Module 3-Anxiety,Trauma-, and Stress-Related Disorders Case Scenarios Worksheet

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Middle Georgia State University *

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1101

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Psychology

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Apr 3, 2024

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Module 3 Case Scenarios Anxiety, Trauma-, and Stressor Related Disorders Read the case scenarios located in the corresponding Module 3 PowerPoint and answer the questions below. Some of the disorders in the case scenarios were not discussed in class but are presented in your readings. Be sure to review your readings carefully before submitting your responses. Happy diagnosing! Please type your answers in red font. Dave “Dave is a 41-year-old male who was referred by his primary care physician after presenting to the ER with difficulty breathing. Dave’s physician was unable to find a medical explanation for his symptoms, which left Dave feeling confused, stressed, and angry. Over the last 6 months, Dave has had several instances where he felt an intense fear that would reach a peak within a few minutes. During these instances, he would also experience sweating, heart palpitations, chest pain and discomfort, and shortness of breath. At times, Dave worried that he might die. As a result, Dave has persistent worry about having another episode. In addition, he has begun to avoid unfamiliar places and people where it may be difficult to get help in the event of another episode. The fear and associated avoidance are significantly impacting Dave’s life as he has been turning down social invitations, making excuses to stay at home whenever possible, and relying on his wife to drive their children to their various activities.” 1. What symptoms is Dave displaying? How are they impacting his life? (3 points) 2. In reviewing his symptoms, what diagnosis best applies to Dave? List your reasoning for this diagnosis. (4 points) Tia Tia is a 23-year-old accounting major who is set to graduate at the end of this semester. About three weeks ago, she was at a concert and witnessed a violent altercation between two other concert attendees. The fight was bad and before anyone could stop it, one of the people stabbed the other in the stomach. Since then, Tia has been constantly thinking about the incident and wonders if the person who was stabbed is okay. She has become frightened and will not go anywhere near the concert hall, has trouble sleeping due to nightmares of the fight, is nervous and irritable, feels ashamed she could not help, and does not seem interested in doing her school work or hobbies. 3. What symptoms is Tia experiencing? How are they impacting her life? (3 points) 4. In reviewing Tia’s case, do you think she is suffering from PTSD or Acute Stress Disorder? Explain your answer. (3 points)
Phil “Phil is a 67-year-old male who reports that his biggest problem is worrying.  He worries all of the time and about “everything under the sun.”  For example, he reports equal worry about his wife who is undergoing treatment for breast cancer and whether he returned his book to the library.  He recognizes that his wife is more important than a book, and is bothered that both cause him similar levels of worry.  Phil is unable to control his worrying.  Accompanying this excessive and uncontrollable worry are difficulty failing asleep, impatience with others, difficulty focusing at work, and significant back and muscle tension.  Phil has had a lifelong problem with worry, recalling that his mother called him a “worry wart.”  His worrying does wax and wane, and worsened when his wife was recently diagnosed with breast cancer. Since this worry began several months ago, Phil is starting to feel “down.” He feels that he is helpless to control it and feels guilty that he cannot properly support his wife through her treatment.” 5. What symptoms are affecting Phil and how are they impacting his functioning? (3 points) 6. What diagnosis would you make for Phil and why? (3 points) 7. Do you think Phil’s Diagnosis is due to biological, psychological, or sociocultural causes? Explain your answer. (4 points) Kameron Kameron is a freshman at Middle Georgia State University and is majoring in aviation. He is 18 years old and is struggling being away from his family and friends and is finding it difficult to cope. He and his roommate do not get along very well, he has a hard time making new friends, and has resorted to staying in his room as much as he can. Kameron is sad to be away from home, is nervous about his studies, struggles to sleep through the night due to restlessness and worry, and feels like things will not get better. Kameron has been experiencing these feelings since he came to MGA 6 weeks ago. Before that, he was generally happy, friendly, engaged with people, and was excited for his future. He comes to you, the school therapist, in hopes that he can better cope with this situation. 8. What symptoms are affecting Kameron and how are they impacting his functioning? (3 points) 9. What diagnosis best describes what he is experiencing and why? (4 points)
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