Psychiatric Disorders: A Case Study

As of 2015, around 16.1 million adults suffer from Major Depressive Disorder in America and one in five teenagers will experience it (Adaa) (Everett). Depression is a temporary disease that is treatable with an assortment of medications and services (Everett). The American Psychiatric Association defines Depression and/or major depressive disorder as a “common and serious medical illness that negatively affects how you feel, the way you think and how you act.”(Psychiatry). Yet there are many forms of treatment, from medication to therapy treatments. For example, Selective serotonin reuptake inhibitors, shortened to SSRIs, are a form of antidepressants that work by “increasing levels of serotonin in the brain” (Mayo Clinic. (2018). Selective).

Provide a tentative diagnosis for each of the following case studies. Write at least one paragraph for each, justifying your answer in terms of the DSM-V criteria for that particular disorder. Remember, writing matters, as you will be judged on the quality of your communication as well as on the justification for the tentative diagnoses.

The possible relationship between sexual abuse and the development of an eating disorder has gained attention over the last few years. Researchers have attempted to clarify this potential link using a variety of population samples and research methodologies. As will be shown, the results of these investigations are rather diverse and sometimes inconclusive. In the following review of the literature, the complex relationship between sexual abuse and eating disorders will be examined while also discussing the methodological limitations of the various designs.

Glenn Waller (Waller, 1991) conducted a research study that probed whether sexual abuse was a factor in eating disorders. In his research, Waller presented 67 women who met the DSM-III-R criteria for either anorexia nervosa or bulimia nervosa. The 67 women were grouped into one of four categories. The categories included anorexia- restricting subtype, anorexia- purging subtype, bulimia with a history of anorexia, and bulimia with no history of anorexia. About 36% of the women completed a Sexual Events Questionnaire (SEQ), while the remaining women were asked about the sexual abuse during interviews. All the women were then interviewed concerning unwanted sexual experiences. Thirty two (48%) of the 67 reported that they were sexually abused in their childhood. Scores were compiled for each of the women after they had either taken the SEQ or were clinically interviewed. The researchers came to the conclusion through statistical analysis that sexual disorders per se do not cause eating disorders. The researchers believed that sexual abuse may determine the nature of the eating disorder but that this is prompted by other mitigating factors

The patient is a middle-aged white male. He appears to be well kempt, dressed neatly but casually and somewhat dully in jeans and a button-down shirt. He is slightly overweight. He responds to the interviewer in a friendly and cooperative manner, and they seem to have adequate rapport. He mostly maintains good eye contact, although not staring, and he tends to look briefly away when relating incidents that could make him emotional. He tends to respond positively when answering followup questions, for example agreeing that even when not having an anxiety attack, he does worry about when the next might strike, and curtails his activities as a result. His facial expression

Focus: Samantha and family will learn and practice coping skills to manage Samantha’s depressive moods. Ms. Smalls (MHP), Samantha and Ms. Smith (MHS) process Samantha’s emotions about MHS recent hospital visit and past events that led to feeling sad.

Victims of sexual abuse may develop eating disorders in order to cope with their traumatic experiences that they may have suffered from their loved one. In many cases, it has been reported that there are larger cases of bulimia nervosa in victims of sexual abuse than anorexia nervosa. As according to Wonderlich et al.’s study, those who have been sexually assaulted as a child have some stronger relations with bulimia nervosa than anorexia nervosa. Studies conducted by Bushmell et al. (1992) and Pribor and Dinwiddie (1992), both found frequent cases of bulimia nervosa compared to anorexia nervosa among the eating disorder rates of sexually abused victims. Additionally, as according to the studies conducted by Wonderlich et al., there as considerable

with in solitary confinement to control them and make sure that they do not cause others any form of harm. Many institutions have also started to use straightjackets to control prisoners with a personality disorders so that they do not self-harm themselves. The treatment of personality disordered federal prisoners is not impossible, but in many cases the situations within the institution or prison makes it impossible for many federal inmates.

Mental health is a major concern in the United States. In 2013, nearly 37,000 deaths were reported as a result of suicide (Das, 2015). In the same year, just about 630,000 people went to the emergency room due to self-inflicted injury (Das, 2015). Between 2013 and 2014, 5.4% of the non- institutionalized United States' population experienced depression within any 14-day period. One-tenth of the United States population in 2014 reported two or more weeks of psychologically unhealthy days within a 30-day period; the mean American adult reported 3.4 unhealthy days (Centers of Disease Control and Prevention (CDC), 2015c). Although recent studies have shown 15% of the US population will become clinically depressed at some point in their life.

Schizophrenia is a type of psychiatric disorder which people have out of touch with reality and disorganized behaviors. People experiencing schizophrenia need to be continuously treated for a long period. However, several reports found that the rates of recurrence and hospital readmission among schizophrenia patients are higher than other types of psychiatric patients. In Thailand, patients with schizophrenia have a large number of readmission rates, accounting for 70% of all of patients with psychiatric illnesses. Thus, these may reduce self-care behaviors of patients, and effect the worse quality of life in not only patients, but also their families. Moreover, the readmission also largely increases the expenditures on their families and

The claimant testified that she is not able to drive. She last drove two years ago. She initially used a cane to help her walk after acute pain in the hip but has used a walker since 2015 after a knee injury. Since April of 2017, she has used a wheelchair for “long distance walking”. She stated she was taking Alprazolam, Carisoprodol, Gabapentin, Hydrocodone, Levothyroxine, Lisinopril, Lovastatin, Metformin, Levemir, Novolog, and Trazodone. Her medications make her sleepy. She has back pain, severe arthritis, and her L5 is displaced from her L4. She has been recommended for back fusion but has to have an A1c less than eight. She falls because her foot tends to catch. She has to be very conscious when walking. She hurt her right knee at work when her foot caught on a cord. It took over a year for swelling to go down. It aches when the weather changes. She has back pain due to sciatica. Her sister or her son have to take her to her appointments. She needs to

Identify some of the “abnormalities” that you recognize and would want to know more about regarding Ms. Allen.

The prevalence of mental disorders is greatly affected by culture, by history, and by social context (Gone & Kirmayer, 2010). Paris (2013) states the three ways in which culture shapes mental disorders: first social forces influence a client’s vulnerability to psychopathology, expressed by symptoms. Culture can also add social stress to an already preexisting biological predisposition. Paris (2013) goes on further to say that the client’s social forces can shape unique disorders that are seen in one particular culture or group of cultures. With this information we know that in order to formulate a mental diagnosis that is both accurate and without bias, we have to know the social context of the person, their history, their family makeup, and

There are many mental health facilities around the state and the country, being able to attend and observed in one was very difficult because of confidentially purposes. Many agencies I visited such as Catholic Charities, St. Mary Hospital behavioral health services, covenant house had turned me down not allowing me to have that exposure and visit in their organization. The agencies policies were strict, they had mentioned they will have to do a series of background checks and had to be enroll in their organization as an intern to be able to have access in their facility. I understood these precautions were very important for the confidentially of patients and the facility. As I was struggling to find some access to a mental health

Anxiety is very complex mental illness that affects millions of Americans. According to David Myers, “Anxiety Disorders are psychological disorders characterized by distressing, persistent anxiety or maladaptive behaviors that reduce anxiety,” (Myers, 2010). Lesbian, Gay, Bisexual, and Transgender youth are more likely to develop anxiety because of factors such as bullying. Anxiety effects these youth in different ways and many factors affect why these are anxious. LGBT youth suffer mental health disorders such as anxiety due to discrimination, isolation, and bullying. I would like to conduct a case study to see the relationship between bullying and discrimination of LGBT youth and anxiety. The relationship I want to study is the correlation