Gad is a distinctive set of symptoms that arise from

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personality disorders such as obsessive-compulsive disorder. GAD is a distinctive set of symptoms that arise from malfunction in some parts of the brain that process memory, emotion, as well as fear. Scientists have identified amygdala, a part of the brain that assists in processing emotion, memory, and also fear, as being responsible for anxiety disorders such as GAD ( Newman, Llera, Erickson & Castonguay, 2013). When relating
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NATHAN’S CASE ANALYSIS 7 the type of fear he had, Nathan defines some incidences when he felt intimidated by other students, and misjudged, and punished by the teachers. Moreover, he always felt bullied by his supervisors and managers, and that this feeling interfered with his ability work. These feelings can be attributed to the manner in which Nathans brain processes emotion, memory, and fear. Nathan feels that his treatment had a created a vicious cycle for him. He feels disappointed and does not have any feeling of achievement, and a sense of hopelessness concerning his employment considering the previous failed attempts. Nathan also describes a persistent tension and pain around his stomach and shoulders, which does not respond to painkillers. This frustrates him the most because he has visited a doctor several times but does not find anything wrong with him. Although he denies any self-harm, Nathan admits that he had once harboured suicidal thoughts but was ‘too scared' to commit suicide. Nathan also lives with his mother because he is unemployed. He wants to ‘move out and start a new life, ' but he fears that this dream may not come true. Like Nathan, people with GAD have several worries and concerns that are unwarranted. The fear consumes most of their lives leaving them feeling hopeless and useless ( Zbozinek, Rose, Wolitzky Taylor, Sherbourne, Sullivan, Stein & Craske , 2012) . According to Nathan, he feels that he has been "twiddling his thumbs" day to day, not sure what to do. He also has some difficulties and challenges in seeking new employment, primarily because of the fear that it would again lead to negative experiences and he would eventually be forced to leave work, feeling like a failure. People with GAD also feel responsible for their misfortunes, even those that are beyond their control ( Rasmussen & Eisen, 1992) . For instance, Nathan reports feeling responsible for the ‘bad things' happening in his life, and he is uncertain of the solution. As a result, he expresses feeling very frustrated with his situation and a strong feeling of being ‘stuck' with his life.
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NATHAN’S CASE ANALYSIS 8 Treatment and Prognosis Researchers have been able to demonstrate that medication combined with psychotherapy in the treatment of GAD has better outcomes than using either type of treatment alone ( Cuijpers, Sijbrandij, Koole, Huibers, Berking, & Andersson , 2014) . The drugs decrease symptoms and allow for new learning, by lowering anxiety enough for the person to take risks and adopt coping strategies. The SSRIs (Selective Serotonin Reuptake Inhibitors) are normally the first choice by
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  • Fall '14
  • Prof.Oyawa
  • The Land, Selective serotonin reuptake inhibitor, Social anxiety disorder

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