The tentative diagnosis I would offer for Lady MacBeth is Obsessive Compulsive
Disorder (OCD). She meets the four criteria required for a diagnosis of OCD. Criterion A requires the presence of obsessions, compulsions, or both (APA, 2013). The APA (2013) defines obsessions as “recurrent and persistent thoughts, urges or images…as intrusive and unwanted”
(p. 237). Likewise, compulsions are repetitive behaviors “that an individual feels driven to reform in response to an obsession or according to rules that must be applied” (APA, 2013, p.
237). MacBeth has a clear obsession with germs that causes her a great deal of stress. In response to the obsession, she performs a compulsion of repeated and extendedly washing her hands.
The APA (2013) criterion
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237). MacBeth can spend up to six hours washing her hands or shaking her clothes in order to clear the germs. In doing so, she stresses about making and missing appointments, going to school, and other every day activities. Criterion C requires the obsessions to not be attributable to physiological effects, such as drug abuse (APA, 2013, p. 237). Macbeth has no history of drug abuse. Criterion D has a similar qualification, that the obsessions or compulsion not be attributable to a psychological condition (APA, 2013, p. 237).
One way to rule out other psychological conditions is through a differential diagnosis.
Anxiety disorder is precluded because Lady MacBeth’s compulsions and obsessions are not related to real life concerns—like the hyper-fear of germs or association with numbers (APA,
2013). She does not exhibit symptoms of other obsessive-compulsive disorders, such as body dyes Orphic disorder, trichotillomania (hair pulling), or hoarding (APA, 2013, p. 241). We can
WEEK 6 CASE STUDY 3 also rule out psychotic disorders, because she says that she has not experienced hallucinations or strong delusions when questioned by her
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Several studies demonstrated a significant genetic linkage, but other have had less clear results. Biedel, Frueh, and Hersen
(2014) discussed other studies that have found an interesting link between OCD and corticostriatal systems of the brain (p. 364).
Biedel, Frueh, and Hersen (2014) cited studies that showed that those diagnosed with
OCD have experienced an “increased number of lifetime traumatic events” (p. 367). Other factors, such as increased teasing and bullying early in life are also linked to higher incidents of
OCD (Biedel, Frueh, and Hersen, 2014, p,. 367). Like other aspects of OCD, much more research is needed in order to better understand the etiology of the condition.
Culturally, the condition seems to be prevalent and have similar symptoms across the world (APA, 2013, p. 240). The APA (2013) does discuss that the content of the symptoms have regional variation (p. 240).
Ethical Considerations
One major ethical consideration when diagnosing and treating OCD is the struggle to maintain agency and client decision making in the process. Some people do not want to end
William Shakespeare’s play Macbeth is intense and horrifying, with Macbeth and his wife, Lady Macbeth, planning to kill the king so that Macbeth can take his position. Lady Macbeth is the master mind behind all of this. She is in his ear telling him what to do and how to do it. Under all of this pressure from his wife, Macbeth starts to go insane. In the play, Macbeth shows symptoms of bipolar disorder due to his lack of sleep, agitation, and activeness.
PHYSICAL EXAM: On exam, she is very confused, demented. She does not answer questions but she does not seem to
In part one, crazy, Susannah described the beginning of her illness and how she got crazy from ambiguous symptoms, insignificant investigation results, and symptomatic treatment. First, the symptoms ranged from moderate to severe but the most severe symptoms were in her brain. To illustrate, she grew dizzy and queasy when she moved into crowded area. Moreover she had insomnia with sharp pain in her mind, like a migraine. Irrational jealousy compelled Susannah snoop through her boyfriend's stuff looking for signs of betrayal. In addition, hallucinations and paranoia were the most significant symptoms till she had the first seizure episode. Second, there were no significant findings of all the investigations and examinations. Specifically, CT scan, MRI, basic neurological exam, blood test, and EEG came back normal. Third, as there was no clear diagnosis, the treatment based on lifestyle change and relieving the symptoms. In particular, the gynecologist asked Susannah to stay off birth control while the neurologist instructed her to stop drinking alcohol and to take a rest from the work. Furtherm...
Obsessive-Compulsive Disorder (OCD) is a disorder which causes people to develop an anxiety when certain obsessions or compulsions are not fulfilled. OCD can affect both children and adults with more than half of all adults with OCD stating that they experienced signs as a child. People living with OCD display many obvious signs such as opening and closing a door fifty times because they have to do it “just right”. Others exhibit extreme cleanliness and will wash their hands or take showers as often as they can because they constantly feel dirty. OCD devastates people’s social lives as they are fixated and obsessed with perfection that can take forever to achieve. However people living with OCD are often found to have an above average intelligence and typically excel at school due to their detail oriented mindset, cautious planning and patience. OCD can be caused by many different factors such as genetics or the ever changing world a...
Obsessive compulsive disorder is believed to be linked to other disorders and disabilities. The symptoms cause a lot of stress and anxiety and it could lead to depression. OCD can develop over time or be something one is born with. Many people suffer from this disorder but there are different ways to treat the symptoms such as cognitive behavioral therapy and medication. OCD is a very common yet serious disorder that does not seem significant to those who do not have it but it is not something that should ever be ignored.
Columbia University, Press. "Macbeth." Columbia Electronic Encyclopedia, 6Th Edition (2011): 1. History Reference Center. Web. 6 Nov. 2011.
These symptoms must cause significant impairment of a person's ability to carry on with daily activities. Also, side affects of medication, drug abuse, a medical condition (thyroid abnormalities, for example), or bereavement, should be ruled out first. (3) A definite diagnosis of depression, however, requires an evaluation by a mental health specialist.
• Blocking contact with previous and current doctors, family and doctors • Strong comprehension of textbook descriptions of illness, effective medical terminology, and extensive experience of hospitals • Presence of numerous surgical procedures and procedures • scars or a gridiron abdomen • Evidence of self-induced physical signs or artificial symptoms • Symptoms that appear only when the patient is not being observed or alone • New signs that materialize after test results come back negative • Willing and eager to have medical tests, operations or other procedures, demanding medical tests or procedures • Conditions become obviously worse when undergoing an active examination than he or she is with a casual interacting with healthcare providers or other patients • Inconsistent findings on neurologic examinations • Attitudes change from being cooperative to treatment to evasive and vague concerning the patient details • Mood and concern are cheerier than would be expected on the findings of the patient’s medical circumstance Diagnosis It is difficult for doctors to diagnose factitious disorder due to the dishonesty and inconsistencies that are involved with the diagnosis. The patient becomes very skilled with medical knowledge and terminology and becomes familiar with routine tests that are performed, and at pretending to have any real illnesses. The doctor has to follow the basic procedures for responding to the patients' signs and complaints and rule out any real physical conditions.
Scotland is located at the northern tip of what we now call Great Britain. This country is technically classified as a Peninsula as it is surrounded by water on three sides. The Picts, a Celtic tribe from Ireland, were the first people to call Scotland their home. The Romans soon after took control of the land and renamed it Caledonia. Around 800 AD the vikings had arrived in Scotland and they had renamed the country Alba. A couple hundred years later one of Scotland's first most famous kings came into the picture, and his name was Macbeth. Marybeth's story is told in a Shakespearean play and he ruled the land until in death in 1057. In 1297 Scotland began to fight for independence starting with the Battle of Sterling bridge. It was here where
In the play, Macbeth, written by William Shakespeare, the main character Macbeth fights bravely as a thane and craves the power to become king. Lady Macbeth also longs for the title of queen and contemplates ways that she can receive that title. The present king of Scotland, Duncan, is traveling to Inverness, Macbeth’s castle, and Lady Macbeth feels as though this is the chance to make her wish come true. She knows what needs to be done in order to receive ultimate power: they must kill Duncan. Lady Macbeth feels conflicted on this because no matter how much she wants to inherit the throne, it would also give them many new enemies and problems if she was found to be the murderer. In this excerpt,
She wouldn’t spend more than two minutes in the shower and would avoid looking at herself in the mirror. Afterwards, she would blow-dry her blonde hair and part it in the middle. She then described how she dressed, and where she bought her clothes from. She tried every day to wear a different outfit for a whole year with no
Have you noticed that killing someone is very risky and it will infect your entire life? Lady Macbeth is a good example. She killed Duncan and let her husband become the new king. The wealth she has as a noble could let her lie at peace and wealthy life, but the strong desire in her mind has caused her action of murdering Duncan. She is a beautiful, brave, and intelligent women. She always wanted to be an man, she wants to have strength, and power that a woman will never have. All of these events started after when the three witches told Macbeth shall be kings.
.... His insanity was a result of ambition taken much too far, ambition mutated and converted into evil by internal as well as social conflict; Macbeth’s wife did nothing to prevent Macbeth’s sickness and actually helped the problem develop. From his ambition came actions that filled his mind with conflict, dread, suspicion and guilt. It could be said that Macbeth was insane from the beginning, from the moment that the witches appeared to him in the third scene of the play or even from when he carved out his bloody passage in battle. Whether Macbeth was insane his whole life or just from the moment he first saw the imaginary dagger, it is indisputable that his visions and hallucinations only helped to supplement his lunacy.
form of treatment. There is nothing in her history that hinted at any biological problems.
Lady Macbeth's character is first formed in Act I scene v, the scene opens with her reading a letter from her husband, its content is full of thoughts and tellings of the meeting with the witches earlier that day. Lady Macbeth begins by talking about how her husband now has a goal and addresses his personality. Understandably she would like this prophecy to transpire and there is no question that she would be willing to help him gain the title of king. Lady Macbeth comes to the conclusion that to become king Macbeth must kill Duncan.