Is Agoraphobia A Difficult Mental Illness?

Twinsters is a documentary style movie that began on February 23, 2013. Samantha Futerman begins the documentary by telling us a little bit about herself and then the discovery of her twin sister, Anais Bordier. Upon talking to the adoption agency, they determined that the girls should have never been separated to begin with. In the end of the documentary, Samantha stated that if she was somehow given the opportunity to have grown up with Anais, she would not choose to because it would change who they became because of it. This whole experience has changed them both as people. Since they are MZ twins, they are genetically clones of one another, but this does not make them the same people. Samantha’s adoptive parents had two previous children,

The oldest jumps in to anything involving her sister as a protector. At the current foster home that only consists of the sister and the foster parent the oldest seems to be the one with the issues. The younger one has adapted very well, in regular school grades are good and no behavior or sexuality issues. The oldest however seems to have a problem with being told what to do, having chores and consequences for her action. This all comes from her having to be the mother for her siblings and no proper adult figure around. Both the foster mother and child are doing counseling together and separate. I feel this is the best for them, this is where change begins and a new life for them as well. The mother is still not complying with counseling. Not answering the door or either saying she is too sick to talk so visits are cut short. But she says that she does like the counseling sessions and wants to keep doing it. Mother still drinks and says she does not see a problem. Still not working, house evaluation failed. Mother no longer asks about getting kids back. I feel that she has given up and so has the CM. There was no changes in the plan. Both older children were promoted to next grade they still visit with siblings and mother every other weekend still monitored. In court Judge told mother bluntly that she is not slow and is very intelligent that she just needs to get herself together so

Montgomery County DHR Child Support caseworker’s (CSW) testimony revealed that on September 11, 2015 the custodial parent (CP) telephoned the office and left a voice mail stating she received a letter regarding her children’s father, the non-custodial parent (NCP), George Johnson, who is in prison; she cannot do anything about that. The CSW returned the telephone call and informed the CP that the appointment was for the child in the case with the NCP, James Hall. The CP stated that she did not know a James Hall. The CP was informed that the information was received from the Temporary Assistance for Needy Families (TANF) caseworker. The CP stated that she made a mistake. The CP was informed that she could keep the appointment or be sanctioned

Case manager has been working with Ms. Tabitha, who has one child by the name of Michelle, currently 25 years of age, and two deceased twin daughters, as well. Tabitha was diagnosed with having an anxiety disorder, and is taking medication’s to help with her anxiety. Recently, Tabitha failed her housekeeping inspection, and has six months to improve her housekeeping situation, and if she doesn’t, will be evicted from the premises. Tabitha sought help for her situation; is receiving counseling, Motivational Interviewing, Cognitive Behavior Therapy, and she’s removing the clutter from her home, while learning new skills. The

Toni you are experience to handle situations like John and Lydia. It is blessing to be employed with the same agency for ten years. Do multiple reports have to be filed for adult protective service to investigate. You are correct about patient right to self-determination. I wish there was a loophole for older adults who are not competent of making decisions for their self. Lydia and john are in dire needs for someone other than the son to be their guardian. I think it is horrible that the son does not want outsiders to be involved in his parent business. You answered my question regarding the courts.

The word substance can describe a drug of abuse, a medication or a toxin that produces psycho activation and alters cognitive, behavioral, and affective perception; furthermore, addiction has been conceptualized as a disease, yet little is known about the underlying pathophysiology (Johnson, & Vanderhoef, 2013). Most common theories that have contributed to some understanding to the substance abuse and addiction are described by Johnson & Vanderhoef (2013) as psychodynamic which within this theory is the oral stage fixation where a person seeks gratification through oral behaviors; maladaptive regressive behaviors

When DHR originally got involved with the twins, the caseworker at the time was hoping that a family member would step in to become guardian and take the responsibility for helping them with daily tasks. It was extremely imperative that DHR found someone who would not manipulate or take advantage of the twins. One niece did come forward and showed sincerity in wanting the twins to move into her home. She claimed that when she was younger, they would baby sit her and she wanted to return the favor. After a few months, the twins moved into her home after the casework deemed it was a suitable place for them to live. Things appeared to be going well until the niece lost her job and the twins’ care began to get overwhelming for her. After a year, the niece went to DHR and terminated her guardianship over the twins. DHR was able to find a suitable one bedroom apartment for the twins that was affordable and they have been living there since. At DHR there was a homemaker, who would grocery shop and get prescriptions for clients.

Currently, I believe Barbie separately meets all criteria for both diagnosis of Agoraphobia and Panic Disorder. According to the DSM-5 this specific comorbidity is not unlikely and the following criteria for both diagnosis will be discussed as followed. The specific diagnostic criteria for Agoraphobia included sections A – I. Criteria A states that the individual must exhibit marked fear or anxiety for two or more situations and Barbie currently meets number one and three; which describes the anxiety she experiences with the thought of the use of public transportation such as a subways or bus and being in enclosed places such as the movies. Criteria B is met because it is evident in the narrative that Barbie fears these situation because

For cases accepted in the Alternative Response track, DHR will work collaboratively with the family to provide services without the threat of a formal finding of abuse or neglect. Morley and Kaplan

Panic disorder and agoraphobia are two separate disorders that often go hand in hand with each other. An individual can be diagnosed with panic disorder, but a diagnosis without agoraphobia can often take place as well. Some individuals develop symptoms of agoraphobia, but do not have the classic panic disorder symptoms, hence the reason they are both listed as separate disorders in the DSM-5. Panic disorder can be identified as “recurrent unexpected panic attacks. A panic attack is an abrupt surge of intense fear or intense discomfort that reaches a peak within minutes, and during which time four or more physical and cognitive characteristics take place (Hooley, J. 2017, pg.188).” When dealing with panic disorder it can often become debilitating, due to the fact that the individual does not know when the onset of an attack will occur. Individuals with panic disorder more commonly develop agoraphobia as a comorbid disorder, and if left untreated, can have a difficult time even leaving their home. Agoraphobia can be defined as “the individual fears or avoids

Per Reporter: Jessie Sr. has temporary custody of Jessica and Justin; Jessica and Justin has been in the home for 2-3 years. There are 4 or 5 other unknown children also the home. The family lives in a three-bedroom home; it is unknown of where the children are sleeping. The children are always dirty and nasty and barefoot. Jessica hair is usually nappy. The children were last seen 9/23/17. The children are not eating properly. It is unknown if there is food in the home. Jessica has lost; she’s too skinny. Jessica has a rotten tooth that needs attention. Jessica and Justin should have Medicaid. Sydney and Jessie receives a “DHS check” for Jessica and Justin, but doesn’t provide anything for them. Lucy (paternal grandmother) has been providing

Agoraphobia – An anxiety disorder where the person experiences extreme fear of not being safe or overcoming a situation where they may not be able to escape, and no one is around to help or save them. The person exhibits a fear of being around others in a crowd or being outside alone. The cause of this disorder is unknown but usually stems from a person having multiple panic attacks and believing that extremely stressful situations may lead to a panic attack. Some believe that this disorder may also run in the family.

Those diagnosed with agoraphobia often have symptoms associated with panic attacks like rapid heartbeats, and nausea. Differing from adjustment disorder symptoms of agoraphobia can occur prior to the stressful situation which the person fears (Hooley, et al., 2017). Agoraphobia can be a severe condition causing an individual to avoid daily activities like going to the store, work or school (activities that require them to leave home) to prevent the occurrence of episodes. Per the National Institute of Mental Health (NIMH) 0.8% of American adults suffer from agoraphobia and about 40% of cases are considered severe (NIMH, n.d.). Unlike adjustment disorder, agoraphobia is a very disabling disorder and though people are usually cognizant of the irrationality of the fear they do not have the power to do anything to subside their feelings. Further while adjustment disorder can be diagnosed in children or adults, agoraphobia is typically diagnosed in early adulthood (APA, 2013).

As reported by Johns Hopkins Medical Hospital about 26% of American adults suffer from determined mental disorders in a set year. Furthermore, 18% of these adults suffer from an anxiety disorder such as agoraphobia in the same given year. The crippling fear of being alone outside of the place a person may call home is classified as the phobia agoraphobia (National Institute of Mental Health, [NIMH], 2015). According to the NIMH 0.8% of the U.S adult population has had this mental health issue for a prevalence of about 12 months while 40.6% of these adults have been classified as a “severe” case. The demographics for agoraphobia, when speaking about age, typically are seen strongly in the age range of 30-59 year olds; notwithstanding the fact

For years I have been fascinated by that mysterious quirk of nature called twins. In my family, there are several sets of identical twins, and I have always concentrated on their similarities. I did not realize that identical twins also have many differences. My identical twin cousins, Sue and Heidi, appear to be perfect mirror images. They love to dress alike. They can feel each other's pain. They sound alike and can complete each other's sentences. But upon taking a closer look, I have found that they are as different as day and night. Aside from Sue and Heidi's outward characteristics, they possess several distinguishing traits that allow them to be viewed as two separate, independent