Case Study: Understanding Phil's Emotional and Behavioral

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Jun 12, 2024

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Running head: CASE STUDY 1 Case Study: Phil Lauren M. Rogers Liberty University Author Note Lauren Rogers I have no known conflict of interest to disclose. Correspondence concerning this article should be addressed to Lauren Rogers. Email: lmrogers4@liberty.edu

CASE STUDY 2 Case Study: Phil Symptoms Behaviors Stressors Anger and verbally aggressive behavior Phil has refused to speak to his father and has gotten into fights with his mother three to five times a week, and with his sisters on a daily basis. Because of his father's second marriage, Phil is "sad but mainly angry." I still miss my family and I cry some nights and become irritated on other days," he said. Sadness and depression Phil cried a much when they split up. Phil claims that he feels melancholy on most days and angry on others. Separation of the parents and the father's remarriage. To paraphrase Phil: "Nothing seems fun, and no one understands how much this all stinks!" Constantly having difficulty sleeping "Every night I have trouble falling asleep," Phil admitted. Phil can't sleep at night due of the recent remarriage of his father and the divorce of his mother. Concentration issues Some people have had headaches. My neck and shoulders always seem to be in pain every three to four weeks. Parental divorce and father's recent remarriage, difficulty sleeping Phil has lost interest in many of the activities he once enjoyed, and as a result, he is becoming increasingly alienated. His prior passions no longer hold his attention. Phil couldn't wait to become 16 so he could take himself and his pals to sporting events and other activities that required driving. Phil can legally enroll in driver's ed classes at this point, but he hasn't. To paraphrase, he said, "I just don't care right now." Phil remarked after his father remarried, "I'm not interested in hanging out with my friends or playing sports right now." As a result, I wish my mother would quit pressuring me to leave the house. Nothing appears fun, and no one realizes how bad it all is!" Assessment Phil's emotional well-being can be evaluated with the help of the Adolescent Depression and Anxiety Scale (ADDAS), and his level of anger can be measured with the help of the Adolescent Anger Rating Scale (AARS). The Anger Assessment and Rating Scale (AARS) is a

CASE STUDY 3 41-item questionnaire designed to measure the frequency, intensity, and cause of angry outbursts in individuals. Diagnostic Impression After analyzing Phil and his various symptoms, I have arrived at the opinion that he is suffering from an adjustment disorder with mixed disruption of emotions and behavior 309.4 (F43.25). This decision was reached as a result of my evaluation of Phil. DSM-5 Diagnostic Criteria: Adjustment Disorder with Mixed disturbance of emotions and conduct 309.4 (F43.25) Client’s Signs/Reported Symptoms: Criterion A: Mental or behavioral symptoms connected to stress that appear no later than three months after exposure to the stressor or stressors.  Phil has been quoted as saying, "I still feel sad about my family, and some nights I cry, and some days I get angry, and every night I have a hard time getting to sleep." Phil's mother claims that, for the past four months, her son has been fighting and insulting teachers on a weekly basis at school. His disruptive behavior at school resulted in a three-day in-school suspension around two weeks ago. Phil, like many other students, has been having difficulty in school recently. Criterion B: The clinical relevance of particular symptoms or behaviors might be inferred from either one or both of the following indicators:  • Extreme distress that cannot be rationally explained by changes in the external environment or the nature or level of the stressor, when cultural considerations are taken into account. This holds true when the magnitude of the stressor is considered.  Key areas of functioning, such as the ability to interact with others, hold down a job, or take part in other elements of life, are severely impaired.  Phil hasn't spoken to his father since his wedding, but his sisters still see him every week. Phil's response to this stressor is more extreme than what most people would experience under similar circumstances.  Phil no longer has any interest in spending time with the people he cares about. Playing sports and eventually becoming a driver was one of his goals in the past, but he no longer finds either of those things appealing.

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