Carla Cantor - Thora Alcendor Hypochondriasis 04/29/2009...

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Thora Alcendor Hypochondriasis 04/29/2009
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The case study done about Carla Cantor gives the story about a pain in her wrist that she develops from constantly hold her newborn son, that she was diagnosed with post partum depression but choosing to leave untreated, a life altering car crash that she had when she was younger that she was not harmed in but the passenger did not. She also gives the synopsis of her concerns about having symptoms she believes could a vast majority of serious illness, one including Lupus. She goes to many doctors and hospitals looking for a reassurance that she is right, she sees one doctor who decided that she may be clinically depressed and needed to be admitted to the psychiatric ward of the hospital. She finds out from being there that she was not suffering from symptoms of Lupus but symptoms of hypochondriasis, a somatoform disorder where person has fears of having, or the idea of having a serious diseases based on misinterpretation of one or bodily signs or symptoms (American Psychiatric Association, 2000 p.462). According to the DSM-IV, for a person to have Hypochondriasis they must; have a preoccupation with fears of having, or the idea that one has, a serious disease based on the person’s interpretation of bodily symptoms, the preoccupation persists despite appropriate medical evaluation and reassurance, the belief in Criterion A is not of delusional intensity and is not restricted to a circumscribed concern about appearance, the preoccupation causes clinically significant distress or impairment in social, occupational, or other important areas of functioning, the duration of the disturbance is at least 6 months, and the preoccupation is not better accounted for by General Anxiety Disorder, Obsessive-Compulsive Disorder, Panic Disorder, a Major Depressive Episode, Separation Anxiety, or another Somatoform Disorder. Carla meets all of the criteria of having hypochondriasis, except for three. Carla was at one point in her life concerned about her appearance she said “…a very early preoccupation with my body, not liking my nose,
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my wispy curls, my bushy eyebrows. ...” (Cantor, p.52), which could meet the criteria for the concern for appearance which can be classified under Body Dysmophic Disorder, which is also another Somatoform Disorder, and she does in my opinion she seems to have Obsessive- Compulsive Disorder. In the case study Carla admits when she stopped taking Prozac, she would have obsessive intrusive thoughts about being sick, and that she would obsess over work, her relationship with her husband and friends, and her ability to be a good mother (pg.51). In regards to the Obsessive-Complusion Disorder according to the DSM-IV in order be diagnosis with the disorder a person must have the following; A. either obsessions ( 1. recurrent and persistent
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This note was uploaded on 01/19/2010 for the course PSYC 325 taught by Professor Aliyachapman during the Fall '09 term at George Mason.

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Carla Cantor - Thora Alcendor Hypochondriasis 04/29/2009...

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