Jonelle is a 35-year-old African American woman who works as a manager of a large bank. She reports at least a dozen incidents from the past 6 weeks in which she suddenly felt her heart pounding, her pulse racing, and her breathing become rapid and shallow; she felt faint and dizzy; and she was sure that she was about to die. These attacks lasted from several minute. Jonelle consulted with her physician, who conducted a complete physical check-up and concluded that there was no evidence of cardiac problems or other physical problems that could be causing her symptoms. Jonelle is becoming so afraid of having one of these attacks that it is interfering with her ability to do her job. She is constantly vigilant for signs of an impending attack, and this vigilance is interfering with her concentration and her ability to converse with customers and employees. When she feels an attack may be coming on, she rushes to the rest room or to her car and remain there, often for over an hour, until she is convinced, she will not have an attack. Jonelle reports that the attack began shortly after her mother died of a heart attack. She and her mother were extremely close, and Jonelle still feels devastated by her loss. Jonelle is referred to you for consultation. What initial diagnosis would you give your client? 1. AXIS I? Justify. 2. AXIS II? Justify. 3. AXIS III? Justify. 4. AXIS IV? Justify. 5. AXIS V: GAF = 50 (current) 6. What recommendations can you give? Provide only 1 S.M.A.R.T, personal and practical recommendations. Make sure to justify your recommendation.
Jonelle is a 35-year-old African American woman who works as a manager of a large bank. She reports at least a dozen incidents from the past 6 weeks in which she suddenly felt her heart pounding, her pulse racing, and her breathing become rapid and shallow; she felt faint and dizzy; and she was sure that she was about to die. These attacks lasted from several minute. Jonelle consulted with her physician, who conducted a complete physical check-up and concluded that there was no evidence of cardiac problems or other physical problems that could be causing her symptoms. Jonelle is becoming so afraid of having one of these attacks that it is interfering with her ability to do her job. She is constantly vigilant for signs of an impending attack, and this vigilance is interfering with her concentration and her ability to converse with customers and employees. When she feels an attack may be coming on, she rushes to the rest room or to her car and remain there, often for over an hour, until she is convinced, she will not have an attack. Jonelle reports that the attack began shortly after her mother died of a heart attack. She and her mother were extremely close, and Jonelle still feels devastated by her loss.
Jonelle is referred to you for consultation. What initial diagnosis would you give your client?
1. AXIS I? Justify.
2. AXIS II? Justify.
3. AXIS III? Justify.
4. AXIS IV? Justify.
5. AXIS V: GAF = 50 (current)
6. What recommendations can you give? Provide only 1 S.M.A.R.T, personal and practical recommendations. Make sure to justify your recommendation.
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