Lab-10 Diagnosing Disorders

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Psychology

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Morgan Normand Professor Dan Liscomb Gen Psych 1301.008 16 th November 2022 Diagnosing Disorders 1. Body Dysmorphic Disorder: Matthew has a hyper fixation on his nose, deeming it “unsightly” even as his peers do not share this perception. This anxiety-based obsession impacts his ability to socialize. 2. Major Depressive Disorder: Charlie is experiencing many of the 9 symptoms of MDD. He is experiencing loss of pleasure in usual activities including motorcycle club meeting and going to the gym. He is experiencing weight loss, loss of energy, decrease of productivity at work, has become withdrawn, feelings of worthlessness, and frequently thinks about death. (All within a 3-week period) 3. Schizoid Personality Disorder : Lora maintains a solitary lifestyle; she is emotionally flat and non-reactive. When greeted by neighbors, Lora does not reciprocate with a smile or nod. 4. Schizophrenia (): Shannon falsely believes she is a dog. In combination with her delusions, she has auditory hallucinations and disorganized speech. These are all hallmark symptoms of Schizophrenia as she has psychotic features for the past 9 months. 5. Panic Disorder: Elise has intense feelings of worry and anxiety without specific cause. Unprovoked, she had difficulty breathing and feared she was going to die of a heart attack despite no evidence of heart disease. While she exhibits classic symptoms of many anxiety disorders, further information is needed to determine if this is Panic Disorder, Generalized Anxiety Disorder, or possibly Post Traumatic Stress Disorder. Panic attacks in the absence of threatening stimulus leads me to characterize Elise with Panic Disorder. 6. Post-Traumatic Stress Disorder (PTSD): After experiencing a life-threatening traumatic event, Frank is disabled by unwanted thoughts, dreams, and flashbacks. His obsession has caused significant occupational impairment as any loud noise induces feelings of anxiety. The duration of these symptoms is needed to determine whether his diagnosis is acute. However, the general cause and symptom profile remains consistent in presentation. 7. Dissociative Identity Disorder (DID): Karnia had sudden changes in memory and identity with no apparent physical cause. She suffered a deep psychological trauma prior to the onset of symptoms ruling out the possibility of Dissociative Amnesia. Further investigation is needed to determine if this is a single Dissociative Fugue or rather a reoccurring feature of Dissociative Identity Disorder (DID). 8. Sexual Masochism Disorder: Roger has an intense need for violent humiliation in order to become aroused. Roger’s fixation with aggression and violence has significant social impairments as his fascination is atypical in nature. 9. Borderline Personality Disorder (BPD): Elaine presents many classic symptoms of BPD. Her unstable mood, impulsive behavior, and fear of abandonment are a toxic combination. Her use of self-harm as a means of manipulation in combination with her unstable personal relationships make this a textbook example of BPD.

10. Phobia: Teresa has an irrational fear of small, enclosed spaces. What makes Teresa’s fear a phobia is the intensity and uncontrollable nature of her response to the MRI machine. Her anxiety was so great that she was unable to get an MRI, even after sustaining a significant injury to her knee. I have many questions for her physicians. Why was a small dose of Ativan/ Lorazepam or Valium/ Diazepam not administered IV? This is a fairly common phobia; I assume it is standard to medicate patients with benzos when imaging is absolutely necessary. 11. Conversion Disorder: Jack experienced a major trauma when brutally attacked. He fits the symptom description of ‘converting’ an emotional trauma into a major physical symptom- in his case blindness. 12. Obsessive-compulsive Personality Disorder: Sarah has a need for complete control in group settings even at the expense of group’s success is a strong indication she has Obsessive- compulsive Personality Disorder. Additionally, her need for control extends to hoarding meaningless objects in her attic. 13. Bipolar I Disorder: Sam experiences periods of mania for weeks at a time. This included periods of a dramatically elevated, euphoric mood. His sleep schedule was also consistent with someone experiencing mania. His inflated self-esteem in combination with his lack of regard for his own safety, are a dangerous combination. Additionally, he is more talkative than usual and engages in reckless driving believing he is invincible. He presents far more than the minimum symptom standard, categorizing his behavior as a full-blown manic episode and ultimately making this a clear Bipolar I diagnosis. 14. Somatoform Pain Disorder: Ralph’s unexplained pain falls into the somatoform disorder category. His unexplained pain immediately tells me he either has Somatoform Pain Disorder or Somatization Disorder. What makes this symptom profile consistent with Somatoform Pain Disorder is Ralph is experiencing only a single symptom rather than a variety of symptoms that lack a pattern. 15. Agoraphobia with Social Anxiety Disorder tendencies: Joan’s ‘unrealistic fear’ is an immediate indication she is dealing with a phobia of some kind. Not only is Joan afraid something bad with happen and she will be harmed (Agoraphobia) but has an irrational fear of being judged by others (Social Anxiety Disorder). It is a clear presentation of Agoraphobia, which is why I choose this diagnosis. However, I feel many features of this profile are consistent with Social Anxiety Disorder. 16. Adjustment Disorder: Scott is experiencing all the symptoms consistent with Major Depressive Disorder (MDD). What makes this not MDD is the cause of these symptoms are normal life changes. The length of time Scott has experienced these symptoms is not included in the profile, but I would assume ‘recently’ means less than 6 months in duration. I am happy to read Scott is optimistic things will get better when settled into his new life as the prognosis for recovery is good with this disorder. 17. Bipolar II Disorder: Helen’s symptoms of fatigue, prolonged periods of sleep/ hypersomnia, changes in weight/ appetite, and trouble concentrating are symptoms of major depressive episodes. Additionally, her euphoric moods, overconfidence in abilities, and gambling sprees are consistent with hypomania as they do not rise to the intensity needed to classify Helen as a Bipolar I diagnosis.

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