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Case Study (Tina)

Case Study (Tina) - Diagnosis 1-shortness of breath...

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Diagnosis 1. -shortness of breath, dizziness, constant trembling, restless, panic attacks (3) -constant, uncontrollable worries towards herself and her two daughters life in being in danger (ex: school bus crashes, bridges collapsing) (1, 2) -lost of her partner to lymphoma, causing her to support her family alone and a great deal of distress (4) 2. Tina's symptoms follow the DSM-IV on GAD. It clearly shows that she has been diagnosed with GAD. There is no need for more information to classify her with this diagnosis. 3a. Tina has a specific phobia that involves the fear of bridges. 3b. Tina is constantly feared of bridges. She feels and recognizes that being afraid of bridges are ridiculous (1, 3). She will not drive just to stay off of the bridges (4). She senses a sense of panic as she approaches the bridges (2). Her tension worsens as she crosses a bridge (5). 4a. Tina meets the diagnostic criteria for panic disorder with agoraphobia. Her symptoms include: -afraid of seeing a therapist due to the thoughts of being embarrassed if friends or families finds out (2) -occasional panic attacks while driving (1) -avoided bridges by not driving and staying off of them (3) 4b. Tina meets some of the diagnostic criteria for panic disorder without agoraphobia. Symptoms include: -unexpected panic attack while driving causing her to pull over (1) but don’t know if it’s recurrent since she went to see a doctor right a way -frightened of another episode, caused her to go see a doctor (2a) -nervous about driving, ready to go back home while going to see a therapist (2b) -changed her behavior by seeing a therapist even though it might lead to embarrassment to her friends and family (2c) 4c. The diagnosis of a panic disorder is premature at this point. More information are needed to classify her with panic disorder. The therapist might want to know if the panic attacks or other persistent attacks are recurrent in order to diagnose Tina with panic disorder, either with or without agoraphobia.
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4d. I would recommend biological challenge tests for Tina her panic attack during driving seemed serious. It would provide faster results of Tina having or not having panic disorder. If she has been diagnosed with panic disorder and was serious, then treatments or drugs could be prescribed immediately. 1. The sociocultural perspective would explain Tina's GAD as having to do with the surroundings and the environment. The fact that she lives in a place where going anywhere requires going through a bridge and also having a phobia towards them add more anxiety to her conscious.
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