Question 7 1 pts Jonah, a 27-year-old male, was suffering from severe headaches. He reported that they were associated with unbearable pain and were lasting for longer and longer periods of time. Furthermore, he couldn't seem to remember things that happened while he had the headache except that sometimes a great deal of time had passed. Finally, when he could stand it no longer after a particularly bad night, he arranged for admission to the local hospital. What really prompted Jonah to come to the hospital, however, was what other people told him he did while he had his severe headaches. For example, on the night before coming to the hospital he was told that he engaged in a violent fight with another man and attempted to stab him. Shortly thereafter, he fled the scene and engaged in a high-speed chase while being shot at by the police. During a previous headache his wife told him he had chased her as well as his 3-year-old daughter out of the house, threatening them with a knife. During his headaches, and while he was violent, he called himself Usoffa Abdulla, son of Omega. Among other incidents in his past for which he had no memory was an occasion when he attempted to drown a man in a river. The man survived and Jonah escaped by swimming a quarter of a mile upstream. He woke up the next morning in his own bed, soaking wet, with no memory of the incident. During his hospitalization the staff was able to observe Jonah's behavior directly during these headaches as well as during other periods of which he had no memory. They noticed that he responded to different names at these times, acted differently, and generally seemed to be a totally different person. During this period they observed three separate identities in addition to Jonah. The first identity was Sammy. Sammy seemed rational, calm, and totally in control of the situation. The second identity was called King Young. King Young seemed to be in charge of all sexual activity and was particularly interested in having as many heterosexual interactions as possible. The third identity was the violent dangerous Usoffa Abdulla. Jonah had no knowledge of these other identities. Sammy first appeared when Jonah was approximately 6 years of age and shortly after, King Young appeared. When Jonah was 9 or 10 years old Usoffa Abdulla emerged as the protector of Jonah. Jonah would most likely be diagnosed with: post-traumatic stress disorder. anorexia-nervosa. O bipolar disorder. generalized anxiety disorder. antisocial personality disorder. dissociative identity disorder. schizophrenia. obsessive compulsive disorder. major depressive disorder. Question 8 1 pts Irene was a 20-year-old college student, moderately attractive, with a very engaging personality but not many friends. Everything was a catastrophe for Irene. Although she carried a 3.7 GPA she was convinced that she was going to flunk every test she took. As a result of this belief, she would repeatedly threaten to drop courses after only several weeks of classes for fear that she would not be able to understand the material. Her worrying caused her to drop out of the first college she attended after one month. She felt depressed for a while over her failure, then decided to take a couple of courses at a local junior college, believing she could handle the work there better than in the college she first attended. After achieving straight A's at the junior college for 2 years, she enrolled once again in a 4-year college as a junior. After a short time she began experiencing states of extreme agitation saying that she felt she had to drop this or that course because she couldn't handle it. With great difficulty her therapist and parents persuaded her to stay in the courses and also to seek further help. In any course Irene completed, she earned an A or, at worst, a B+ but she still worried with every upcoming test and every paper due that she would fall apart and be unable to understand and complete the work. Irene was also concerned about her relationships with her friends as well as a new boyfriend she had met. Every time she was with her boyfriend, she was afraid she was going to make a fool of herself and somehow turn him off. In fact, after each date she reported that the date went extremely well and that she had a good time, but she knew the next one would probably be a "disaster." Irene was also concerned about her health. A routine physical checkup revealed that she had minor hypertension, probably associated with being somewhat overweight. She then attempted to greatly restrict her eating. She became reluctant to check her blood pressure for fear that it would be very high. But these were only the beginnings of Irene's concerns. She was also worried about her religion, was she religious enough? Was she going to church often enough? Was she doing the right thing? She was also worried about her relationships with her family, particularly her mother and sister. Irene would sometimes have feelings of panic but as soon as these feelings passed she began focusing on the next possible catastrophe. In addition to high blood pressure, Irene complained of tension headaches and a "nervous stomach" and some abdominal pain. For Irene, life was nothing more than a series of impending catastrophes. No sooner would she survive one (and not only survive, but usually excel in her performance) but another would loom large on the horizon. Irene would most likely be diagnosed with: OOOO 000 dissociative identity disorder. schizophrenia. generalized anxiety disorder. antisocial personality disorder. post-traumatic stress disorder. anorexia-nervosa. O bipolar disorder. 00 major depressive disorder. obsessive compulsive disorder. Question 9 1 pts Billy, 55 years old, lived with his parents and was their primary caregiver. Lately Billy's parents (both in their 80s) reported that life was very difficult around the house. They reported that sometimes Billy went to bed and might not get up for 3 weeks. During this time he seemed in a depressive stupor, being essentially unable to move for days at a time. During this time, it was up to Billy's parents to care not only for themselves but for Billy too. They found themselves needing to feed and dress their adult-aged son which was difficult on them because Billy was supposed to be taking care of them ever since Billy's father's stroke. These profound depressive episodes would remit after about 3 weeks and Billy would enter into hypomanic states that might last several weeks to months. Usually, when Billy was in these hypomanic states, he had energy, was helpful, funny and entertaining, a real delight to be with, but this time was different. Before Billy reached the ward you could hear him laughing and carrying on in this deep voice sounding like he was having a wonderful time. As the nurse brought Billy down the hall to introduce him to the staff, Billy spied the Ping-Pong table on the unit. In a loud exuberant voice, he said, "Ping-Pong! I love Ping-Pong! I have only played twice but that is what I am going to do while I am here, I am going to become the world's greatest Ping-Pong player! And that table is gorgeous! I am going to start work on that table immediately and make it the finest Ping- Pong table in the world. I am going to sand it down, take it apart and rebuild it until it gleams and every angle is perfect!" Billy soon lost interest in the Ping-Pong table and went on to something else that totally absorbed his attention. In fact, the prior week Billy had emptied his bank account, taken his credit cards and those of his elderly parents with whom he was living, and bought every piece of fancy stereo equipment he could find. He thought that he would set up the best sound studio in the city and make millions of dollars, renting out the studio to people who would come from far and wide. It was this episode that had precipitated his admission to the hospital. Billy would most likely be diagnosed with: dissociative identity disorder. O post-traumatic stress disorder. antisocial personality disorder. major depressive disorder. obsessive compulsive disorder. bipolar disorder. generalized anxiety disorder. O anorexia-nervosa. O schizophrenia.