Write a Case Study Abnormal Psych.
This assignment supports your expression of knowledge, targeting the basic concepts, theories, and techniques discussed in the course. Presented below is a case study. For this assignment you will develop and present your analysis. Your analysis will include: early thoughts on diagnosis, an accounting of the key symptoms presented, an acknowledgment of the client’s strengths and areas for growth, and potential treatment goals for the client. You will conclude the intake analysis by discussing areas to explore with the client at the next visit.
Carl is a 37-year-old male who, during his intake visit, communicates he is experiencing a variety of life stressors. As you take notes, the following list is recorded:
change in weight, an increase of 25 pounds
trouble sleeping, primarily interrupted sleep and occasional sleeplessness
varied eating – periods of not feeling hungry followed by increased eating
irritability and moodiness
decreased sexual desire
self-esteem – decreasing
feelings of guilty – economic challenges have resulted in significant income losses
Carl has been married to his partner for eleven years. The marriage has experienced challenges, but is relatively happy and intact. Carl’s partner is an entrepreneur with many irons in the fire, and whose drive contributes to the business’s success and a healthy income ($185,000). Like Carl, his partner must reinvest the majority of their income back into their business ventures. Recent economic shifts have put pressure on the couple’s shrinking savings and investments, and on the upper-middle income lifestyle the two have become accustomed (buying and engaging in desired activities without much worry).
Carl holds a master’s degree from University of Virginia, Darden School of Business. He pursued and obtained his MBA with the goal of establishing his own business. He has a receptionist who works remotely from home on an hourly basis, and one full-time employee. Carl recently made the move from the home office, shared with his partner, to a new office space that has room for his employees. The office is well sized, and includes a conference space where clients can meet. His client list has expanded, but Carl is experiencing difficulties getting clients to pay within the 45-day billing period specified when invoiced for services rendered. As a result, Carl is often forced to pay his contracted account a service fee to prompt clients for payment.
Carl pays the accountant’s fee because he requires a steady cash flow to pay his employees, pay bills, and meet family responsibilities. The health insurance premium he pays for his family is high (over $1400 per month) due to a pre-existing health condition (his partner has a chronic condition). Additionally, he pays the health insurance premium for his full-time employee. Carl’s partner willingly, and lovingly, paid the family healthcare premium on their plan for over two years at a monthly cost of $1,700.
Carl took over the healthcare premium four years ago, as he felt that his partner had carried that monthly burden alone while he built up his client base. His partner also covered expenses Carl was not able to pay while he attended graduate school and established his business. During the intake visit, Carl shares that he could not have pursued his business endeavors without his partner’s support (financial and otherwise). He believes that this has created tension in his relationship with his partner, particularly during the current economic downturn.
Carl and his partner have three children, ages 2, 5, and 8. All are healthy, intelligent, fun-loving, and well-mannered, per his reporting. At the time of his visit, Carl has no concerns regarding the little ones. His partner works doggedly to contribute to the finances and to attend to the children. While Carl works most days from 7 a.m. to all hours of the evening, his partner “does it all,” making $185,000 and being a stay-at-home parent.
Carl feels that his partner’s deteriorating physical well-being is the result of this effort to do it all – being there for him and the children. While his partner does not express dissatisfaction, Carl feels (in his words, “understands”) that his partner must feel resentment toward him for the non-stop, around the clock, work he must dedicate to his business. As the funds in their savings has shrunk, Carl feels his personal state has deteriorated, physically, emotionally, professionally, and personally.
Carl concludes his intake visit expressing he needs help. He needs help regaining control in his life. He wants your help to develop a strategy for reversing this downward spiral.
Review Carl’s case and give a preliminary diagnosis using the knowledge gained in this course. Relevant diagnostic criteria can be found in the International Classification of Diseases, Tenth Revision (ICD-10 link), and the Study Guide to DSM-5. You may find useful, as a supplement, the sequential presentation of disorders found in Lumen Learning Abnormal Psychology, . (Caveat – the Lumen Learning resource uses DSM-IV-TR criteria with DSM-V revision summaries. Updates and changes within the DSM-V discussed in this course should be taken into consideration, should they apply.)
Answering the following six items, provide evidence of your logic for each decision. Reinforce responses with scholarly resources and appropriate detailing. Discuss how and why your arrived at conclusions drawn. See rubric for depth and detail expectations.
Develop your analysis in an organized, well-developed 5 to 7-page paper.
Required Items to be Addressed (scored):
Based upon this intake visit, what diagnosis do you think is most appropriate for Carl? Be mindful, this is your first session. Information is limited to the data collected in this first visit. (52 points)
What are the principal symptoms contributing to the diagnosis proposed? Clearly explain, providing details. (52 points)
Discuss Carl’s strengths. These will facilitate constructive work with him. (35 points)
Delineate Carl’s opportunities for growth and/or improvement. (35 points)
Looking to the next visit and beyond, what is your preliminary sketch of the treatment goals you have for Carl? Why do you identify these goals as appropriate for Carl? (35 points)
What will you explore with Carl in future visits (e.g., interpersonal, aspirations)? Present rational. Why do you want to this information? (35 point)
Mary is a 35-year-old woman who was referred to a mental health clinic by her family physician after complaining of excessive worrying, difficulty sleeping, and irritability. The symptoms had been present for the last six months and were affecting her ability to function at work and at home. Mary had no significant medical history and was not taking any medications.
History and Presentation:
Mary reported that she had always been a “worrier” but her anxiety had increased significantly over the past six months. She described feeling tense and restless most of the time, and had trouble sleeping because she couldn’t turn off her thoughts. Mary’s worries ranged from small concerns such as whether she had left the oven on, to more significant issues such as her health and job security. She also reported physical symptoms such as muscle tension, h
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Mary’s symptoms had started to affect her work as she was having trouble concentrating and making decisions. She was also withdrawing from social activities and had become more irritable with her family and friends.
Based on the diagnostic criteria from the DSM-5, Mary was diagnosed with Generalized Anxiety Disorder (GAD). Mary’s excessive worry and anxiety were present for most days over the last six months and interfered significantly with her daily life. Her symptoms were not due to substance use, medication, or another medical condition. Additionally, her physical symptoms indicated that her anxiety was causing significant distress.
Mary’s treatment included psychotherapy and medication management. She began seeing a therapist who used Cognitive Behavioral Therapy (CBT) to help her challenge her anxious thoughts and beliefs. Mary was also prescribed an antidepressant medication, which is commonly used to treat GAD.
After six months of therapy and medication, Mary reported significant improvements in her symptoms. She had fewer worries and felt less anxious, which allowed her to sleep better and feel more relaxed. She also reported improved relationships with her family and friends and was able to perform her job duties more effectively. Mary was able to discontinue her medication after a year and continued with psychotherapy on an as-needed basis.
Mary’s case highlights the importance of recognizing the symptoms of Generalized Anxiety Disorder and seeking appropriate treatment. With the right therapy and medication, individuals like Mary can experience significant improvements in their quality of life. It is crucial to seek help if symptoms of anxiety or any other mental health disorder are present, as early intervention can lead to better outcomes.