Rob wants to confront his mother who never embraced him as a child. Willing to talk about his past in order to move on with his life.
5-Axis Diagnosis
Rob shows a pattern of the following disorders: panic disorder: he has palpitations of the heart, sweeting and fear of losing control or going crazy. Dysthymic disorder: insomnia, overeating, low self-esteem, difficulty making decisions and feelings hopelessness. Identify Problems: Rob patterns fit the syndrome of identity problem. He is uncertain about friendship patterns, sexual orientation and behavior, moral and religious values and group loyalties. Adjustment Disorder: nervousness, worry and fear of separation from his Navy officer, who is a key figure in his life. He also has symptoms of physical complaints (headaches) and social withdrawal. The final axis, Axis V is used to report Rob’s overall functioning.
Axis I. Clinical disorders: other conditions that may be a focus of clinical attention.
Axis II. Personality disorders; mental retardation.
Axis lll. General medical conditions.
Axis IV. Psychosocial and environmental problems.
Axis V. Global assessment of functioning.
The major symptoms that stood out were the client’s anxiety and depressions (Axis l disorders. The primary consideration for a differential diagnosis is this case is an adjustment disorder with mixed anxiety and depression mood, panic disorder without agoraphobia, or a dysthymic disorder. In the clinical interview some other conditions were revealed which included the client’s foster-parent relational problem, partner relational problem, and identity. (Corey 2013).
In terms of Axis ll, the client had dependence on his Navy official. He had prominent maladaptive personality features relating ...
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...py would be the best mean to work toward the bringing the uncounous to the councious. Maintaining the analytic framework is the first of the 6 key types of therapy that will be used in this case. Consistency is important; therefore session starting on time and ending on time is important. By using Free Association I will help maintain the analytic framework. In free association, clients are expected to say wherever come to mind, regardless of how painful, silly or trivial it may seem. The client will flow with any initial feelings or thoughts. The aim is that free association will open doors to unconscious wishes, fantasies, conflicts and motivations. (Corey 2013). Being awareness that not only is the language important but the things that the client do not talk about is relevant. Listening to the client’s feelings is better than cutting them off. (Summers 2012).
Antwone serves as a Petty Officer in the United States Navy. He is single and heterosexual, with no children. Antwone was referred to the U.S. Navy Pacific Fleet Medical Center for psychiatric evaluation, after pleading guilty to assault on a superior, non-commissioned officer. As a result of his physical aggression, he was demoted from ships serviceman Petty Officer, third class, to ships serviceman Seaman. Antwone has a history of physical aggression and poor impulse control. Antwone was referred for three sessions of psychiatry service for assessment of physical aggression, anger management, and supportive treatment. At the end of treatment, a recommendation by Dr. Davenport will be submitted to Antwone’s commanding officer, for the purpose of determining reinstatement to active duty. Antwone sees no need for evaluation and states that the cause of physical assault was a result of racial remarks by the victim. Antwone’s attitude towards fighting is stated in his words, “It’s the only way some people learn.”
I agree with the diagnosis of major depressive disorder and borderline personality disorder that was given to Disco Di. The diagnostic features that accompany the major depressive disorder is disorder are the increase rate of
...ription of his foster parents, his foster siblings, are less than objective. I anticipate finding that his symptoms of anxiety attacks, fear of accomplishment, panic over being successful, fear of abandonment, can be interpreted as outward manifestations of unconscious conflicts that have their origins in childhood experiences and defensive reactions to these experienced that were necessary to him as a child.
Mental health is not the mere absence of illness but it is the sense of harmony and balance for the individual. Aspects associated with the individual include self-worth, sense of accomplishment, and a positive identity (Fontaine, 2009), where as mental illness is the disharmony someone is experiencing. This disharmony affects not only the individual but their friends and family as well as the surrounding community. This disharmony causes the person to be unable to function properly in many aspects of their life (Fontaine, 2009). Disco Di started to display signs of mental illness from the young age of 12. Her behaviours may have been triggered by a traumatic event and have been interfering with her life ever since. I agree with the diagnosis that Disco Di was given which was an Axis I diagnosis of Major Depressive Disorder (MDD) and Axis II diagnosis of Borderline Personality Disorder (BPD). This paper is going to explain why I agree with these diagnoses as well as genetic and cultural factors and treatment method for them.
2. By looking through the case study, the most prominent problem Sara struggles with, is her persistent worry about different parts of her life including her job status, health and her relationship with her husband. For the past six months, she has been anxious and worried excessively, leading her to have difficulty sleeping. As she admitted, “ I cannot shut my brain off anymore, I am worrying all the time”, therefore her condition met the primary criteria of generalized anxiety disorder which is the excessive worry for at least 6 months more days than not, about diverse events and activities. Being restless, irritable, having sleep difficulty and being easily fatigued are four factors of GAD that are apparent in this case. “I have always had lots of energy but now at times I struggle to get out of bed and drag myself thorough the work day”; it indicates the fatigue she recently experienced. Fidgets with her jewellery when speaking and a nervous laugh she has, shows her persistent anxiety. Moreover, she was recently diagnosed with irritable bowel syndrome which has a high comorbidity with anxiety disorders. In conclusion, since she is persistently worried about different aspects of her life and she has the criteria for GAD, generalized anxiety disorder is the most likable disorder she has.
The psychiatrist recommended that she be admitted to a mental hospital for women, where she can rest and recover. Another sign of the Borderline Personality Disorder is c...
The client had developed a dismissive attachment style characterized by two coexisting, but conflicting internal working models. The first working model was a conscious model in which she viewed herself as capable and strong and others as insufficient and needy. The second internal working model was unconscious and refers to her internal belief that she was flawed, inadequate and dependent on others. By validating and gaining insight into the client’s subjective experience, we were able to work on the client’s ability to tolerate the anxiety of her need for connection and the lack of safety she felt in her relational world to express that need. Using my own countertransference and making enactments explicit, we could challenge these internal working models and begin to explore new ways of being. Slowly, she was able to experience a new way of understanding her relational needs, tolerate the grief of lack of attunement from her attachment figures, and develop more intrapsychic space for her affective
Murdock (2013) identifies “free association” as being the best option for a successful therapeutic relationship (Murdock, 2013). Through the use of free association, the therapist encourages Ana to say what comes to mind regardless of the positive or negative emotions as means to open the mind to the unconscious. Strean (1944) identifies that all patients “respond to interventions in terms of transference” (Strean, 1944). With the key role transference plays in the therapeutic process it is important that Ana openly communicates and express her feelings. In doing so, it allows the therapist to interpret similar feeling and root causes. In psychoanalytic theory application, insight provides a look into the emotional and logical thought process (Strean, 1944). The goal through insight is to uncover how Ana’s depression and worries were formed, how they affect her and provide her with the opportunity to deal with these
Research has shown that a strong therapeutic alliance is necessary for establishing a beneficial contact between the therapist and the client. If the therapist does not encourage the creation of a reliable therapeutic alliance from the beginning of the treatment, it will be hard to develop a constructive relationship with the client later. Establishing the therapeutic alliance will increase the chances of achieving the goal of the treatment because the clients will be willing to cooperate if they trust and respect the therapist. Clients are not likely to cooperate with therapists who impose their authority aggressively. Instead of imposing their authority on the patient, therapists should develop work with their patients by building a mutual relationship based on trust, understanding, and respect for the client.
Everyone at some point have experience fear due to a situation that overwhelms us. This is an essential response of our bodies that can help us survive. However, when these fears are constant, they can disable an individual. Panic disorder (PD) it’s a mental illness that leads a person to have recurring panic attacks, (Strickland, 2001). Panic attacks in people with PD arise unexpectedly, situationally predisposed and / or by situations that remind them experienced dreadful events. PD can be categorized under two types: PD with or without agoraphobia. Agoraphobia is the fear of being in a situation or place in which the person thinks that would be difficult or embarrassing to escape. Some individuals develop agoraphobia after the first episodes of panic attacks; others acquire it years later, (Key, 2012).
The rapport and friendship built throughout this movie is vital to the success of the therapy exhibited here. This is a great example of Gestalt therapeutic approach and helps to identify most of the techniques incorporated. The techniques and ways of gently confronting but pushing a client all the way through are very beneficial to each viewer of this film.
The second stage in the psychodynamic therapy process is, the transference stage. In this stage the development of treatment is set and now it is the patient’s time to let their feelings out. The patient expresses those feelings, emotions, fears, and desires to the therapist without having to worry about censorship. The feelings and behavior of the patient become more pronounced and become a vital part of the treatment itself. During this stage the therapist could experience and better understand of the patient’s past and how it impacted their behavior in the
Drawing on Padesky and Greenberger (1995, p.27-28), accurate diagnosis and case conceptualisation, here referred to as case formulation, are indispensable for outlining a successful treatment plan and establishing continuous treatment progress. The aim of case formulation is to outline the client’s problems in a coherent and logical manner, while providing shared guidelines for therapy, which can be as individualised as necessary depending on the client’s unique requirements (Westbrook, Kennerley and Kirk, 2011, p.63-97). Even though not all factors were addressed during this session, the case formulation used for this counselling session consists of cognitive, behavioural, emotional, environmental, socio-cultural, phys...
t's problems. Instead, it should permit the client to feel that she has support to dive into emotions she might have been afraid to do so before entering client centered therapy. It is interesting to note according to Raskin et al. ( 2011), “Our basic practice [client centered therapy] remains true to the core conditions no matter who our client may be. We also assert that our ability to form an initial therapeutic relationship depends on our own openness to and appreciation of respect for all kinds of difference” (p. 183).
Understanding the counseling session from the client’s perspective is a very important aspect in the development of a therapeutic relationship. A clinician must be an excellent listener, while being to pay attention to the client’s body language, affect and tone. The dynamics in the counseling session that is beneficial to the client include the recognition of the pain that the client is feeling. The detrimental part of this includes a misunderstanding of the real issues, a lack of consideration of the cultural aspects of the client, and a lack of clinical experience or listening skills. In this presentation, we will discuss the positive and negative aspects of the counseling session from the client’s perspective which includes the client’s attitudes, feelings, and emotions of the counseling session. We will next examine the propensity of the client to reveal or not reveal information to the counselor, and how transference, and counter-transference can have an effect on the counselor-client relationship.