Introduction: My name is Dr. Carrie Zimmerman; I have been a clinical neuroscientist studying stress for the past five years. This is a personal stress case study on patient H. I have been seeing patient H for four years, and have been building a case study on her stress life for the duration of that time. Throughout this case study I will be consulting “Why Zebras Don’t Get Ulcers” by Dr. Robert M. Sapolsky. Meet patient H: Patient H is a nineteen-year-old female of Caucasian decent; she is now a sophomore at James Madison University studying Hospitality management with a minor in general business. Major Stressors (current): Major current stressors in patient H’s life are normal for a girl of her age; attending college at a prestigious university, a new puppy, and friends. Patient H also is suffering from a variety of mental illnesses (this will be discussed later), and her family majorly stresses her. Patient H is an only child and therefore has had her parents …show more content…
I also highly recommend that she take her prescribed medications as directed, especially those for her mental health problems. Because of my concerns with the mixing of medications, her primary psychiatrist and I have created a treatment plan that involves a highly balanced set of medications which treat all of her disorders on as few drugs as possible, thus going off even one of her medications could deconstruct the entire plan. I also advise keeping a food journal to attempt to remind patient H to eat and fight the hypophagic instinct she has. While drinking on occasion is not unhealthy, the chronic binge drinking is, and I would recommend that she cut back on her alcohol consumption and try to develop a healthier relationship with alcohol so it isn’t used as a stress
Patient’s name is Molly Greenwell. She is a single non-Hispanic Caucasian Female. Molly is eighteen year old, with family background orientation of Italian culture. Molly does not work but she feels like she has enough stress surrounded around being a senior with a 4.0 GPA in an all-girls catholic school. She considers herself a shadow on the high school monarchy. This being said she feels like whatever she does, her parents are never happy enough. Having attended Italian school every Saturday, church and religion class every Sunday in the Roman Catholic Church; she feels like she has no friends. The one pleasure she does for herself is participate in a track team. Molly has two older brothers that tell her she is a piece of shit every day and she looks fat. Molly’s parents saying nothing has led to Molly feeling isolated in the family. Molly also has no mental health or dietary issues in her family history.
The denial of child care for her two children’s has added fear, helplessness, hopelessness, loss, of control and guilt which impacts Katy health and contributed to worsening of her health. Katy was experiencing a situational crisis because of her medical condition and her concern to provide for her children. It occurs when an individual produces an overwhelming response as they confronted with a stressful event. Factors that contribute to Katy crisis are high demand to provide for her children, denial of child care services, medical condition, and a single parent. These factors play a critical role in her health outcome and progression of her disease and psychological state. Therefore, prolonged stress included adverse psychological and physical health effects as well as the increased risk of premature death (Denollet, J., et al.
Mary has suffered with her illness for over 10 years. She has previously been diagnosis with a Cluster B type Personality Disorder. Mary comes across as narcissistic, self-engrossed and can be very demanding at times. Mary suffers from anxiety and is prone to panic attacks in relation to her PD diagnosis. At times Mary has been known to make ...
Reports from Vera 's mother indicate that she cares deeply about alleviating Vera 's distress and that she is highly motivated to seek treatment for Vera. Although familial conflict is an issue, Vera reports having a relationship with her father; however, further assessment is needed to assess her father 's willingness to participate in Vera 's treatment and in PMT. Reports from Vera 's teacher indicate that she is attentive to Vera 's needs and may be willing to collaborate with clinicians on a treatment plan to help address Vera 's in-school symptoms. Vera 's ability to verbally express her emotions and thought processes will aid the CBT process by identifying the faulty cognitions and the negative emotional symptoms that the clinician should address. (Garcia et al.,
What stress may mean to a doctor and their patient can be very different from what stress may mean to a veterinarian and an animal. But with the amou...
Mrs. Farrington was constantly worrying about allowing him out of the house or be with other kids. The hospital constantly kept correcting this behavior by stating that she needs to allow him to be like other kids but sometimes it was her first instinct to prevent hospitalization. Mainly Cody is hospitalized due to weight loss or to clean mucus out of his lungs completely. Unlike Mrs. Farrington who has to deal with the medical treatments daily, her husband is in more denial. When Cody becomes sick he understands to call the hospital but Mr. Farrington has no understanding of Cody’s medicine and such. Though studies have shown that children who are cared by their mother recover faster and are discharged earlier, Mr. Farrington behavior is very concerning (Family-Centered Care and the Pediatrician’s Role, 692). He avoids the topic overall by working constantly. Mrs. Farrington finds this behavior to be strange because if something negative happened to her, Mr. Farrington needs to know these treatments, so they aren’t neglected or performed incorrectly. However, this arrangement between the parents is not very healthy because the stress of Cody condition is completely Mrs. Farrington burden. This makes Mrs. Farrington struggle giving her other children the fair attention they deserve as
In the given case study, the patient has arrived at the emergency department in disturbed and agitated condition. She was silent however her expressions were reflecting as she was depressed. The bloody clothes were representing that she may have attempted suicide. Janet’s parents informed that they have noticed change in her behaviour from few months. She has lost her focus on work and studies and as a result left school. She becomes angry, agitated and violent when her family members try to ask questions or try to discuss with her regarding her health, hygiene or dressing. According to her parent she does not take meals which affected her health. Most importantly, she had broken a mirror by smashing with her hands and locked herself in her room before she came to the emergency department which shows her anger, violence and agitation that may be harmful for her and for others as well.
The patient has many risk factors that are negatively affecting her. Familiar risk: she does not have a supportive family. She only has a case manager who tries to support her and be there for her when she needs. Social: she uses substances such as marijuana and cocaine. She also drinks alcohol at social events. Internal: patient has an emotional issue which prevents herself from having effective coping mechanism. Additional, the patient has communication
“All of us have a personal relationship with stress, but few of us know how it affects us.” In the film “Stress- Portrait of a Killer” by National Geographic, Robert Sapolsky is researching baboon’s to find a link in stress and potential health risks in humans, Carol Shively is also researching macaques for that reason. Sapolsky is an american neuroendocrinologist that went to Africa “on a hunch” to study non-human subjects to test his theory, this experiment actually got Robert Sapolsky “MacArthur Foundations Genius Fellowship”. He did this by darting the baboons with anesthetic to put them to sleep, to make for easier blood samples. In the samples Sapolsky is measuring the levels of stress hormones found in the blood, he devoted thirty years of his life to this study with the help of his wife Lisa Sapolsky. This experiment relates to sociologic analysis, because Sapolsky’s study happens to draw a conclusion between economic activities and how it genuinely affects the quality of life. Some of the sociological themes we’ll be discussing are how “stress impacts our bodies and how our social standing can make us more or less susceptible”.
To a great extent, stress can be a helpful response, especially for prehistoric humans. During this era, our species needed to react quickly to outside stimuli through a response of “fight or flight”. Through stress, certain hormones are released to help the individual resist the stressor, which may have meant running away from a natural predator. Thus, stress is a positive response that ensures the survival of the species. However, stress over a prolonged period of time causes exhaustion in the individual. Consequently, although stress can be helpful for individuals today, many often experience chronic stress, inflicting varying degrees of damage to their bodies.
As patients grow older, and develop conditions that require prescription and over the counter medications, opportunities for dangerous alcohol/drug interactions increase.
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.
A study revealed that there are interplays between the level of stress and vulnerability based upon cellular functioning, and that there are subsequent consequences for the human brain if these conditions are present (Goh & Agius, 2010). This model expands the idea on how individuals process and react towards biological and environmental stressors in different ways.
Stress, which is a response to perceived threats or challenges resulting from stimuli or events that cause strain, caused the surgeon to be unfocused which puts the patients life in risk. The type of stress that she is experiencing is distress. Distress is the stress response to
I believe that personal health practices and coping skills have been a very evident determinant of health on unit 56B. Many of these patients are admitted with a major depression, suicide attempt, schizophrenia, or psychosis. I believe that in order to overcome and manage these diagnoses, coping strategies must be in place for this to come together. On my first day in psychiatric emergency, I worked with a young girl who was admitted with suicidal gestures, as she threatened to jump out of her window, not to kill herself but instead to prove a point to her parents. Upon further exploration, I found out that this young girl appeared to come from a very dysfunctional family, where the parents rarely engaged their children in social