Descriptions of the Presenting Problem
In many ways, Lily Cate appears to be a well-functioning preschooler. However, in discussions with her mother, she had some anxiety issues which should be addressed. First, Lily Cate has anxiety about performing in front of others, interacting with people she doesn’t have a strong familiarity with, and in new social situations.
In two situations, she did not speak up when she could have. The teacher offered Lily Cate the chance to be Simon in the game Simon Says and she declined. She also did not guess what was in the share bags. A substitute teacher called her over several times to do the art project. She declined a couple times, and then eventually went over and did the art project. The classroom teacher
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She doesn’t like to get up in from of the class at preschool. For example, she doesn’t like to be Simon in the game Simon Says. She doesn’t like doing art work in front of a new teacher or other new person. She fears that she will act in a way or show anxiety symptoms that will be negatively evaluated. Not all social situation provoke fear or anxiety. She has been in preschool for three years now and is comfortable there with her friends and teachers, as long as she doesn’t have to perform in from of others or interact with new people. The social situations are avoided or endured with intense anxiety and Lily Cate responds by freezing, shrinking, or failing to speak. Her anxiety is out of proportion to the actual threat posed by the social situation. It has lasted for six months or more and to some degree, causes clinically significant distress in important areas of functioning. For example, she is already feeling nervous about going to Kindergarten in six months and is increasing her hoarding behavior. This anxiety is not attributable to effects of a substance, is not better explained by another mental disorder or other medical condition.
Hoarding Disorder 300.3
Lorna displays persistent difficulty discarding and parting with possessions. She has a perceived need to save the items and is distressed with discarding them. The difficulty discarding the possessions causes clutter that distress the family and causes safety concerns. The hording is not attributable to another medical condition and not better explained by symptoms of another mental condition.
Case History: T.C. is a 13 year old, 2 month old girl in the seventh grade. T.C. lives with her parents and she is the oldest of three children. T.C.’s prenatal and birth history was unremarkable. T.C. was normal developing until 18 months old. By 18 months old it was apparent that T.C. was delayed in speech. In addition, she walked on her toes, did not make eye contact with others, had a terrible fear of loud sounds, cried frequently, and was a poor sleeper. She was evaluated before her second birthday and was diagnosed with Asperger’s Syndrome or related pervasion developmental disorders and has profound difficulty with social interaction. She has received speech therapy, with an emphasis on social skills training, intense therapeutic therapy, and occupational therapy. T.C. is in a regular seventh grade classroom with an aide to assist her throughout her day.
living in such a manner. I did not know the exact cause of her anxiety
Lily’s life has been greatly influenced by her mother’s death. In Lily’s perspective, living with someone else’s death can be more painful that dying. This passage made me realize that your past isn’t that far behind you. It will always be there no matter how hard you try to forget about it or push it away. Lily has proven this several times throughout the book. But the results would be waking up from nightmares and not able to trust in her worth.
In the essay,” Autism’s Back to School Anxiety” by Priscilla Gilman, describes how children in the Autism spectrum face challenge that upsets their new school year and it’s harder for them to get comfortable with new faces. I experience some of the stresses that the children face. My shyness causes me to stress about the new college semester, getting out my comfort zone and having a bad experience with meeting new people.
History has shown any room filled with self righteous pompous windbag men would have pronounced "We cannot have our teachers showing this lack of judgment to our young, impressionable children." The board most likely using the Principle and Superintendents recommendations would have fired her or at the very least sent her packing to another school with a reprimand for her unsavory
Imagine a school bus driver and his dilemma when a student refuses to get off at her stop. The first grader is frozen to her seat in tears because she cannot see her mother from the bus window as usual. The mother is standing in the yard waiting for her child as always, but sees that the bus drives away. The frustrated driver returns the child back to the school. An aggravated principal meets with the parent over the incident shaming the child as she throws her hands up in the air saying, “I have kindergarteners who walk home alone!” The distraught parent intervenes with the principal’s inappropriate statements, but leaves having to acknowledge the reality of a new manifestation of an ongoing problem. She is diagnosed with Separation Anxiety Disorder at the age of seven.
Having anxiety is common and a part of everyday life however; there is a huge difference between a fear and a social phobia or anxiety disorder. The difference and important distinction psychoanalysts make between a fear and a phobia is “a true phobia must be inconsistent with the conscious learning experience of the individual” (Karon 1). Patients with true phobias “do not respond to cognitive therapy but do respond well to psychoanalysis and psychoanalytic therapy” (Karon 2). Social phobia is a serious anxiety disorder that should not be taken lightly or mistaken as a fear you will simply grow out of the older you get. Social phobia has the power to destroy lives and can prevent people from living and enjoying their life to the fullest. Social phobia is a disabling condition that often starts between the ages of early childhood and late adolescence. The origins of social phobia can be linked to “traumatic social experiences and social isolation” (Hudson118-120). Social phobia is treatable however; research and statics show that not many seek help.
Weston is social anxiety disorder. Criterion A and B list that the individual has marked fear or anxiety about one or more social situations where the person is exposed to possible scrutiny by others, and in return, he/she will act in a way or show anxiety symptoms that may be negatively evaluated. For both of these criteria, I listed him as not meeting them due to there not being significant evidence in his vignette that implies he is particularly fearful of what others think of him. Criterion C and D list that the social situations almost always provoke fear or anxiety and are avoided or endured with intense fear or anxiety. He stated many times that he experiences fear and anxiety in certain social situations. Criterion E and F state that the fear/anxiety is out of proportion to the actual threat posed, and it is persistent, lasting for six months or longer. These criterion are listed in both generalized anxiety disorder and agoraphobia, both of which I also listed as convergent evidence. Criterion G and H are also convergent evidence, and they state that the fear/anxiety causes clinically significant distress or impairment in social, occupational, and other important areas of functioning. Also, none of this is attributable to substance abuse or another medical condition. This is also stated in the criterion of the previously discussed mental illnesses, both of which were proven accurate by the symptoms listed in his vignette. The last two criterion are convergent evidence; criterion I states that the fear, anxiety, or avoidance isn’t better explained by the symptoms of another mental disorder, and criterion J states that if another medical condition is present, the symptoms are exacerbated. I believe that agoraphobia provides a better explanation for his symptoms, and there is not another medical condition interacting with his symptoms to make his fear/anxiety more
Social anxiety goes from not being able to socialize with people in a class to never leaving home due to the anxiety that is causes. Markway’s article states that there are three categories involved with social anxiety; mental distress, physical distress, and how avoidance affects someone socially. Mentally, it is exhausting to talk to people for to people and have that constant anxiety about the way they talk and act. People with social anxiety often think about how they can humiliate and embarrass themselves in front of others. This drives someone to fear that they may do something wrong at any given moments and may be rejected altogether (“Markway”, 2013).
The primary diagnosis for Amanda Anderson is separation anxiety disorder (SAD) with a co-morbidity of school phobia. Separation anxiety disorder is commonly the precursor to school phobia, which is “one of the two most common anxiety disorders to occur during childhood, and is found in about 4% to 10% of all children” (Mash & Wolfe, 2010, p. 198). Amanda is a seven-year-old girl and her anxiety significantly affects her social life. Based on the case study, Amanda’s father informs the therapist that Amanda is extremely dependent on her mother and she is unenthusiastic when separated from her mother. Amanda was sitting on her mother’s lap when the therapist walked in the room to take Amanda in her office for an interview (Morgan, 1999, p. 1).
Signs of the depth of the narrator's mental illness are presented early in the story. The woman starts innocently enough with studying the patterns of the paper but soon starts to see grotesque images in it, "There is a recurrent spot where the pattern lolls like a...
Social Anxiety comes in two stages, Child Development and Adults. Social Phobia is often confused with the actual disorder and basic shyness. Social anxiety occurs in infancy and is said to be very normal for children to exhibit the disorders characteristics. It has been proven that as a child one goes through the fear of being rejected by peers, speaking in front of large crowds, and severely lacking confidence. Adult Social Anxiety is usually easier to indentify due to the lack of communication with others. Unlike children, adults are expected to interact with others without a problem.
Thobaben, Marshelle. "Understanding Compulsive Hoarding." Home Health Care Management & Practice. 18.2 (2006): 152-154. Print.
Do You Know Any “shy kids"? You know the ones... Although they may be animated and boisterous with close friends and family in a closed or known environment, they become quiet and non-participative in unfamiliar situations. Maybe they mumble and shuffle their feet when they are introduced to new people or have a hard time jumping in when they are placed in an environment with kids they don’t know. They might have a skill they perform wonderfully at home, but they cannot bring themselves to do it in front of others. Their discomfort might manifest itself as a refusal to speak, averted or downcast eyes, a flight response (hiding behind mom or dad), or avoidance of certain activities.
Hyson, Marion C. & Von Trieste, Karen. (1987). The Shy Child. Child Development Institute. Retrieved February 1, 2005 from http://www.childdevelopmentinfo.com/disorders/shy_child.htm