Dependent Personality Disorder Case Study

Through my attempt to investigate my family health history, I discovered that among all the physical and mental/emotional disorders that run in my family, anxiety happens to one of the most common one. Beginning from grandparents, both of my grandparents from my mother’s side, suffer from Anemia and anxiety. On the other hand, my grandfather from my father’s side, also suffered from anemia and my grandmother currently suffers from rheumatism and anxiety. Furthermore, my mother currently suffers from type II diabetes, anxiety, and depression, while my father has suffered from bronchitis three years ago for a brief period of time. In addition, my aunt did suffer from anxiety and depression, which led her to taking her life two years ago through overdose of prescription drugs and intensified my mother’s depression even further. From my father’s side, my uncle

31 y/o AA male patient seen today for psychiatric-mental health assessment. He is awake, alert and oriented x4. He is calm, cooperative and follows commands during assessment. The patient reports he is depressed, difficulty sleeping and nightmares at night. The patient explained his depression is as a result of deep thinking from a news he received two days ago from his elder brother that his mother is ill. Stressors identified by the patient include losing his job a week ago before the news about his mother; his wife is 6-months pregnant with their first child, who currently works part-time at her present job; patient relates difficulty paying monthly bills and inability to provide adequately for his family as a man. The patient denies mood swings, suicidal/homicidal thoughts and ideation. Patient reports his spouse is at work at the moment and he does not want to put stress on his wife due to her current condition. Patient denies been hospitalized for depression or psychiatric illness; and denies family history of mental illness. Patient reports he is seeking help because he does not like feeling this way using terms of “helpless and loss of worth from his spouse”. Patient reports he needs help with his depression and nightmares before his current condition get out of hands and ruined his marriage.

LIFE CIRCUMSTANCE EVALUATION Phrase 3 result from a score of 6.0 and higher with a few issues distinguished. Even though this present client’s general assessment of his/her life situation lances to be great, advance examination might be required into ranges of conceivable anxiety recorded toward the

Persistent concern about having additional attacksb. Worry about the implications of the attack or its consequences(e.g., losing control, having a heart attack, “going crazy”)c. A significant change in behavior related to the attacksB. The presence (or absence) of Agoraphobia.C. The Panic Attacks are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., hyperthyroidism).D. The Panic Attacks are not better accounted for by another mental disorder, such as Social Phobia (e.g., occurring on exposure to feared social situations), Specific Phobia (e.g., on exposure to a specific phobic situation), Obsessive-Compulsive Disorder (e.g., on exposure to dirt in someone with an obsession about contamination), Posttraumatic Stress Disorder (e.g., in response to stimuli associated with a severe stressor), or Separation Anxiety Disorder (e.g., in response to being away from home or close relatives).(APA, 2000)

Prior to Mr. Smith’s diagnosis, Mrs. Smith worked outside of the home on a part-time basis. Her income was set aside to fund Junior’s college education. Mrs. Smith concentrated on maintaining harmony within the home and was a calm, stable influence in Mr. Smith and Junior’s lives. Since Mr. Smith’s diagnosis, Mrs. Smith has started working full time. The stress created by Mr. Smith’s diagnosis and care needs, concern over Junior’s well-being, full time employment, and financial concerns have caused Mrs. Smith to experience generalized anxiety disorder with panic attack specifier as defined by the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM, 2013).

On October 25, 1994, Susan Smith drowned her two sons, Michael and Alex, in the John D. Long Lake in Union County, South Carolina. For nine days she lied about knowing where the boys were. On November 3, she confessed to the killings and would soon go to trial.

The symptoms that one may experience if they had Dependent Personality Disorder are more than emotional that anything else. One would typically lean on others for emotional support, avoiding personal related responsibility jobs, and even having separation issues (my.clevelandclinic.org/health/articles). Also by the patient having confidence in their decisions they would make, this is why they lean on others to somewhat guide them in the right direction. Or may even just need to motivation and assurance that they are doing a great job on a day to day

A personality disorder is an inflexible and is usually an unhealthy way of thinking or behaving (Carey). Dependent personality disorder is a mental illness which can cause individuals to feel as if they are incapable of living or doing something independently (Faith). Dependent personality disorder is a cluster c personality disorder (Faith). Cluster c personality disorders include all of the anxious or fearful types of disorders (Faith).

1. Client demonstrates excessive and sometimes unrealistic worry that has been occurring more days than not for past seven months. Client has been affected by physical issues due to anxiety; such as, nausea, diarrhea, lack of sleep and trouble falling asleep, excessive crying, discourse at home, and hypervigilance.

The patient moved from Troy, New York a few months ago after getting married. She is living in Barrington and working in Northwood. They moved because her husband's job. The patient would like to talk about depression. She tells me that she has had anxiety her whole life. She was never evaluated by a physician for this, as her parents reportedly did not believe in any medication. She says that she struggled with her anxiety throughout her teen years and went to counseling in college, but never saw a physician at that time. She is no longer in counseling. In addition to feeling anxious, she feels depressed. She says

During the assessment the patient reports heighten anxiety level for the past few days when her daughter leaves the home. The patient

In this paper, the intern was placed at the Mobile County Department of Human Resources in the Adult Protective Services department and will be disclosing information about a particular case during their internship. To protect the clients and all parties associated confidentially within this case, material that could reveal their identity will not be discussed and only relevant information about the case will be addressed. The clients in this case have been both diagnosed with agoraphobia with panic disorder. According to the Social Work Dictionary (2014) agoraphobia is described as “an irrational and persistent fear of being in unfamiliar places or of leaving one’s home” (Baker, p. 13). Agoraphobia with panic disorder is a difficult mental illness to treat, especially with two individuals who have made the decision to stay in isolation. Ebenfeld (2014) explains panic disorder as having unexpected panic attacks and the worry of future attacks (p.2). Some professionals believe that agoraphobia is a secondary onset associated with panic disorders and for the twins’ situation, it is unsure which diagnosis was developed first.

The patient is a 28-year-old, Armenian female who arrived on time for her evaluation appointment. Mrs. Muradyan requested to have her 4 year –old daughter be present during the evaluation, to prevent her child’s anxiety symptoms intensifying while being separated from her. It appears that the child’s recent separation from her father may have triggered her to develop symptoms of separation anxiety, which explains and validates the child’s fear of being separated from her mother and always needing to be with her to avoid wondering if something bad is going to happen and “she is not going to be able to see her mother like she is unable to see her father.”

Dr. Haviland requested an re-evaluation for patient who is a 18 year old female who presented to the ED with self harming behaviors or self mutilation, and homicidal ideations towards guardians. The patient has been non-aggressive since arrival to hospital. The patient currently reports still having thoughts of self-harm. The patient states, "I want to think positive, however I feel trapped in negative thoughts." The patient reports she does not feel she would be happy at guardians home because of the lack of communication and understanding of her point-of-view with wanting to have a healthy relationship with her two parents. The patient expresses issues with eating in relation to her experience taking care of her mother while her mother's

Upon interview with the client admitted to having ran away previously but did not disclose the reason behind her runaway behaviors. Client also disclosed constant feelings of hopelessness and depressed mood as well as experiencing hypersomnia and loss of appetite. When asked about onset, client responded that she had been feeling like this ever since she can remember. Client described these feelings as having a rain cloud hanging