Part-time university student Tatiana (30-years-old) has been referred to you, her counselor, by a university administrator who has asked her to seek therapy over the summer break.She begins the session by handing you a long list of the various things she thinks is wrong with her life. Tatiana reports her partner recently broke it off and she isn'tsure if she wants to live without him. She calls him daily, often multple times a day, leaving either pleas to call her back or angry accusations. (She often texts him, too, although last night he blocked her.) Tatiana reports chronic feelings of depression, anxiety, anger, irritability, and emptiness. She reports to be an "occasional" binge drinker and experimented with marijuana and various "prescription medications" to get high in her 20s and 30s..On the one hand, she is very successful, with top grades, involvement in various on-campus activities, and many friends.On the other hand, she reports to be close to no one (other than her ex-partner) and believes that if others "really knew her" they would not like her.However, Tatiana reports to be able to fool anyone and is reportedly an expert in wearing "masks" as is necessary for the person or situation. Tatiana is very proud of coming from a wealthy family. She reports her friends also come from wealth and are the "leaders" in the local community. Five minutes before the end of the session, Tatiana asks if you have a doctorate. Tatiana wants to see the best and isn't interested in working with you further if you do not. She also tells you she cannot schedule over the next week due to an upcoming vacation and after that she is unusually busy at work.Tatiana asks you to schedule her three weeks out on a specfic day in the evening.The evenings are best for her, she explains. 1) What personality disorders diagnoses do you believe she has? Explain your reasoning. (If you don't know enough to be confident in a diagnosis, state what you think it might be, and what additional information you need to determine if she meets the diagnostic criteria.) 2) What are two possible etiologies? Please state them and explain why you believe they are possible causes. 3) What form of treatment will you use? Why?
Part-time university student Tatiana (30-years-old) has been referred to you, her counselor, by a university administrator who has asked her to seek therapy over the summer break.She begins the session by handing you a long list of the various things she thinks is wrong with her life. Tatiana reports her partner recently broke it off and she isn'tsure if she wants to live without him. She calls him daily, often multple times a day, leaving either pleas to call her back or angry accusations. (She often texts him, too, although last night he blocked her.) Tatiana reports chronic feelings of depression, anxiety, anger, irritability, and emptiness. She reports to be an "occasional" binge drinker and experimented with marijuana and various "prescription medications" to get high in her 20s and 30s..On the one hand, she is very successful, with top grades, involvement in various on-campus activities, and many friends.On the other hand, she reports to be close to no one (other than her ex-partner) and believes that if others "really knew her" they would not like her.However, Tatiana reports to be able to fool anyone and is reportedly an expert in wearing "masks" as is necessary for the person or situation. Tatiana is very proud of coming from a wealthy family. She reports her friends also come from wealth and are the "leaders" in the local community. Five minutes before the end of the session, Tatiana asks if you have a doctorate. Tatiana wants to see the best and isn't interested in working with you further if you do not. She also tells you she cannot schedule over the next week due to an upcoming vacation and after that she is unusually busy at work.Tatiana asks you to schedule her three weeks out on a specfic day in the evening.The evenings are best for her, she explains.
1) What personality disorders diagnoses do you believe she has? Explain your reasoning. (If you don't know enough to be confident in a diagnosis, state what you think it might be, and what additional information you need to determine if she meets the diagnostic criteria.)
2) What are two possible etiologies? Please state them and explain why you believe they are possible causes.
3) What form of treatment will you use? Why?
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