abnormalscenarios

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University of Tennessee, Martin *

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355

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Psychology

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Feb 20, 2024

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1). “Bob” Based on information provided, I would consider that Bob may be suffering from a psychological disorder such as generalized anxiety disorder and/or major depressive disorder. Due to extreme disturbances within his life, I would rate Bob a 3, and require psychotherapy. He has had to move back in with his parents, proving distress and impairment (p. 4); the nausea and fatigue presenting are likely due to emotional influences (p. 34). The major cultural factor that should be considered is Bob’s spiritual and religious beliefs. The conflict with his parent’s religious beliefs is likely the main cause for Bob’s depression and anxiety, which can very well manifest as physical symptoms. Family structure, traditions/rituals, and things of that nature should also be considered. Exploring the benefits he receives from his religious support system may be constructive. 1) Jim was vice president of the freshman class at a local college and played on the school's football team. Later that year he dropped out of these activities and gradually became more and more withdrawn from friends and family. Neglecting to shave and shower, he began to look dirty and unhealthy. He spent most of his time alone in his room and sometimes complained to his parents that he heard voices in the curtains and in the closet. In his sophomore year he dropped out of school entirely. With increasing anxiety and agitation, he began to worry that the "Nazis" were plotting to kill his family and kidnap him. 2). “Jim” Based on information provided, I believe Jim is suffering from a psychological disorder. His symptoms are in line

with a disorder such as schizophrenia. Due to this probable diagnosis and severity of symptoms, I would rate Jim a 4, and recommend hospitalization. Jim’s daily life is being acutely affected, causing distress and impairment (p. 4), and could turn dangerous. For this reason, I believe hospitalization would keep himself and others safe, and get him treatment to alleviate and/or better manage his symptoms. With a psychological disorder so severe that hallucinations and paranoia are present, there are multiple pathologies that may contribute to the psychological distress. Behavioral, biological, emotional, social, and developmental causes are all possibilities of contributing factors (pp.34-35). The stress Jim was under in college and the important roles he played should be talked about, as they may have contributed to his current psychological impairment that previously was not present. Consideration of his “Nazi” paranoia should be considered by asking questions about Jim’s nationality and religious beliefs. Although religious paranoia is common in schizophrenic patients, there may be a specific reason for this particular delusion Jim is suffering from. 3). “Mary” Based on information provided, I do not believe Mary is suffering from a psychological disorder. It is very soon after her divorce, and it seems she is being cautious. I would rate Mary a 1; I do not believe psychotherapy is necessary in her case. Mary is not experiencing any abnormal distress or impairment (p.4) as a result of her situation. Although I do not believe she is suffering from a psychological disorder, I may recommend psychotherapy if Mary becomes increasingly anxious or it begins to interfere with her daily life. I believe her worries surrounding settling down and raising a family are likely due to societal and cultural factors (p. 35). She may believe that her situation is atypical or not culturally

expected (p. 4), as many in Western societies expect young adults to marry and have children. If Mary were to find herself increasingly anxious about “running out of time”, psychotherapy could be beneficial to discuss why she feels this way. Considering things such as her familial structure in childhood, culture, religious beliefs, perceived (or real) pressure to marry & have children from her family and friends, as well as society as a whole- are all things to be explored. Asking questions about Mary’s nationality and culture could also be beneficial as practices and conventional familial structures and expectations vary between cultures.

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