Generalized Anxiety Disorder Case Studies

She constantly tried to harm her brother and showed signs of dominance when she would abuse him and hurt his genitals. Since she was so engrossed on her body and discovering herself, she became stuck in this stage and as a result of not being able to move on she became aggressive, abusive, and wanting to harm others. Since she was so fixated on harming others, it led to this sadistic behavior and she had this conflict between the drives of the Id and the drives of the Ego. She had impulses to harm others as a result of her being harmed as a child. Being as though she wasn 't cared for and nurtured, she didn 't have loving relationships. She didn 't have the ability to trust others nor did she have the ability to be caring, towards anybody. Since she dealt with a lot of traumatic experiences, she’s been having the same recurring nightmares. She said she has this nightmare where “a man is falling on her and hurting her with a part of himself.” This was a familiar story that I 've once done but on Hysteria with a girl by the name of Bertha Pappenheim. She suffered from hysteria her symptoms are often the surface manifestations of deeply repressed conflicts. I later wrote about her in Studies in Hysteria” (1895). Bertha’s symptoms of this surface manifestation were due to her being sexually abused.

Generalized anxiety disorder (GAD) is an anxiety disorder that is characterized by excessive, uncontrollable and often irrational worry about everyday things that is disproportionate to the actual source of worry. This excessive worry often interferes with daily functioning, as individuals suffering GAD typically anticipate disaster, and are overly concerned about everyday matters such as health issues, money, death, family problems, friend problems, relationship problems or work difficulties.[1] They often exhibit a variety of physical symptoms, including fatigue, fidgeting, headaches, nausea, numbness in hands and feet, muscle tension, muscle aches, difficulty swallowing, bouts of difficulty breathing, trembling, twitching, irritability,

If my supervisor told me that she thinks the patient I chose was misdiagnosed and that the problem is something else entirely, I would defend my diagnosis using this case study. Paula presents herself as a woman who “get(s) dizzy” with “chest pains…short of breath” as well as she “feel(s) like (she’s) dying and the world is ending” (Getzfeld, 2004)1. When she visits the emergency room, the doctors tell her the cause is not physical – therefore they must be psychological. Key symptoms of panic attacks include heart attack-like symptoms, as well as raised heart rate, sweating, and dizziness, all of which Paula experienced. Another key of diagnosing panic disorder (PD) is that a lot of random panic attacks occur and these attacks bring on at least 1 month of fear that more attacks will occur which Paula experienced. PD involves avoiding situations due to the fear of a difficult escape should a panic attack occur and that they will be embarrassed; Paula had said she did not go to work as

I would not suggest that Suzanna be diagnosed with any medication because she seems to have addictive problems based on her inability to stop pulling her hair and the denial she shows about the issue. Therefore, there is a chance that Suzanna may abuse medication prescribed. Suzanna needs to realize where her anxiety is coming from, which may be due to the sadness and judgement she felt that dated all the way back to her childhood. She also needs to realize that unconscious processes resulting from traumatic like experiences, such as the breakup with her boyfriend or her parent’s scrutiny, are driving her to behave abnormally. Then, once this is realized and addressed, Suzanna can work on coming to terms with these experiences, rather than allowing them to manifest in the forms of dysfunctional and distressing behavior.

Due to marked Sara’s fear one or more social situations, her concern is she will act in negative or embarrassing manner around other people and they will have a negative opinion of herself. Sara uneasiness has persisted more than six-months, sleep disturbance, restlessness and feeling keyed up. Sara’s worry has caused clinically significant distress. Furthermore, Sara’s turmoil is not attributed to physiological effects of substances, i.e. alcohol or marijuana. Her disturbance is not caused by another mental disorder. Furthermore, Sara childhood verbal and psychological abuse from her parents as evidence by demeaning comments “wish you were not born, why do you do this to the family”

Most drugs used to treat anxiety are called SSRIs, such as Xanax, Valium, and Librium. These drugs are Central Nervous System depressants (“downers”) and are prescribed in low doses to treat anxiety. These drugs slow down the nervous system, so that one’s anxious thoughts cease to exist until the drug begins to wear off. As a anxious person continues to use SSRIs to relieve their anxiety, their brain begins to become dependent on the drug, this can cause the user to go through withdrawal. Withdrawals can increase the anxiety and tension of a person, which in effect, does the exact opposite of what the user

Jennifer Garam started taking antidepressants in hope that they would work on her depression. In 2010 Jennifer went to the psychiatric for the first time because she was sick and tired of constantly getting knocked down by depression and anxiety, on top of that she had “a few small OCD tendencies” that turned into an everyday ritual. The psychiatric recommended for her to be on a medication. That night she swallowed the pill. She woke up in the morning, she felt 10 times better, she couldn’t believe it. Day 2 it got worse, she couldn’t sleep, she didn’t have an appetite. Day 3 she wasn’t her normal self. Day 4 she felt like she was trapped in a bubble, she was spaced-out and numb. Day 5 she called the psychiatric, she told her she wanted to be taken off of the medication. Off the medication she felt better then when she was taking it, as the medication left her body she felt better then ever. Research has confirmed that antidepressant drugs are no more effective than sugar pills. In some studies sugar pills may have better results than antidepressants. The best known psychological side effect of SSRIs is “amotivational syndrome”, that syndrome is a condition in where your inspiration diminishes to do anything. When Yale University's Department of Psychiatry analyzed the admissions to their hospital’s psychiatric unit, they found out that 8.1% of their patients were “found to have been admitted owing the antidepressant mania or

105). The other more recent treatment for generalized anxiety disorder is selective serotonin reuptake inhibitors (SSRIs).This type of medication became popular due to its ability to regulate serotonin. Also, another reason SSRIs became so popular is because it works for other disorders such as obsessive compulsive disorder, post-traumatic stress disorder, panic attacks, and agoraphobia in lowering symptoms by as much as 80% in over 50% of people taking the medication (Anxiety Disorders; Treatment).

I diagnose the narrator with neurasthenia. It is a disease that causes a nervous exhaustion and extreme excitability. The narrator is prescribed S a “rest cure” in an effort to calm her nervous depression. The nervousness is mostly diagnosed in women. In the 18th century, this type of illness was labeled as one of the “nervous diseases.” They thought women had weak bodies and sensitive minds, they were thought to be extremely ill and that could affect their emotional state. These nervous diseases were caused with many symptoms, such as pale urine, a visible swelling of the stomach, headaches and melancholy. In other words, any sort of depression would be a sign of a nervous disease. Men could also suffer from the nervous diseases, but women remained the victims because men were looked as better back then. Some emotional and physical symptoms are fits, choking, laughing, fainting, and the quick transition from one symptom to the next. The disease was mostly understood as a form of emotional sensitivity. Neurasthenia was first

Generalized Anxiety Disorder (GAD) is a mental disorder marked by extreme anxiety and worry (apprehensive expectation) over a period of at least 6 months. It is accompanied by at least three of these six somatic or psychological symptoms: feeling on edge, fatigue, problems with concentration, feeling irritable, physical tension, and problems with sleep.

Generalized anxiety disorder (GAD) is a disorder in which an individual may feel persistent, excessive, and worry about everyday things that may not even happen. Individuals with this disorder may feel worry, excessive anxiety, and have thoughts of the worst even when there is no need for concern. A person experiencing GAD may expect a disaster. They may worry about their finances, money, health, family, work, or any issue that may come to mind. This disorder may be present when a person worrying increases on more days than one for at least six months. GAD can interfere with work, school, family, and even social activities. GAD can be diagnosed in adults when they experience at least three of the symptoms. These symptoms include restlessness or feeling on the edge, fatigue, difficulty focusing or mind going blank, irritability, muscle tension, pain in back or headaches, and sleep disturbance (ADAA, n.d.).

The sympathetic nervous system stimulates the body’s “fight-or-flight” response by releasing epinephrine and nor-epinephrine when a perceived threat or situation arises resulting in feeling anxious. When a body’s physiological response which is a normal phenomenon becomes exaggerated and is associated with a particular fear or situation, a person feels extremely threatened resulting in an anxiety disorder (McGrandles & McCaig, 2010). Further, anxiety becomes troublesome when a person’s day to day personal, social, and occupational function is altered (Edmunds & Mayhew, 2014). Anxiety disorder affects around 26 million people between the ages of 15 and 54 years in the United States alone and costs the health care system billions of dollars every year (McGrandles & McCaig, 2010). The purpose of this paper is to discuss the diagnosis of GAD, the pharmacotherapeutic treatment and goals, parameters for monitoring drug therapy success, adverse reactions of medication(s), patient education, health promotion, and a patient ‘s long term prognosis.

their emotional and physical symptoms. The symptoms consisted of nervousness, anxiety, depression, mood swings, and lack of appetite. During the early 1900’s, treatment came in forms of lobotomy and hysterectomy, but the most common “cure” was bed rest. In addition, it is clear that the narrator is suffering from hysteria. It is significant to note that she suffered from the

She stated that anxiety started after high school when she felt pressure to go to college. There is no evidence to support that client has learning disabilities. Hannah reported that she thought the change would help improve her life. She stated that she thought moving out on her own would shift her into independence. However, client reports that her anxiety has been worse. Reportedly, she has difficulty spending too much time alone. Hannah recalled her recent experience meeting with friends at a coffee shop and reported that during the entire outing she experienced persistent thoughts of going home. She stated concerns about the possibility of losing her friends due to the anxiety. Hannah reflected on how social life when she lived with her parent and reports her new social difficulties. Client reported that her anxiety is stopping her from making friends. Hannah works as a freelance photographer. Anxiety has been stopping her photography. Hannah reported that she has been receiving less work and took the responsibility for the decline in work. Client reports some of her anxiety symptoms as shaking, hot flashes and sweating. In addition she reports having many flooding thoughts that others may think she is stupid, she can’t do her job, she’s an idiot, weirdo, or everyone is looking at her. She reported that those thoughts make her feel she should give up and she is an idiot. Hannah reports that when anxious while working, she has the tendency to clinch tight onto the camera. Reportedly, her shaking interferes with her taking photos. Client reported that had resorted to wearing black to work and many places to conceal the evidence of her sweating due to her

Generalized anxiety disorder(GAD) is much more than the normal anxiety people experience everyday. It is a chronic condition that is chracterized by excessive worry and anxiety, even though there aren't any reasonable explanations for the cause. It is diagnosed when a person spends a least 6 months worrying excessively about numerous everyday problems.