A Case Study Paper for Psychopathology - 1702 Words



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A Case Study Paper for Psychopathology

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Text Preview A Case Study Paper
(Keith’s Diagnosis and Treatment Plan)

Presented to
Jeff Dunn of Alvernia University

In Partial Fulfillment of the
Requirements for the Degree
Bachelor of Arts

Illya N. Johnson
April 28, 2011


This case study is base on a real person, but the name is fictitious to protect their privacy and to comply with the HIPPAA laws (health insurance portability and accountability act). My subject is Keith a 15 year old African –American male, in the 10th grade at Overbrook High School lives with his Mother, Rachel, A certified nurse’s assistant and sister, Patricia age 10. Father, Harold returned to the family after a brief separation. Statement of the Problem

Keith has experienced an increasing fear of social situations for the past two years. It has been reported that Keith has always been a shy child. Who has been unable to participate in peer activities. Keith’s younger sister is his only companion. His mother, the only financial support of the family is constantly working. Keith was raised by different people. When Keith was younger he cried a lot at daycare. He is studious about the presentation of himself. Keith has been hospitalized to alleviate his problems, family therapy is to be initiated and must obtain psychological and psychiatric evaluation. Diagnosis

Axis I: 300.23 Anxiety disorder w/Social Phobia
Axis II: V71.09 Deferred
Axis III: Anemia
Axis IV: Problems with primary support group/ unstable parental relationship, father abdicated responsibility, mother’s inability to be more nurturing. Problems with social environment/ unable to relate to peers. Axis V: Current Global Assessment of Functioning 41 (Serious symptoms OR serious impairment in one of the following: social, occupational, or school functioning.

My subject, Keith meets the criteria for and anxiety disorder category of the DSM IV. “Anxiety Disorders categorize a large number of disorders where the primary feature is abnormal or inappropriate anxiety.  Everybody has experienced anxiety.  Think about the last time a loud noise frightened you and remember the feelings inside your body.  Chances are you experienced an increased heart rate, tensed muscles, and perhaps an acute sense of focus as you tried to determine the source of the noise.  These are all symptoms of anxiety.  They are also part of a normal process in our bodies called the 'fight or flight' phenomenon.  This means that your body is preparing itself to either fight or protect itself or to flee a dangerous situation. These symptoms become a problem when they occur without any recognizable stimulus or when the stimulus does not warrant such a reaction.  In other words, inappropriate anxiety is when a person's heart races, breathing increases, and muscles tense without any reason for them to do so.  Once a medical cause is ruled out, an anxiety disorder may be the culprit (Allpsych Online: The Virtual Psychology Classroom, 2004 ).” In the case of my subject Keith, he meets the required criteria to this disorder, specified in a social phobia; Keith experiences severe stress that enables him to communicate or socialize with his peers. Keith has missed a semester of school and has been unable to function in everyday life, he spends time alone watching television or reading a book. Symptoms include either extreme anxiety or fear associated with the object or situation or avoidance. To be diagnosed, the symptoms must be disruptive to everyday functioning (such as quitting a great job merely because you have to use an elevator) (Allpsych Online: The Virtual Psychology Classroom, 2004 ).... Show More

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