Bilisoly_Elizabeth_CaseStudy3_Week 8.docx

Boyle takes pride in being self sufficient boasting

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Mr. Boyle takes pride in being self-sufficient boasting of his accomplishments and abilities to spot people attempting to take advantage of him. Next, Mr. Boyle reported to his wife feeling helpless and hopeless, losing interest in activities in which he was previously interested. Treatment outcomes for Mr. Boyle’s alcohol use should include abstinence and/or harm- reduction. Collaborating a plan with Mr. Boyle to participate in support groups, psychoeducational groups and weekly meeting with a mental health care professional to educate him on patterns of alcohol abuse to assist him in identifying potential problems he may encounter or has encountered will help Mr. Boyle to choose abstinence while assisting him in learning new coping skills not involving alcohol use. Ideally, treatment for Mr. Boyle will render him in a better state of mind with the ability to better trust others, learning to trust himself as well as be able to compare thoughts of his own to God’s word in attempts to filter the truth. Reducing Mr. Boyle’s suspicions will lower his anxiety creating a less rigid and structured manner in which he deals with his job as well as his family. Reducing anxiety and teaching Mr. Boyle to trust in himself will additionally alleviate his proclivity to control others in efforts to protect himself. Lastly, alleviating some of Mr. Boyle’s anxiety will likely reduce depression symptoms such as losing hope and feeling helpless. Giving Mr. Boyle skills and tools, empowering him to control his emotions, thoughts and behaviors will provide a way for him to have more meaningful relationships with others.
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CASE STUDY -3 4 Diagnostic Impressions Based on the diagnostic impressions in the description, Mr. Boyle’s symptomology appears to align with Paranoid Personality Disorder 301.0 (F60.0) (DSM-5, 2013). Mr. Boyle’s suspicion and distrust for others, inability to get along with others and grudges towards others meets Criteria 1, 2, 4, 5 and 6. He suspects others are conspiring against him, he admits spending time thinking about the wrongs against him, he reads hidden demeaning or threatening meanings with regard to the salary raises, he appears to hold grudges with previous parents of students and he perceives the denial of a raise as an attack on his character or reputation. There is a possibility Mr. Boyle meets criteria 7 having suspicions about his children, however, criteria 7 specifically states a spouse and infidelity. However, Mr. Boyle does have suspicions about the whereabouts of his children with no information to suggest it is warranted. At the current level, Mr. Boyle does not qualify for an Alcohol Use Disorder due to meeting only Criteria 1 and 2.
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