Question
For this final unit assignment, you are going to be given a case study (see below). You will have to determine what the individual is
For this final unit assignment, you are going to be given a case study (see below). You will have to determine what the individual is diagnosed with (to the best of your ability). You can look online and search scholarly articles. If you are able, you could look at the DSM-5 in the library.
You then need to explain what you believe the best type of therapy will be for the diagnosis, including the perspective (remember the perspectives are the following: psychodynamic, humanistic, behavioral, cognitive, sociocultural, biological, and evolutionary) and specific methods from within that perspective. You will need to find a scholarly article to support your reasoning for the method you choose.
You also need to include a list of ten questions you would ask. Questions should be open ended (meaning questions that cannot be answered in only one word). If you are using client-centered therapy, which does not ask a lot of questions, then you will need to make a list of ten things you will hope to learn from the participant even if you do not ask direct questions.
I will give you the option to do this in either paper format OR power point format, but whichever you choose, you need to make sure you include all the information and cite it correctly.
Case Study #1 (Students whose last name begins with A-D)
Victor is a 27-year-old man who comes to you for help at the urging of his fiance. He was an infantryman with a local Marine Reserve unit who was honorably discharged in 2014 after serving two tours of duty in Iraq. His fianc has told him he has "not been the same" since his second tour of duty, and it is impacting their relationship. Although he offers few details, upon questioning he reports that he has significant difficulty sleeping, that he "sleeps with one eye open" and, on the occasions when he falls into a deeper sleep, he has nightmares. He endorses experiencing several traumatic events during his second tour but is unwilling to provide specific details - he tells you he has never spoken with anyone about them, and he is not sure he ever will. He spends much of his time alone because he feels irritable and doesn't want to snap at people. He reports to you that he finds it difficult to perform his duties as a security guard because it is boring and gives him too much time to think. At the same time, he is easily startled by noise and motion and spends excessive time searching for threats that are never confirmed both when on duty and at home. He describes having intrusive memories about his traumatic experiences on a daily basis but he declines to share any details. He also avoids seeing friends from his Reserve unit because seeing them reminds him of experiences that he does not want to remember.
Case Study #2 (Students whose last names begin with E-H)
Jen is a 29-year-old woman who presents to your clinic in distress. In the interview she fidgets and has a hard time sitting still. She opens up by telling you she is about to be fired from her job. In addition, she tearfully tells you that she is in a major fight with her husband of 1 year because he is ready to have children but she fears that she is "too disorganized to be a good mother." As you break down some of the processes that have led to her current crises, you learn that she has a hard time with time management and tends to be disorganized. She chronically misplaces everyday objects like her keys and runs late to appointments. Although she wants her work to be perfect, she is prone to making careless mistakes. The struggle for perfection makes starting a new task feel very stressful, leading her to procrastinate starting in the first place. As a consequence, she has recently received a number of warnings from her boss related to missing deadlines for assignments and errors in her work, which has led to her acute fear of being fired. As her performance at work has plummeted and she has grown increasingly anxious and doubting of herself, she has grown more pessimistic about starting a family. You learn that she received extra time for test taking in school as a child but never had any formal neuropsychological testing. With Jen's permission, you conduct additional structured assessments, including collecting collateral information from her fianc.
Case Study #3 (Students whose last names begin with I-L)
Gary is a 19-year-old who withdrew from college after experiencing a manic episode during which he was brought to the attention of the Campus Police ("I took the responsibility to pull multiple fire alarms in my dorm to ensure that they worked, given the life or death nature of fires"). He had changed his major from engineering to philosophy and increasingly had reduced his sleep, spending long hours engaging his friends in conversations about the nature of reality. He had been convinced about the importance of his ideas, stating frequently that he was more learned and advanced than all his professors. He told others that he was on the verge of revolutionizing his new field, and he grew increasingly irritable and intolerant of any who disagreed with him. He also increased a number of high-risk behaviors - drinking and engaging in sexual relations in a way that was unlike his previous history. The patient's parents acknowledged that Gary had early problems with anxiety during pre-adolescence, followed by some periods of withdrawal and depression during his adolescence.
Case Study #4 (Students whose last names begin with M-P)
Phil is a 67-year-old male who reports that his biggest problem is worrying. He worries all of the time and about "everything under the sun." For example, he reports equal worry about his wife who is undergoing treatment for breast cancer and whether he returned his book to the library. He recognizes that his wife is more important than a book, and is bothered that both cause him similar levels of worry. Phil is unable to control his worrying. Accompanying this excessive and uncontrollable worry are difficulty failing asleep, impatience with others, difficulty focusing at work, and significant back and muscle tension. Phil has had a lifelong problem with worry, recalling that his mother called him a "worry wart." His worrying does wax and wane, and worsened when his wife was recently diagnosed with breast cancer.
Case Study #5 (Students whose last names begin with Q-T)
John is a 56-year-old man who presents to you for treatment. His symptoms started slowly; he tells you that he was always described as an anxious person and remembers being worried about a lot of things throughout his life. For instance, he reported he was very afraid he'd contract HIV by touching doorknobs, even though he tells you he knew this was "irrational." He tells you that about 10 years ago, following a few life stressors, his anxiety and intrusive thoughts worsened significantly. He tells you he began washing his hands excessively. He reports he developed an intense fear that someone would break into the house and it would be his fault because he left something unlocked. He states that this fear led him to repeatedly check doors and windows before sleep in a specific order, which was a source of contention with his wife. He says that his fear of making a mistake also leads him to be slow to turn in work for his job, checking many times to make sure there are no mistakes, for which he gets reprimanded on occasion.
John reports that his symptoms are getting worse, which is why he has sought treatment. For example, currently he washes his hands until he finishes the whole soap bar, and his hands are cracked because they are so dry. He says he continues to check the doors and windows of his house numerous times throughout the day, not just at night, and has on occasion driven home from work to be sure everything truly was locked. If he notices even a speck of dust on the floor, he states he has the urge to clean the whole house and he often complies with that urge.
John expresses significant distress over these symptoms, as they are taking up more of his time and robbing him of his confidence, as he is increasingly distracted at work and in his family life.
Case Study #6 (Students whose last names begin with U-Z)
Danny is a 32-year-old Army veteran who comes to you reporting that he has been having unusual experiences, such as hearing the pigeons that live around his building talk to him. Additionally, he has been increasingly concerned that he is being monitored by government agencies. In response, he has begun to avoid technology that he believes can be used to track him, such as cellular phones or laptops. He reports that he first began to hear things that those around him appeared not to notice and to become concerned about being watched by the government about a year ago. As a result, he has been unable to maintain a job during this time and reports that he is arguing more with his girlfriend. When he presents in your office, you notice that he does not demonstrate much emotion and that his facial expressions and tone of voice do not change much throughout your interview.
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