II. Tentative Assessment of the Person-Issue-Situation
A. Problem/Issues
1. Nature, Duration, Frequency, Severity, and Urgency
The issues of anxiety and depression including feelings of unease, trouble sleeping, inability to focus on almost anything, an inability to think clearly, and issues of feeling time is not on her side appeared to emerge in her teenage years. Mrs. Hungness indicated that she experiences these symptoms daily “regardless of where she is” or what she is doing. She clearly remembers feelings of depression and anxiousness in her teen years. She indicated that when her anxiety gets out of control, she suffers from panic attacks. During these attacks, she feels a shortness of breath or fast heavy breathing, an inability to think, the onset of a headache, and an increased speed
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She stated that these attacks happen weekly and the frequency depends on what is going on in that week or at that time. She stated the medications she is currently taking do not appear to be working for her anxiety or depression. She did state her doctor gave her a new medication that she has not yet started taking. She indicated the need to complete a task to calm down. She stated she has continued stress about school and her school work, interpersonal issues, and family/relationship troubles. She stated she finds herself to be “overly sympathetic” toward the issues of others. Mrs. Hungness indicated that she is currently living in a dorm on campus and works at the front desk of her building. She stated that her job is not stressful and that her anxiety and depression do not negatively impact her employment. She indicated a healthy relationship with her fiancé and stated they “both understand each other’s issues.” She also
Pt does have a car and drivers licence, but chooses not to drive because she afarid she will have a panic attack. Patinet stated she has always been this anxious.. all started when her
Children's book Wilma jean the worry machine Cook, J., & DuFalla, A. (2012). Wilma Jean the worry machine [PDF]. Wilma jean the worry machine is a children's book that does an amazing job at showing kids what anxiety is.
This is due to the fact that she not only has panic attacks, but she laments her anxiety and has had maladaptive behavior patterns due to said panic. The first symptom of Panic Disorder is that the individual must have a panic attack with specific symptoms. Nichole actually has a panic attack right in front of the camera, as she is waiting for her drive through food, which was taking longer than expected. During this panic attack, Nichole specifically describes herself being dizzy, nauseous, shaking, and worried about being alone. She shows signs of sweatiness, fatigue, hysteria, and hyperventilation.
After careful consideration of the information that has been presented for Ellen Waters, I have decided that she meets the criteria for (F34.1) Persistent Depressive Disorder Severe with atypical features: Early onset. I have come to this conclusion after considering the following information. The synopsis states that Ellen has been referred for a medication consultation by her Psychotherapist whom she has been seeing for the last two years. Criteria A states that the depressed mood has to be present for most of the day, for most days and that this depression must be indicated by “subjective account” or observed by others for at least two years.
Topic: Generalized Anxiety Disorder General Purpose: To Inform Specific Purpose: To help my audience gain insight into Generalized Anxiety Disorder so that they may better understand the illness. Thesis Statement: Generalized Anxiety Disorder is widely misunderstood, understanding what it is, what the symptoms are, possible treatments, and how to best help someone during an anxiety attack is crucial for those who have family or friends with this disorder. Introduction: Attention Material: Your chest begins to tighten, hands start to tingle, everything gets too loud and too bright all at the same time.
A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation. 3. Identity disturbance: markedly and persistently unstable self-image or sense of self 4. Impulsivity in at least two areas that are potentially self-damaging 5. Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior 6.
Assessment: Client: N.H. is fifty-two and works at Marsha’s Buckeyes creating chocolate confections. She believes that she is doing quite well in relation to her mental, physical, and spiritual health wellness, but could use assistance to strengthen and bolster them. In the mental health category; she does struggle with stress as a result of having two children currently in college. Physically, she walks three or more times a week and tries her best to eat healthy. Her spiritual outlook is lacking
Ms. Lewis was referred by Maricopa county correctional health services to receive an evaluation for potential to transfer to the mental health unit. She was serving a 10-year sentence for manufacturing and possession of illegal substances. She had served 1-year of her sentence and reported symptoms of anxiety, obsessive rumination, and sleep disturbances. Notification of Purpose and Limits of Confidentiality Upon arriving for her appointment, the Informed Consent and confidentiality agreement was discussed both verbally and in writing with Ms. Lewis. The purpose of evaluation was reviewed along with mandated reporting laws and danger to self (DTS) and danger to others (DTO).
Criterion F: The individual experiences pain or ailment in social, occupational, or other important areas of functioning. Explanation Why the Person has the Disorder Criteria A: For several years Ms. Jones has been experiencing periods with hypomanic and depressive symptoms that do not meet the criteria for a hypomanic episode and depressive symptoms that also do not the criteria for a major depressive episode. Criteria B: Ms. Jones states that her fluctuating mood has been occurring for more than half the time and she has been without the mood changes for more than two months at a time. Criteria C:
Her anxiety disorder was shown when she walked across the room and couldn’t feel her feet touching the floor. “She couldn’t feel anything at all-except a slight nausea and a desire to vomit” (pg13). In that quote she showed every symptom that someone with anxiety disorder will show: she
In PTSD, individuals may experience intrusive memories, nightmares, flashbacks, and intense emotional distress related to the traumatic event. They often exhibit hypervigilance, avoid reminders of the trauma, and may have difficulties with concentration and sleep. Panic disorder, on the other hand, is characterized by sudden and recurrent panic attacks, which are intense episodes of fear or discomfort accompanied by physical symptoms such as palpitations, trembling, shortness of breath, and a sense of impending doom. Individuals with panic disorder often develop anticipatory anxiety, fearing the recurrence of panic attacks and altering their behavior to avoid triggering
Other symptoms include the person having trouble making decisions and having a sudden burst of
INTRODUCTION This assignment will be discussing Generalised Anxiety Disorder based on Jessica’s case study. This will be done by interpreting and discussing Generalised Anxiety Disorder and Major Depression as umbrella diagnosis to the case study using relevant clinical description. Biological, psychological and social aetiology of Major Depression and Generalised Anxiety disorder as disorders seen in Jessica’s case will be explained. We have identified Jessica’s case as that of Generalised Anxiety Disorder and Major Depressive disorder as she shows symptoms of each of the disorders.
At the time, I didn’t know this was an anxiety attack. My mind drew a blank at attempting to categorize what happened at school. I tried WebMD-ing what had happened that day, but after receiving a plethora of
An extreme reaction to stress is a panic attack. A panic attack is a sudden, intense fear or anxiety that may make you feel short of breath, dizzy, or make your heart pound. People who have panic attacks may feel out of control, like they are having a heart attack, or are about to die. Panic attacks may happen with no clear cause, but they can be brought on by living with high levels of stress for a long time. High stress levels also affected the morale and motivation of the employees.