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Anxiety Disorder Case Study

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Diagnosis According to DSM-5 criteria, the client exhibited characteristics matching that of a Major Depressive Disorder with Anxious Distress. Loss of interest or pleasure in most activities is evident, changes in sleep habits, decrease in appetite. She has experienced feelings of guilt by blaming herself for the relationship breakdown with her long-term boyfriend and tends to worry about a myriad of things. Although she states that she has no suicidal ideation, in the past Emily engaged in substance use to help her relax and control her thoughts but has no contact since the breakup. These symptoms have continued for most of the day, every day, for at least 2 weeks since the breakup 3 months ago. Often anxiety accompanies these symptoms causing excessive worrying about the past, present and future. Emily ruminates about how she was responsible for the failure of the relationship, how she will never find another partner, as well as everyday …show more content…

GAD was ruled out because it’s characterised by excessive anxiety and worry for at least 6 months in which her symptoms has not reached the duration to be eligible for a diagnosis. Conversely, AD is characterised by similar symptoms to MDD but the key differentiating feature is that its symptoms must have occurred in response to an identifiable stressor. In Emily’s case, an identifiable stressor could be the breakup 3 months ago which is within the onset time frame of AD or another stressor because she was already unable to sleep due to worrying over the past year. This predates the relationship breakdown and hence, due to the lack of Emily’s history about the past year, there isn’t enough information to confirm that Emily’s current symptoms were a result of her recent breakup or an exacerbation of her pre-existing

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