Case Study Anxiety Answer Sheet 1 Essay

3. There are many different types of ways I’d suggest to Josephine to help deal with her anxiety but there are two would that would impact her a

Anxiety happens to everyone, at some point in time. In fact, a little anxiety can actually be good for you. It can help you respond appropriately to danger, and it can motivate you to excel at work and home. (www.mayoclinic.com) However, when anxiety becomes so strong that it affects your daily

Generalized anxiety disorder (GAD) is characterized by persistent, excessive, and unrealistic worry about everyday things. People with the disorder often experience exaggerated fear and expect the worst, even when there is no apparent reason for concern. They anticipate disaster and are overly concerned about money, health, family, work, or other issues. This disorder affects 6.8 million adults, or 3.1% of the U.S. population, in any given year (Van der Heiden, 2011). GAD comes on gradually and can endure across the life cycle, though the risk is highest between childhood and middle age. Women are twice as likely to be affected.

Persistent concern about having additional attacksb. Worry about the implications of the attack or its consequences(e.g., losing control, having a heart attack, “going crazy”)c. A significant change in behavior related to the attacksB. The presence (or absence) of Agoraphobia.C. The Panic Attacks are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., hyperthyroidism).D. The Panic Attacks are not better accounted for by another mental disorder, such as Social Phobia (e.g., occurring on exposure to feared social situations), Specific Phobia (e.g., on exposure to a specific phobic situation), Obsessive-Compulsive Disorder (e.g., on exposure to dirt in someone with an obsession about contamination), Posttraumatic Stress Disorder (e.g., in response to stimuli associated with a severe stressor), or Separation Anxiety Disorder (e.g., in response to being away from home or close relatives).(APA, 2000)

A displayed feelings of apprehension and became less co-operative during the initial clinical interview. She additionally displayed thoughts of inadequacy . She moved back to her parent’s house when she began getting panic attacks and was housebound through fear of inducing a panic attack. As a result of this, she became overly reliant and attached to her parents, who provided emotional, financial, and decision making support.

Prior to Mr. Smith’s diagnosis, Mrs. Smith worked outside of the home on a part-time basis. Her income was set aside to fund Junior’s college education. Mrs. Smith concentrated on maintaining harmony within the home and was a calm, stable influence in Mr. Smith and Junior’s lives. Since Mr. Smith’s diagnosis, Mrs. Smith has started working full time. The stress created by Mr. Smith’s diagnosis and care needs, concern over Junior’s well-being, full time employment, and financial concerns have caused Mrs. Smith to experience generalized anxiety disorder with panic attack specifier as defined by the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM, 2013).

A phobic disorder is marked by a persistent and irrational fear of an object or situation that presents no realistic danger. Agoraphobia is an intense, irrational fear or anxiety occasioned by the prospect of having to enter certain outdoor locations or open spaces. For example, busy streets, busy stores, tunnels, bridges, public transportation and cars. Traditionally agoraphobia was solely classified as a phobic disorder. However, due to recent studies it is now also viewed as a panic disorder. Panic disorders are characterised by recurrent attacks of overwhelming anxiety that usually occur suddenly and unexpectedly (Weiten, 1998).

In Tina behaviors, it indicated that she has anxiety and obsessive-compulsive disorders (OCD). OCD has 2 parts, obsession and compulsions. Obsessions are thoughts, impulses, or images that persist and recur, so that they cannot be dismissed from the mind even though the individual attempts to do so (Halter & Vacarolis, 2014). With Tina, she has an obsession of negative and harmful thoughts would come to her daughter even thought she knows it is irrational but she cannot get those thoughts out of her head. Compulsions are ritualistic behaviors an individual feels driven to perform in an attempt to reduce anxiety or prevent an imagined calamity. Performing the compulsive can only reduce the anxiety only temporarlity, which makes patient with

Bob Wiley has the criteria for a diagnosis of having dependent personality disorder, panic disorder with agoraphobia, OCD, hypochondria, and multiple phobias. The criteria to be diagnosed with dependent personality disorder includes having difficulties making decisions without seeking advice from others, the need for others to take control and make decisions for them, having trouble saying no, experiencing difficulty starting projects without assistance from others, having the need for support which causes one to behave in risky ways, having fears of abonnement, and feeling helpless when alone (Psychology Today).The criteria for panic disorder with agoraphobia include that a person experiences a deep fear when put in certain situations such as using public transportation, standing in a line, being in closed or open areas, and being alone when not in their home (Psych Central).

296.32 (F33.1) Major Depressive Disorder, recurrent episode, moderate severity, with anxious distress. Ms. Client meets eight of the nine diagnostic criteria for Major Depressive Disorder (MDD). Specifically, during several periods of time she experienced depressed mood, diminished interest in things she enjoyed to do, hypersomnia, psychomotor agitation, fatigue, feelings of worthlessness, decreased concentration, and suicidal thoughts without intent. Additionally, as Ms. Client expressed, these symptoms are source of continuing distress and interfere with her academics and social functioning. Also, her symptoms started four years prior to the psychological assessment and persisted intermittently since then, lasting for several weeks to several months, with the most recent period of extended length (enduring two weeks) approximately one year ago. Since the last episode she has experienced these symptoms for two to three days at a time. Although the last episode that met the criterion of two weeks duration occurred approximately a year ago, the symptoms have not disappeared, but they occur periodically since then and when they do, they cause considerable distress and impairment in functioning. Thus, the disorder cannot be coded as ‘in partial or full remission’. The specifier ‘with anxious distress’ was given, because Ms. Client reports feelings of difficulty in concentration because of worry and restlessness.

2017, pg.189).” Panic disorder with agoraphobia is often a very debilitating mental disorder for the individuals suffering with these disorders, and can take the form of a wide range of symptoms, the

I believe that Nadine fits the criteria relative to Social Anxiety Disorder 300.23 (F40.10). According to the DSM-5, Social Anxiety Disorder has ten diagnostic criteria. The first diagnostic criteria, A. is “marked fear or anxiety about one or more social situations in which the individual is exposed to possible scrutiny by others. Examples include social interactions (e.g., having a conversation, meeting unfamiliar people), being observed (e.g., eating or drinking), and performing in front of others (e.g., giving a speech)” (DSM, p. 202). Nadine demonstrates this diagnostic criteria, because for example, she is afraid to go to a public park and “had become scared to even read by herself in the local park” (quoted from case study).

Instructions: Read the following case study about a woman, Allison, who is suffering from anxiety. After you have read the case study, diagnose Allison and present some methods of treatment by answering the questions.

Hannah, a 25 year old Caucasian female, presented as alert, tense, and oriented 3x. Hannah is well groomed and appropriately dressed. Her affect was blunted flat. While client was cooperative, she presented as guarded, which may be due to her anxiety. She was calm, but displays signs of anxiety by posture, shuffling hands, lip biting, and eye movement.

According to the DSM, the major symptoms of Panic Disorder with Agoraphobia are, recurrent panic attacks and enduring anxiety about experiencing another panic attack. The individual is also anxious about going places where escape might be difficult or embarrassing, or where they will be unable to receive assistance in case of emergency.