Case Study 2

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University Of Arizona *

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381

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Psychology

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Feb 20, 2024

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Uploaded by DeanWillpowerScorpion122

PSY 381 Summer 2021 Case Study 2 Instructions : Read the following case study, then respond to the questions below. Grading : Your grade will be based on completeness (5 points), accuracy (18 points), level of detail (5 points), and mechanics (i.e., using complete sentences, minimal spelling/grammatical errors; 2 points). Total = 30 points. See the rubric on D2L for more information about these criteria. Staniel was referred for an evaluation by his family physician, Dr. Larned (contact information on file.) Staniel is a 19-yeard old male. While he presented as somewhat shy and withdrawn, Staniel appears to have been open and honest during the interview and was willing to discuss all of his experiences. He reported that many members of his family saw therapists and psychiatrists. Staniel reported he had always had “anxiety,” but this was his first time visiting a mental health professional. Staniel stated that the problems started “four months ago” when he broke up with his girlfriend. He said they were “very much in love” but separated because she moved to Tampa Bay, Florida in order to start a “dream job.” They talked at first, but eventually “it became too hard for her” to be in touch over such distance and “she felt forced to break it off.” Staniel said that he has been “devastated and heartbroken” since then. He reported that he has been losing a significant amount of sleep over the last two months or so. He also said that he has lost weight, has trouble motivating himself, has trouble concentrating, and gets tired easily. He explained that his symptoms primarily come from “thinking about her all the time.” Staniel went on at length about his ex-girlfriend, describing her, the things they used to do together, and the plans he had for their future. He very strongly believes that they are “soulmates” and that she “has never felt the same way for someone else before” and neither has he. At some point before their relationship ended, Staniel’s ex-girlfriend suggested that he go with her to Florida, but he said no. He said he is “wracked with regret” over his decision not to go, and he believes that was the point that he “hurt her so bad” that she had no choice but to end the relationship. Staniel says thinking about her, and his future without her, is “unbearable.” He repeated that he thinks “constantly” about her, to the point that he loses sleep, forgets to eat, and makes “dumb mistakes at work.” When feeling particularly low, Staniel will write her a letter or a text or an email expressing his feelings for her, but he never sends them. Throughout the interview, Staniel repeatedly compared his situation to the “great romances” in several young adult novels. The plot of “Twilight” was especially of interest, and he compared himself to someone named “Edward” and her to someone named “Bella.” Staniel reported that he is seeking therapy to make whatever changes are necessary so that his ex-girlfriend will be willing to get back together with him.

PSY 381 Summer 2021 Diagnosis 1. What diagnosis would you give this individual? Staniel, in my diagnosis, has Depression. 2. What information from the summary above supports this diagnosis? Staniel claimed the issues began "four months ago" after his breakup with his girlfriend. Staniel described himself as having been "devastated and heartbroken" ever since. He claimed that during the past two months or so, he has been losing a lot of sleep. He added that he has lost weight, struggles with self-motivation, has difficulties focusing where he constantly thinks of only her and makes "dumb mistakes at work", and often gets weary. He claimed he is "wracked with regret" about his choice of not going to see her, and he thinks that was the turning point in their relationship when he "hurt her so badly" that she was forced to break it off. The thought of his life without her, according to Staniel, is "unbearable." 3. What information (if any) from the summary above contradicts this diagnosis? I was unable to find any evidence to support a contradict diagnosis. Everything observed is indicative of Depression. 4. What other diagnoses did you consider? What made you rule those out? ( Or explain how the individual meets full criteria for another disorder). I initially thought Staniel had obsessive-compulsive disorder or relationship obsessive-compulsive disorder after reading the summary above. The specifics that were mentioned in Jim's summary or description of his statements and actions are what initially led me to come to this judgment. This is due to Staniel's admission that he suffers from anxiety, which has been linked to OCD but is a separate disorder. Apart from that since their separation, Staniel has been thinking constantly about his ex. When he is really depressed, he will draft letters, texts, or emails to her expressing his affections for her but he never sends them. Staniel frequently compared his predicament to the "great romances" in various young adult novels throughout the discussion. He likened himself to "Edward" and her to "Bella" while discussing the "Twilight" series' plot in particular. Finally, Staniel said that he is going to therapy to make the required adjustments so that his ex-girlfriend will agree to get back together with him. But when his symptoms are examined, they relate to five signs that indicate depression. This causes disturbing thoughts that not only negatively impact his performance at work but also negatively impact his physical and mental health. Furthermore, there are instances when the "we" of your partnership becomes a part of your identity. That indicates that a breakup can alter the way you view yourself. As you become used to your new self-concept, you could feel unsettled. In light of this analysis, I decided to drop the OCD or ROCD diagnosis.

PSY 381 Summer 2021 5. What other information would you like to have about this individual before “finalizing” your diagnosis? If you were assessing this individual, what questions would you want answered? In particular, how long did the relationship endure, whether this was the first relationship Staniel had, whether this disorder runs in the family, and finally whether he has made an effort to forget the relationship or has discovered coping mechanisms that boost his sense of self-worth. Models of Abnormality 6. Choose two paradigms (biological, psychodynamic, cognitive-behavioral, humanistic-existential, sociocultural, or developmental psychopathology) and describe/reflect on the case study from those perspectives. Select paradigms that are particularly relevant for the diagnosis that you have given this individual. Using the biological and humanistic-existential made sense to use. In order to cure his depresion and anxiety, Staniel can benefit from humanistic-existential therapy by exploring the underlying reasons that are fueling his symptoms, such as a lack of meaning or purpose without his ex, problems in his relationships, or concerns with self-acceptance. From a biological perspective, passionate love can be addictive. Your brain releases "feel good" hormones as a result. Losing it during a breakup can result in mental and physical issues, such as fatigue and worry, which Staniel has experienced. A surge of stress hormones brought on by emotional stress can also make you feel as though you are suffering Broken heart syndrome. After a breakup, it's normal to feel miserable for a while. Clinical depression, is distinct from ordinary greafing a breakup. It's ongoing, lasts at least two weeks or longer, and it can have an impact on every facet of your life. In which Staneil’s depressive symptoms might be brought on by stressful life circumstances like a breakup. Treatment 7. Based on the information from the textbook, what would be your first choice of treatment for this individual? Why? Rapid symptom reduction and enhanced social adjustment are the main treatment objectives of interpersonal therapy. The long-term objective is to empower those who suffer from depression to make the necessary changes on their own. When they are able to accomplish that, depressed symptoms are easier to manage and lessen. Depression is not brought on by anything related to interpersonal interactions. Depression, however, influences relationships and the roles that people play in them because it happens in an interpersonal environment. Interpersonal therapy for depression emphasizes how a person's

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