, Donna (Patty), Alvin, Eric, Donald (Ducky) and one child who name she did not disclose. She bore her eldest child at age fourteen and six different men fathered her children. At Rosa Lee’s recent hospital admission to Howard University Hospital emergency room blood test revealed she is still using heroin. Though Rosa Lee recently enrolled in a drug-treatment program it does not appear that she has any intention on ending her drug usage. When asked why she no longer uses heroin she stated she doesn’t always have the resources to support her addiction. Rosa Lee is unemployed and receiving very little in government assistance. She appears to
Weston is social anxiety disorder. Criterion A and B list that the individual has marked fear or anxiety about one or more social situations where the person is exposed to possible scrutiny by others, and in return, he/she will act in a way or show anxiety symptoms that may be negatively evaluated. For both of these criteria, I listed him as not meeting them due to there not being significant evidence in his vignette that implies he is particularly fearful of what others think of him. Criterion C and D list that the social situations almost always provoke fear or anxiety and are avoided or endured with intense fear or anxiety. He stated many times that he experiences fear and anxiety in certain social situations. Criterion E and F state that the fear/anxiety is out of proportion to the actual threat posed, and it is persistent, lasting for six months or longer. These criterion are listed in both generalized anxiety disorder and agoraphobia, both of which I also listed as convergent evidence. Criterion G and H are also convergent evidence, and they state that the fear/anxiety causes clinically significant distress or impairment in social, occupational, and other important areas of functioning. Also, none of this is attributable to substance abuse or another medical condition. This is also stated in the criterion of the previously discussed mental illnesses, both of which were proven accurate by the symptoms listed in his vignette. The last two criterion are convergent evidence; criterion I states that the fear, anxiety, or avoidance isn’t better explained by the symptoms of another mental disorder, and criterion J states that if another medical condition is present, the symptoms are exacerbated. I believe that agoraphobia provides a better explanation for his symptoms, and there is not another medical condition interacting with his symptoms to make his fear/anxiety more
Denise also displays impulsivity in more than two self-damaging areas (Criterion 4). She has a history of binge drinking, shoplifting, and spending too much money. There is a history of suicide attempts, suicidal gestures, and self-mutilation (Criterion 5). Most recently she presented at the emergency room which self-inflicted cuts which required stitches and a small overdose of Ativan. Denise displays instability and reactivity of mood (Criterion 6). She is often depressed, but is occasionally filled with energy and rage. Denise has expressed chronic feelings of emptiness (Criterion 7) beginning during her teenage years, and stated that it feels like she “doesn’t exist.” Finally Denise has difficulty controlling her intense anger (Criterion 8). One employer fired her for throwing a drink at a customer after becoming so angry. For these reasons, Denise should be diagnosed with Borderline
I will be evaluating the case of Angela and Adam. Angela is a white 17 year old female and Adam is her son who is 11 months old (Broderick, P., & Blewitt, P., 2015). According to Broderick, P., & Blewitt, P., (2015) Angela and her baby live with her mother, Sarah, in a small rental house in a semirural community in the Midwest. Adam’s father, Wayne, is estranged from the family due to Sarah refusing to allow him in the house however, Angela continues to see him without her mother’s permission which is very upsetting for Sarah. Angela dropped out of high school and struggles raising her son (Broderick, P., & Blewitt, P., 2015). With all that is going on in Angela and Sarah’s life right now their relationship has become strained and hostile which
The goal of cognitive-behavioral treatment is to adapt the patient’s thoughts; as Riley is thinking of how she is failing to deal with the present situation she is in, this treatment will help her change this thinking. In this treatment, Riley’s patterns of thinking would be recognized over a series of appointments, and the clinician would then identify different ways of viewing the same situations Riley has been dealing with, making them not as dysfunctional for her. As well as cognitive-behavioral treatment, physical activity can also combat depression because it releases endorphins; this treatment would be accessible to Riley, and it is something that can be self-initiated as well as encouraged by her parents. These treatments would be ideal for Riley as they encourage her to better her illness without antidepressants since she is so
The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva: World Health Organization, 1992. Print.
The nature of the disorder makes it difficult to treat, since patients are convinced that they suffer from a real and serious medical problem. Indeed, the mere su...
Nearly 1 out of 5 Americans suffer from some kind of personality or mood disorder (Mental Health by the Numbers, 2017), are you one of them? To identify that you need to understand what it is, a personality disorder are patterns of inflexible traits that disrupt social life or work and may distress that affected individual (Rathus, 2010). Personality disorders aren’t the only thing that affect us, because there are also mood disorders which are your general emotional state or mood is distorted or inconsistent with your circumstances and interferes with your ability to function. (Rathus, 2010) You may be extremely sad, and empty and then all of sudden you become really happy. To learn how to identify these disorders is through a movie. The film Mommie Dearest, directed by Frank Perry, is a story about Joan Crawford in the mid 1960’s who traumatized her daughter, Christina. So later in Christina’s life she wrote the book Mommie Dearest to
Peter Dickinson, a 28-year-old Caucasian male was referred to an outpatient mental health clinic by his current girlfriend of one year, Ashley. Ashley reported that about six months ago, she noticed changes in Peter’s behaviors after the announcement of his parents’ divorce proceedings. Peter is a motivated hard worker who devotes himself to his career and is currently working as a defense attorney at a small firm. However, he described himself as “obsessive” about his work in which he was afraid to make errors and would spend a lot of time worrying about failing the assignment rather than completing it. Since he spends a lot of time worrying about his work, he had little leisure time for friends and romantic relationships. Peter has also always felt anxious and is a “worrier”. After Peter’s parents’ divorce proceedings began, Peter had troubl...
BPD is a complex disorder in a sense that the symptoms such as depression, anxiety and substance abuse may cause a misdiagnosis thus overlooking BPD completely (Biskin & Paris, 2013). This personality disorder has also been known to occur simultaneously with anxiety disorders, eating disorders and bipolar mood disorders (Butcher, Mineka & Hooley, 2014). In addition, the prevalence of BPD decreases in older individuals (American Psychiatric Association, 2013).
Clinicians, however, do not always agree, perhaps because are more comfortable dealing with the domains of anxiety and depression. Several researches and surveys were published in this book trying to shed light on what it was that caused this disorder in people. Triggers the book talks about are the following, heritability, drug use, psychological triggers such as traumatic events, overwhelming joy, childhood traumas which measures six types: separation and losses, physical abuse, sexual abuse, witnessing violence, and neglect. People suffering this disorder can easily correlate it to severe anxiety or stress, panic attacks, depression or drug use therefore causing them to pay a little attention to these symptoms which in time will decrease or it can become a fuel and increase anxiety levels and worsening depersonalization levels. The Diagnosis of Depersonalization is made clinically, by meeting with the patient and thoroughly conducting an evaluation. This book describes several descriptions of the symptoms and as spelled out in the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV), Symptoms are recurrent or
The article focuses on the results when a patient is exposed to a specific stressor to help determine anxie...
There are different examples that correlate to the diagnosis. Almost every day Pat goes out for a long run because he wants to show Nikki that he lost weight and looks fit for her. He also loses sleep by being fixated on a character named character Hemmingway in a book. He losses interests in everything else, but trying to get Nikki back. He gets into a fight at a football game when you can see him talking to himself trying not to intervene. You can also say Tiffany has borderline personality for these reasons. She is reluctant to spend time with her sister at dinner time. When things are not going her way she seem to feel self-guilt and starts drinking
American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders: DSM-IV. (4th ed.). Washington, DC: Author