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Reference:
Http://Bcs.Worthpublishers.Com/Comerfund4e/Content/Cat_070/Casestudies/Tina.Html
Diagnosing Generalized Anxiety Disorder:
1a. Refer to the DSM-IV checklist for generalized anxiety disorder. Which of Tina’s symptoms meet any of the criteria? (Be sure to match specific symptoms with specific criteria.)
| Tina’s symptoms meet the first and the third criteria according to the DSM-IV checklist for geneeralised anxiety disorder. The first criteria talks of excessive or on going anxiety and worry for at least six months, about numerous events or activities. According to her presenting proble, she had suffered for weeks from symptoms that are related to anxiety disorder. These symptoms included shortness of breath dizziness and shakes. It is said that she could only feel calm and relaxed with the test of liquor. This means that she needed to smoke and drink in order to avoid feelings of anxiety. Because of her husband’s death, she began having these thoughts that she may also loose her daughters in some weird way.
The second diagnostic criteria checklist for a generalized anxiety dissorder is difficulty to control wory. Tina had a problem to control her worries. She had to resort to external aid from substances and drugs to help her feel relaxed. It is said that she could only get to sleep with the help of the test of alcohol. The third criteria talks of atleast three of the following symptoms, restlessness, easy fatigue, irritability, muscle tention, and sleep disturbance. Tina had muscle tension. Her friends would suggest that she gets a massage in order to ease the tension. She also didi not have enough sleeep. She could easily fall asleep because of her situation and worries. She had to use the help of sleeping aids such as pills and sleeping caps in order to get some sleep. And finaly, she was very restless. |
1b. Based upon your review of Tina’s symptoms and the diagnostic criteria, could Tina be diagnosed with generalized anxiety disorder or not (and if not, why not)?
| Based upon the review of the diagnostic criteria and the symptoms that Tina displayed, it is very obvious that she has a generalized anxiety disorder. The other possible cases or problems in which she could have are overruled by the fact that physical medical check up revealed that she was fine. She thought that her symptoms were a result of high blood pressure, however the medical check ups suggested otherwise. This means that her condition could only be a result of a mental disorder, and in her case is generalized anxiety. |
Diagnosing Specific Phobia:
2a. Refer to the DSM-IV checklist for specific phobia. Which of Tina’s symptoms meet any of the criteria? (Be sure to match specific symptoms with specific criteria.)
| Tina’s symptoms meet the first, second, fourth and fifth criteria checklist for specific phobia according to the DSM IV. The first criteria talks of marked and persistent fear of a specific object or situation that is excessive or unreasonable, lasting atleast six months. Since her husband whom she had been married to for 24 years, died, she has had fear that her twin daughters would also die in horrible ways including car accidents. This situation seems to have affected her grossly that she fears she would not be able to take care of her daughters properly a lone. She is very much aware that her daughters are teenagers and this would give her a hard time in parenting the girls. In order to cope with this situation, she opts to find solace in drinking and smoking.
The second criteria for diagnosis of a specific phobia, is immediate anxiety usually produced by exposure to the object. Tina was exposed to her daughters every single day. She always felf irritated by their teenage related behaviours such as staying on the phone for too long. |
2b. Does Tina have a specific phobia and if yes, what is the feared object?
| Tina has a phobia for failure. Now that she is left a lone to care and raise up her teenage daughters, she fears failing as a parent. |
Diagnosing Panic Disorder:
3a. Refer to the DSM-IV checklist for panic disorder with agoraphobia and the checklist for panic disorder without agoraphobia. Which of Tina’s symptoms meet any of the criteria? (Be sure to match any specific symptoms with specific criteria.)
| The first criteria talks of recurrent unexpected panic attacks. According to her presenting proble, she had suffered for weeks from symptoms that are related to agoraphobia. These symptoms included shortness of breath dizziness and shakes. It is said that she could only feel calm and relaxed with the test of liquor. This means that she needed to smoke and drink in order to avoid feelings of anxiety. Because of her husband’s death, she began having these thoughts that she may also loose her daughters in some weird way. Since her husband whom she had been married to for 24 years, died, she has had fear that her twin daughters would also die in horrible ways including car accidents. This situation seems to have affected her grossly that she fears she would not be able to take care of her daughters properly a lone. She is very much aware that her daughters are teenagers and this would give her a hard time in parenting the girls. In order to cope with this situation, she opts to find solace in drinking and smoking.
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| Tina was exposed to her daughters every single day. She always felf irritated by their teenage related behaviours such as staying on the phone for too long. |
3b. Does Tina meet the diagnostic criteria for panic disorder with agoraphobia or panic disorder without agoraphobia or neither? Explain why you believe your choice is the most appropriate diagnosis.
| Tina meets the criteria for panic disorder with agoraphobia |
&n.............
Type: Essay || Words: 2119 Rating || Excellent
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