What treatment do you believe to be best for Dean? Why do you believe this treatment would help Dean?

Psychological Disorders: Case Studies
Case Study 1:
For the past few weeks Mary has felt extremely tired. She’s called in sick several times and has a hard time concentrating when she is at work. Her coworkers have noticed that she is often irritable and withdrawn, which is quite different from her typically upbeat and friendly nature. She used to enjoy meeting her friends for coffee and playing raquetball at their local club, but lately does not feel like hanging out with anyone, believing she wouldn’t be good company anyway.
Mary has been having trouble sleeping and when she does fall asleep she wakes up several times during the night. She cries often, which is not like her. She doesn’t seem to want to talk to her husband about her feelings and doesn’t appear to want to get close to him.
Mary is unhappy with her life. She gets frustrated with herself because she feels like she has every reason to be happy, yet can’t seem to shake the sense of doom and gloom that has been clouding each day as of late.
Diagnosis:Be sure to provide a thorough explanation for your answer.
What treatment do you believe to be best for Mary? Why do you believe this treatment would be beneficial?
Case Study 2:
Shari is a 28 year-old mother of two. She went through a divorce 2 years ago and has remained single ever since. She’s had a successful career as a teacher for the last 6 years but for the last 8 months she’s gradually become more and more troubled by worry that she will lose her job and her house. Despite her best efforts, she hasn’t been able to shake the negative thoughts.
Ever since the worry started, she has found herself feeling restless, tired, and tense. She has a hard time relaxing with her children and the only activity that seems to help is pacing back and forth in the hallway. When she goes to bed at night, her brain races. She mentally rehearses the fear of losing her job and the worse-case scenarios that can come from her job loss.
Diagnosis:Be sure to provide a thorough explanation for your answer.
What treatment do you believe to be best for Shari? Explain why you believe this treatment would be best.
Case Study 3:
Dean’s parents reported that as an infant and toddler, he was resistant to nursing, an extremely picky eater, and resisted cuddling. He was difficult to settle; swaddling, slow rhythmic rocking, and keeping the environment and routines consistent were the most effective techniques to manage his behaviors, which included flailing, kicking, and yelling when he was distressed. In grade school he did not express his emotions in an age-appropriate manner. If he felt sad or angry, he would burst into tears, scream, and/or walk away from the situation. Dean was able to speak in full sentences; however, he struggled with social interactions and had difficulty initiating a conversation. He rarely asked questions and mostly replied with a very brief “Yes” or “No” response.
Currently, Dean is 23 and employed at an accounting firm. He does well working with numbers but sometimes has difficulty with coworkers. He has difficulty understanding gestures, body language and facial expressions. He finds “small talk” difficult and tends not to be very socially motivated.
Diagnosis:Be sure to provide a thorough explanation for your answer.
What treatment do you believe to be best for Dean? Why do you believe this treatment would help Dean?
Case Study 4:
Joel is a 20 year-old engineering major at a local university. Over the past few weeks his roommates have noticed increasingly bizarre behaviors. On many occasions they’ve overheard him whispering to himself. Lately, he has refused to eat anything that is not from a sealed can for fear someone has poisoned his food.
He’s become angry with his roommates, accusing them on several occasions that they are conspiring with foreign intelligence to have him killed since they are aware he will create many ingenious engineering projects that could assist in the capture of foreign enemies. He’s stopped attending his classes and is now so far behind in his coursework that he will fail if something doesn’t change very soon.
His parents have tried to get him in to see a psychiatrist. Joel has had an occasional drink, but has never experimented with illegal drugs. His parents are extremely worried about his behavior but don’t know how to help. Joel is unwilling to see a psychiatrist because he has an aunt who has been in and out of psychiatric hospitals for most of her adult life.
Diagnosis:Be sure to provide a thorough explanation for your answer.
What treatment do you believe to be best for Joel? Why do you believe this treatment protocol would be best?
Case Study 5:
Ann presented to her doctor as a 5 feet 7 inches female weighing 79 pounds. Sandy didn’t really think there was anything wrong with her, but her parents brought her in worried about her weight loss. Ann gets anxious when her parents try to get her to eat, stating she believes she’s “too fat,” and needs to watch her weight. She’s recently become disinterested in activities that she once enjoyed, preferring to stay in her room for hours at a time.
During the meeting her physician discovered Ann has experienced amenorrhea for the past 7 months. The medical evaluation found no significant medical history and no physical illness to explain her weight loss, but she did have low blood pressure.
Diagnosis:Be sure to provide a thorough explanation for your answer.
What treatment do you believe to be best for Ann? Why would this treatment help Ann?

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