Kristen Case Study Essay

Marcos Martinez Professor Manuel Government 2305 18 April 2018 Kristin Case Study How Kristen Died is a case study written by George Lardner. The father of a 21-year old college student who was murdered by her psycho boyfriend. Kristin father explains how there was bureaucratic failure and it was due to lack of attention. She was dating Michael Cartier, he was a local nightclub bouncer with a very aggressive record. Bureaucracy is a system of organization and control that is based on three principles: hierarchical authority, job specialization, and formalized rules.

“Anxiety is the signal of danger which mobilizes the human organism’s resources at all levels of functioning in the interests of conservation, defense, and self- preservation.” (Anxiety 1) If a person suffers from anxiety there is a major loss of control and then an attempt to regain that control because of a fear that they have. Anxiety disorders are one of the most frequently occurring mental disorders in the United States. However, anxiety disorders are not only found in the United States. They are found throughout the world. They just happen to be most predominating in the United States. In this paper, I will be discussing the generalized anxiety disorder and how if effects society today.

Generalized anxiety disorder (GAD) is an anxiety disorder that is characterized by excessive, uncontrollable and often irrational worry about everyday things that is disproportionate to the actual source of worry. This excessive worry often interferes with daily functioning, as individuals suffering GAD typically anticipate disaster, and are overly concerned about everyday matters such as health issues, money, death, family problems, friend problems, relationship problems or work difficulties.[1] They often exhibit a variety of physical symptoms, including fatigue, fidgeting, headaches, nausea, numbness in hands and feet, muscle tension, muscle aches, difficulty swallowing, bouts of difficulty breathing, trembling, twitching, irritability,

This patient is experiencing generalized anxiety disorder. First, let us look at this disorder from

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.

| A. Excessive anxiety and worry (apprehensive expectation) about two (or more) domains of activities or events (for example, domains like family, health, finances, and school/work difficulties)B. The excessive anxiety and worry occur on more days than not for three months or more (APA, 2000) Examination of Classifications and SymptomsC. The anxiety and worry are associated with one or more of the following symptoms: 1. Restlessness or feeling keyed up or on edge2. Being easily fatigued3. Difficulty concentrating or

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).

About three percent of men and women in the U.S. suffer from Generalized anxiety disorder (APAA). It is one of the most common forms of anxiety and seems to be the most left untreated because people don’t know that it can be treated (McGradles). GAD, although it affects many, is a disorder that can be detrimental to the quality of life of an individual. With the regard to the quality of life, the level of severity that a person experiences is a great factor in determining more information. The accumulated information is a defining feature in figuring the dissimilarity of the normal fight or flight response and the diagnoses of GAD. The disorder itself is that of excessive worry (AnxietyBC) about everyday

The main feature of (GAD) is characterized by “excessive anxiety and worry (apprehensive expectation) about a number of events or activities” (American Psychiatric Association, 2013). Individuals, who are diagnosed with GAD, often have worrisome thoughts that are hard to control which inhibits them from concentrating on everyday tasks. To distinguish GAD from nonpathological anxiety, it is important to keep in mind several features. The worries associated with GAD are excessive and problematic for psychical functioning, more pervasive, pronounced and distressing, and are accompanied by physical symptoms (e.g., restlessness) (American Psychiatric Association, 2013). It is important to note that symptoms of GAD can be misunderstood for different reasons. Risk and prognostic factors can be temperamental, environmental, and genetic and physiological, additionally, cultural factors in the expression of GAD also need to be considered. Given the information above about GAD, it can be concluded that it is important to have treatment for such disorder in order to help individuals have

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.

Generalized anxiety disorder (GAD) is a disorder in which an individual may feel persistent, excessive, and worry about everyday things that may not even happen. Individuals with this disorder may feel worry, excessive anxiety, and have thoughts of the worst even when there is no need for concern. A person experiencing GAD may expect a disaster. They may worry about their finances, money, health, family, work, or any issue that may come to mind. This disorder may be present when a person worrying increases on more days than one for at least six months. GAD can interfere with work, school, family, and even social activities. GAD can be diagnosed in adults when they experience at least three of the symptoms. These symptoms include restlessness or feeling on the edge, fatigue, difficulty focusing or mind going blank, irritability, muscle tension, pain in back or headaches, and sleep disturbance (ADAA, n.d.).

How many orders can you fill in a night, assuming that you are open four hours each night?

According to the Diagnostic and statistical manual of mental disorders: DSM-5 (2013), Generalised Anxiety Disorder (GAD) is classified as having excessive anxiety and worry occurring more often than not for at least 6 months, that is difficult to control and that impairs daily functioning. At least three symptoms must be present and include restlessness, easily fatigue, difficulty concentrating, irritability, muscle tension and sleep disturbance.

Jessica is a twenty-eight-year-old married female who works at a large hospital. She has high expectations for herself because she has graduated with honors at both college and medical school. For the past few weeks, she has been feeling tired and unhappy. She has had a demanding and high stressful job at a large hospital for two years. She feels that she is unable to perform well at her job and has trouble concentrating at work and at home. She is uninterested in her usual activities and has many negative thoughts that keep her awake at night. Two diagnoses that best fit this case study are Major Depressive Disorder and Generalized Anxiety Disorder.