Case study 2
Clara, a 40-year-old client who has been diagnosed with Social Anxiety Disorder (SAD).
Aetiology
The aetiology of anxiety can be addressed from several perspectives using various theories. These include genetic, biologic, psychoanalytic, cognitive behaviour, and social-cultural theories (Shives, 2008).
Incidence and Prevalence
In Europe, the median prevalence is 2.3%. Prevalence decreases with age. In general, higher rates of social anxiety disorder are found in females than males in the general population (with odds ratios ranging from 1.5 to 2.2), and the greater difference in prevalence is more pronounced in adolescents and young adults (American Psychiatric Association, 2013). Social anxiety affects approximately 13.7% of
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It seems that leaving work to become a stay at home mother has especially contributed to the deterioration of her mental health in recent times. Clara has gone from a job as a paediatric nurse, which involves a large amount of social interaction to virtually no social communication on a daily basis. She lacks support as her husband works long hours and the two “rarely have time together” and she has no friends or family nearby. In order to avoid social contact, Clara has turned to house work in order to occupy herself, but this too seems to have had a negative effect on her mental health. As it is the only occupation Clara seems to carry out she feels an obsessive need to keep on top of her chores and she develops a high anxiety when they are not completed. In social situations Clara suffers from panic attacks so lately she has been doing her best to avoid all forms of social contact. To get a better understanding of what Clara must be feeling I read extracts from a particular book based on social phobia, in one particular part Marshall and Lipsett, 1996 states; “For the socially fearful, each introduction to a new person is a highly charged test situation filled with self-conscious evaluation and
Tina meets the diagnostic criteria for panic disorder with agoraphobia. I believe this is the appropriate diagnosis because her symptoms meet the criteria in the DSM-IV.
Maddy is currently suffering from Major Depressive Disorder 296.33(F33.2). Her symptoms portray a change from previous functioning. She experiences depressed mood most of the day. Her self-report of hopelessness indicates the severity of the disorder. She advises of experiencing this feeling for two years, which surpasses the time frame required for diagnosis. She also reports marked diminished interest and pleasure of almost all activities. This is indicated through Maddy’s personal account of the inability to get of bed, and partake in the normal activities she usually does. The client reports a decrease in appetite and the inability to fall asleep. She also expresses loss of energy to continue through the day. She advises of the inability to concentrate, and had a specific plan for committing suicide.
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.
The patient is a 70-year-old female that presents to the ED complaining of right upper quadrant pain and nausea with sudden onset. The patient is known to be diabetic, fibromyalgia, has morbid obesity, and sleep apnea. She also is complaining of some chest pain and on presentation initial troponins were 0.032. She therefore is seen in consultation by Dr. Atul Prakash and the patient undergoes a stress test approximately 3 weeks ago after having presented to the ED with a similar complaints. Stress test was interpreted as normal. It is to be noted she has CO2 retention having PCO2 of 51. She is dehydrated having a urine specific gravity greater than 1030. On ultrasound she is noted to have cholelithiasis, fatty liver and mesenteric panniculitis.
Mary, appears to be a young college student, who lives alone. Her parents visit her occasionally at her apartment. Mary is not dating or in any serious relationships, because she has a fear of boys. Mary, was told by her doctor, that she has borderline hypertension However, her condition can be corrected through diet been told of having borderline high blood pressure, but can be corrected with proper diet and exercise. Nonetheless, she is in constant worry about not being good enough. Mary does not participate in any alcohol consumption, and in general has a healthy family medical history, besides her recent diagnosis, and is not currently on any medication. Mary is in good health otherwise.
Reporting health issues: Claimant did not agree with pervious determination to cease her SSA benefits. Stated her condition had not improved. She continued to see her psychiatrist every month and thought she could not function without medications. The information that her last medical appointment was in 12/2014 was erroneous.
Yes, she does. She has iron deficiency anemia in her past health concern when she was 25 years old. She thinks this has resolved but she doesn’t have recent lab report. Since there is a relation between low iron status and reduced fertility she should start to work on this problem. Low iron stores prior to pregnancy increase risk of iron deficiency. As a result, she should check her iron level/situation to eliminate impaired fertility risk factor.
She stated that anxiety started after high school when she felt pressure to go to college. There is no evidence to support that client has learning disabilities. Hannah reported that she thought the change would help improve her life. She stated that she thought moving out on her own would shift her into independence. However, client reports that her anxiety has been worse. Reportedly, she has difficulty spending too much time alone. Hannah recalled her recent experience meeting with friends at a coffee shop and reported that during the entire outing she experienced persistent thoughts of going home. She stated concerns about the possibility of losing her friends due to the anxiety. Hannah reflected on how social life when she lived with her parent and reports her new social difficulties. Client reported that her anxiety is stopping her from making friends. Hannah works as a freelance photographer. Anxiety has been stopping her photography. Hannah reported that she has been receiving less work and took the responsibility for the decline in work. Client reports some of her anxiety symptoms as shaking, hot flashes and sweating. In addition she reports having many flooding thoughts that others may think she is stupid, she can’t do her job, she’s an idiot, weirdo, or everyone is looking at her. She reported that those thoughts make her feel she should give up and she is an idiot. Hannah reports that when anxious while working, she has the tendency to clinch tight onto the camera. Reportedly, her shaking interferes with her taking photos. Client reported that had resorted to wearing black to work and many places to conceal the evidence of her sweating due to her
A Psychology disorder known as anxiety disorder, is the most common in the United States. In a result of, 18% of 40 million people suffers from anxiety. However, there are six different types of anxiety disorders in the results of stress, depression, social interaction, obsessive compulsive, and phobia. Which characteristic functions as a natural part of life, that can be treated thought several methods.
On September 13th, 1848, a man's life was changed forever. Phineas Gage, a foreman for a railway construction company, was using a tamping iron to pack explosive powder into a hole. Having done this many times, Gage didn't think twice about it. The powder detonated, shooting the tamping iron into his cheek and out his skull. Surprisingly, Gage survived the accident and was conscious enough to make a joke towards the doctor. Although he lived, he was no longer the person that he used to be. Before the accident, Gage was the top dog at his company. Shortly after his recovery, he attempted to return back to work but his boss would not let him. According to The University of Akron, "He was fitful, irreverent, and grossly profane, showing little
Jake has started taking strenuous classes this semester and has developed an anxiety disorder. This is a mental illness that causes constant worry and fear. In psychology, there are many ways to look at the development and treatments for this affliction. Behavioral, humanistic, and cognitive are three approaches that look at Jake’s disability in a similar, yet contrasting manner.
According to the Diagnostic and Statistical Manual V (DSM-V), social anxiety disorder is characterized by excessive fear and apprehension in social or performance situations, and is related to concerns about being humiliated or embarrassed in front of others (American Psychiatric Association, 2013). ‘Social phobia is the most common of the anxiety disorders and the third most common over all mental disorders’ (Clark & Beck, 2010, p341). Research suggests that 12.1% of people suffer from clinically significant social anxiety at some point in their lives (Turk, Heimberg, Magee, 2008). Social anxiety disorder and social phobia are interchangeable terms; for the purpose of this research social anxiety disorder will be the term used. This also reflects the most recent terminology used in the newest DSM manual, DSM-V (American Psychiatric Association, 2013), where the previous diagnosis category of ‘Social Phobia’ has been changed to ‘Social Anxiety
Although there was no direct answer given to this question, it was interesting to hear other opinions about this topic especially with those who have had experience with this type of case and it did not result in separation anxiety disorder (SAD). In fact, it can produce the exact opposite and the person who moves around a lot due to military or foster care, for example, they can become resilient.
Anxiety disorders are the most common mental illness in the U.S., affecting 40 million adults in the United States age 18 and older, or 18% of the population; that statistic includes myself. Sophomore year of high school, I was diagnosed with GAD which stands for generalized anxiety disorder, and I was also diagnosed with social anxiety, major depression and chronic daily headache. When my therapist told me I was diagnosed with all of those disorders, I was not shocked. I knew for a very long time that something was not okay with me, now it was just a matter of how I was going to deal with what I was just diagnosed with and if I was going to let it define my life. Anxiety is something I dealt with in my past, something I am dealing with in the present, and I am going to conquer it for my future here at Saint Ben’s.
I chose to explore the topic of anxiety disorders. I chose this topic mainly because I suffer from extremely severe anxiety and I am always looking to learn more about it. I also chose this topic because I wanted to gain more knowledge about how to deal/cope with my anxiety; more specifically without using any kind of medication. I have struggled with anxiety since a very young age and the first thing my doctors did was put me on medication, and when that didn’t work they’d try another, and another. Nothing ever really helped because usually the side effects were not worth the little amount they would do to help my anxiety. When I turned 18, I said “no more pills”, and have been trying to deal with my anxiety in natural ways ever since. I will use this new information and treatment options to apply to my own life to help treat my anxiety.