- Количество слайдов: 58
DISSOCIATIVE MOOD POTPOURRI ANXIETY THERAPY 100 100 100 200 200 200 300 300 300 400 400 400 500 500 500
Stella is a 44 year old female who reports that she has periods of time she cannot remember what she has done. She reports that after one such period she received a telephone call from a man who claimed to have met her in a bar where she was “the life of the party. ” She had also told the man her name was Starlight. Stella thinks that this is odd because she doesn’t drink and she’s shy. However, the man had her correct phone number and gave an accurate physical description of her. What is the specific diagnosis?
Specific Diagnosis: Dissociative Identity Disorder
Frank was attending college in San Francisco during the most recent earthquake. He lived in the area that was hardest hit by the earthquake. Frank was not home when the earthquake hit and was not injured in any way, but he returned home to find his building demolished and his two roommates crushed to death. Frank immediately drove himself to the airport, bought a ticket to Boston, and got on a plane. His parents found him on their doorstep in Boston the next morning. Frank remembers nothing about the earthquake and nothing about going to college and living with his parents in Boston. What is the specific diagnosis?
Specific Diagnosis: Dissociative Amnesia
Mario was previously diagnosised with dissociative disorder and experienced short term memory loss due to dissociative amnesia after a traumatic experience. Gradually he got his memory back and felt strong enough to return to his studies in Biochemistry. After spending one semester at school he suddenly disappeared. His parents ran into him a couple months after his disappearance. When they saw him they said, “Mario, Mario what are you doing? ” Mario replied, “Who’s Mario? I’m Jack Straw and this is my wife Scarlet Begonias. ” What is the name of the condition that accounts for his unexpected travel and loss of his previous identity? __________
Condition: Dissociative Fugue
Susie has been acting very bizarre lately and her family is very concerned. Sometimes she acts normal; however, at other times she only responds to the name Lyla and claims that she has no idea who her family is, and acts like a totally different person. What disorder does it appear that poor Susie is suffering from?
Specific Diagnosis: Dissociative Identity Disorder (MPD)
What are the two contrasting theories regarding Dissociative Disorder?
1. ) It is a real disorder usually caused by som extreme trauma and “splitting” or consciousness 2. ) It is not a real disorder but is “constructed” by therapists “looking for it”
Tony sometimes seems to be a little “wound up. ” At those times he appears to be full of energy, talks very rapidly, and makes very grandiose plans (like he thought he could beat Tiger Woods at golf). At these times he also seems to need no sleep. During other times he doesn’t take care of himself. He seems to want to sleep all the time, and he often makes suggestions about suicide. What is the specific diagnosis?
Specific Diagnosis: Bipolar Disorder
Kara has stopped seeing friends whom she used to see often, and turns people down when they invite her out. Her usual answer is “I just don’t feel like it. ” She looks sad all of the time and does not seem to take pleasure in everyday activities. This has been going on for the past two months. What is the specific diagnosis?
Specific Diagnosis: Major Depression
Lionel was previously diagnosed with Seasonal Affective Disorder. However, Lionel still feels “off” even though spring has come, all the birds and flowers are back and it’s getting brighter every day. He goes back to his doctor who tells him that he actually is suffering from a chronic condition. What is the specific diagnosis?
Specific Diagnosis: Dysthymia
Since about the beginning of December Teddy has been feeling like a bear, his general mood is “off. ” In January he went to a doctor who told him that his sadness was mild and that he was suffering from: __________.
Seasonal Affective Disorder
Michael has been suffering from severe depression. He has tried several drugs but none of them have worked. Last month his doctor scheduled him for a treatment where he was given large amounts of electricity. That didn’t seem to help either, so his doctor has scheduled him for a radical psychosurgery. The surgery involves an operation that will create a lesion in one part of his brain to help reduce his emotionality without reducing his intellectual abilities. What are the two procedures called?
1. ) ECT 2. ) Prefrontal Lobotomy
Marianne is a 34 year old woman who shows signs of little emotion and she has trouble thinking through a simple idea. She says that people reading the news on the radio are telling her to do things. She also says that she is sometimes controlled by other people and that all of the people at Mc. Donald’s, where she used to work, had formed a conspiracy to get her fired. She also does certain activities in a repetitive, highly ritualized fashion, like smoking a lot of cigarettes. What is the general class of diagnosis and what is the specific diagnosis?
General Class: Schizophrenia Specific Diagnosis: Paranoid Schizophrenia
Freddy has desires to do things that most people would not want to do. He wears socks outside in the winter without shoes because he says that he wants to feel the road to be sure that he is on the right path. Sometimes he stops in his tracks standing still for hours. People often think that he is a statue until he starts rambling on about the red water that he parted once, asking passers-by if they want him to do it again so they can return home. What is the name of the condition that he has when he acts like a statue? __________ What is the general diagnosis of his overall condition? _________
Statue Condition: Catatonic Stupor General Diagnosis: Schizophrenia
Zach is a 17 year old male who appears boastful, conceited, and arrogant. When someone accuses him of being that way, he flips into a rage. He shows little care for others and is often envious when others are recognized for their achievements. He is also prone to daydreaming and fantasizing about the success that awaits him. What is the general class of diagnosis and what is the specific diagnosis?
General Class: Personality Disorders Specific Diagnosis: Narcissistic Personality Disorder
William recently drove his girlfriend Sarah to break up with him because he was always bugging her about who she was with and what she was doing. Last week, he followed her when she went out with her girlfriends to study for their psychology exam. The week before he accused her of having made plans to uncover his research into alien abductions. What is the general class of diagnosis and what is the specific diagnosis?
General Class: Personality Disorders Specific Diagnosis: Paranoid Personality Disorder
Gina often drinks too much, especially at parties. She ha gotten two impaired charges in the last year. After nearly losing her job as she “calls in sick” nearly every Monday because of her heavy partying every weekend. What is the general class of diagnosis and what is the specific diagnosis?
General Class: Substance Use Disorder Specific Diagnosis: Alcohol Abuse
Sandy feels dirty unless she bathes and changes her clothes at least four times a day, and she is a real “neat freak. ” She scrubs floors and walls of every room once a week and the bathroom gets cleaned every day. What is the specific diagnosis?
Specific Diagnosis: Obsessive Compulsive Disorder
Larry has not left his house in several months. When he tries to get out of the house he experiences great fear that he will be trapped and unable to return back home. Prior to his inability to leave the house Larry was driving his Civic and his hear started pounding, he started sweating a lot and he felt extreme fear and apprehension to keep driving. He pulled over and called 911. The ambulance attendant told him that he had experienced a _________. Later his psychologist told him that he was suffering from _________ that was triggered by his fear that this experience in the car would happen again. What did the ambulance attendant tell Larry he had experienced and what did his psychologist tell him he was suffering from?
Ambulance Attendant: Panic Attack Psychologist: Agoraphobia BONUS
BONUS After 2 months of therapy it came out that there was a DSM axis III condition that was the actual cause of his initial experience in the car. It turns out that he was hiding this from everyone around him. What was the new diagnosis?
Substance Use Disorder or Amphetamine Abuse
Although he was not personally injured, Harry has had problems since the earthquake in Taiwan. At first he seemed to be fine, but recently, he is listless and quarrelsome and sleeps on and off, reliving the earthquake in bad dreams. What is the specific diagnosis?
Specific Diagnosis: Post Traumatic Stress Disorder
Almost every day Dan has feelings of intense restlessness and muscular tension. He often feels “jittery” and easily gets tired. While he used to drink 12 cups of coffee a day he hasn’t had any stimulant in over a year. His psychologist told him that he is suffering from ___________.
Generalized Anxiety Disorder
Simon has had a tremendous fear of snakes for as long as he can remember. His therapist tells him that he is suffering from ________.
Specific Diagnosis: Zoophobia BONUS
BONUS Identify and Describe two possible treatments for phobias. One from a Behavioural perspective and one from a Psychodynamic perspective.
1. ) Systematic Desensitization 2. ) Free Association
Dr. Jenny is someone who believes strongly in the ability of people to “cure” themselves with a little non-directive discussion. She adopts a model of therapy called ________ which involves the recognition of _____________.
1. ) Humanistic Model 2. ) Unconditional Positive Regard
Dr. Blue has been a therapist for many years. He has tried various models of therapy; however, his favourite is a form of therapy that focuses on helping clients find meaning in their lives. What is this form of therapy called?
Dr. Bob Hartley is a very popular therapist. He tells all of his patients that they need to talk to the people around them, those that they live with and have lived with, in order to work out their problems. What type of therapy does he advocate?
Family Therapy (multidimensional family therapy) BONUS
BONUS Dr. Phil works from a Family Therapy approach. Currently he has two clients that are seeking his help. One is an adolescent female and the other is a married middle-age man. Describe the four targets for an adolescent and for someone who is married?
Adolescent: 1. ) The Adolescent 2. ) The Parent 3. ) The interaction between them 4. ) Other influences Someone who is married: 1. ) The client 2. ) The Partner/Spouse 3. ) The interaction between them 4. ) Other influences
Over the last five years Jimmy has been severely depressed and has attempted suicide twenty times. His doctor has tried giving him three different classes of drugs. Even though they are supposed to work differently, they do not work very well for poor Jimmy. What are three classes of drugs that Jimmy’s doctor probably gave him and describe how each drug is supposed to work?
1. ) MAO inhibitors (Nardil) – elevates Ne & Se 2. ) Tricyclic Antidepressants (Elavil) – blocks reuptake of Ne & Se 3. ) SSRI (Prozac) – increases Se only
What approach of therapy would T. Szasz or R. D. Lang recommend for a patient diagnosed with schizophrenia?
T. Szasz: Szasz argued that psychiatric patients are not ill, but rather individuals with unconventional thoughts and behavior that make society uncomfortable. He argues that society unjustly seeks to control them by classifying their behavior as an illness and forcibly treating them as a method of social control. According to this view, "schizophrenia" does not actually exist but is merely a form of social construction, created by society's concept of what constitutes normality and abnormality. He believes that treatment should be conducted between consenting adults, rather than imposed upon anyone against his or her will R. D. Laing: He argued that the symptoms of what is called mental illness are comprehensible reactions to impossible demands that society and particularly family life places on some sensitive individuals. He valued the content of psychotic experience as worthy of interpretation, rather than considering it simply as a secondary but essentially meaningless marker of underlying psychological or neurological distress. Laing described eleven case studies of people diagnosed with schizophrenia and argued that the content of their actions and statements was meaningful and logical in the context of their family and life situations.