GAD+Depression - 1 The relationship between Generalized...

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The relationship between Generalized Anxiety Disorder and Major Depression has been an age-old topic of interest in psychology. Although some of the core symptoms of Generalized Anxiety Disorder and Major Depression are the same, they are in fact two separate disorders with their own unique features. With the presentation of two case studies, one with G.A.D., and one with Major Depression, the relationship and similarities between the disorders will become eminent. Case 1- M The patient, nicknamed M, was a 32-year old, severely depressed, married woman, with no children. She had completed three years of college and worked a very challenging job as an accountant. After her first session and evaluation, the therapist concluded that M was suffering from extremely high anxiety and was currently in a major depressive episode with a low functioning level. For one week, M received individual and group psychotherapy along with medical care. Having benefited from the latter, she began to attend her therapist’s outpatient group therapy as well. With these techniques, the therapist slowly began to uncover M’s unresolved issues, major life disappointments, psychological issues, suppressed emotions, unrealistic expectations, and negative thought patterns. Over time, with a supportive environment and an inviting relationship with the therapist, the reasons for M’s behavior were discovered. Her problems seemed to root from a few different areas in her life: her marriage, her family, and her childhood (Abi- Hashem, 2006). M had experienced many different losses throughout her life. She never grieved any of these losses and instead constantly avoided her unwanted feelings and pain. These emotions kept building and building, creating an intense internal pressure for M. She 1
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claimed that her emotions were “running out of control,” she couldn’t stop crying, and she would wake up at night sobbing. At the start of therapy, when M would look deep inside herself, she immensely disliked what she saw. She found this very daunting and sometimes desired to leave during therapy because she wanted to avoid sorting out her life or dealing with her inner conflicts. These feelings of misery as she examined herself led M to have reoccurring death wishes and suicidal ideation. She admitted to sometimes having the idea of driving off the road into a lake on the way to her sessions. The reason that M sought treatment in the first place was because she had some obsessive-compulsive behavior. M explained that she has always had an obsessive need to “smooth things out” with her fingers. This obsession has been increasing in the last two months. Explaining her thinking, M said there was an illusion in her mind saying that if she smoothes something well enough, everything around and inside of her will be alright. She also stated that depending on her level of stress, she alternates between overeating and her smoothing behavior. The therapist asked M to keep a record of this
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This note was uploaded on 04/06/2008 for the course ENG 101 taught by Professor Chang during the Spring '08 term at TCNJ.

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GAD+Depression - 1 The relationship between Generalized...

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