Anxiety Disorders: A Case Study Of Anna's Syndrome

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.

Client is a 52 year-old female. Client is a married and has four grown children. She is a retired firefighter and currently a paramedic. Client has a BFA and presently is enrolled in graduate school to become a mental health counselor. Client appears to be physically healthy and states she has no emotional, psychological, physical or spiritual issues at this time.

Brandy has been depressed and irritable daily for every months since the start of her first year in high school. The depression has caused her to have impaired function in her life (e.g., socially, academically, leisurely) and she has thoughts of death and suicide as well as has attempted to commit suicide. The client has decreased pleasure and interests in her hobbies and school activities. The client has also been not eating lately as she has been trying to lose weight due to feeling bullied over her weight causing her to feel depressed. She also has been feeling tired and unable to keep up energy while at school or at home. Brandy also suffers from 309.24 (F43.22) Adjustment disorder, with anxiety. She can also be diagnosed with V62.89 (Z60.0) Phase of Life Problem as well as V62.89 (Z65.8) Victim of bullying and a Victim of bullying when not in

The patient is a 56 year old female who has recently lost her job and has been financially struggling. She has isolated herself from friends and family members. She claims to be close to her older sister but

She also has a family history of depression. Her marriege is unhealthy and she reported that she thought of asking for a divorce. Furthermore, she was frightened of her father who had abusive tendencies towards

The client is a Hispanic Male age 69, who was born in the Dominican Republic. The client communicates solely in Spanish. He has two daughters who both live in the Bronx. The client suffers from Diabetes, Cholesterol and moderate Dementia. The client has shakiness in the hands as a result of a surgery he endured in the brain. The client lives in a rented room in Inwood Heights. Initially, the clients presenting problem included finding adequate housing however, after completing the intake form I became aware that the client was over income for most housing assistance programs. When the client and I talked more about the reasons he wanted to find housing it became obvious that the client wants to feel valued by his children. Also the client mentioned wanting to overcome feelings of loneliness and isolation. The client copes with feelings of seclusion and solitude by coming everyday to the senior center. He also tends to use the defense mechanism rationalization and tries to rationalize behaviors for others including his daughter’s absence from his life. My interpretation of the clients functioning in the situation is that although the client is experiencing health impairments and sadness the client is very self-sufficient. He is capable and able to take care of his hygiene, he is able to feed himself and he is able to go to doctor’s appointments on his own. I do however; think he is in need of case management and emotional support.

Monica is 32 year old African American female seeking mental health treatment and therapeutic supportive counseling. Monica is divorced and currently lives with her two teenage sons in Virginia. Monica struggles with being a single parent, maintaining stability, and has been homeless a few times. Monica is of low socioeconomic status in which she is currently unemployed and receives disability for income. Monica has a history of oral cancer in which she was diagnosed in her early 20s. Due to the severity of the cancer, Monica had to have her upper right jaw bone removed along with several teeth. She now wears a prosthetic which causes her to have a speech impediment. After years of chemotherapy and countless surgeries, Monica’s cancer is currently in remission.

Identify the Problem: April S is a 30 year old, divorced Afro-American female with one child seeking help to deal with feelings of suicide and depression. Client reports crying daily for the six months, difficulty focusing at work, inability to doing house chores (laundry, cleaning), isolating from family and friends, weight loss of 30 lbs. in the past two weeks without dieting,

The Sarah self-referred for assessment at am outpatient clinic. She subsequently requested a referral to a psychologist in Chicago, IL. Sarah is a 24-year-old adult Caucasian female who identified as a lesbian. She reported a history of depressive symptoms that have worsened in the last few months. She is seeking treatment for these intensified depressive symptoms. She described having “depression” many years ago, but became evasive when asked to clarify. In addition, she noted a concern with experiencing anger and hostility towards others; she stated that these emotions are “uncomfortable” for her. She clarified that in the past three months she has perceived herself as “grumpier than usual.” She reported having experienced anhedonia, fatigue, and insomnia.

Client meets the criteria for 296.21 Major Depressive Disorder. The patient has symptoms of depression, being worried, hopelessness, suicidal, and sad.

The patient tells me she is "doing terrible." She has been under a tremendous amount of stress. She spent approximately 10 to 15 minutes describing to me all of the different types of stressors that she is dealing with. She says that yesterday she spent 10 hours in an airport, which was very stressful. She closed on a condo in May, but unfortunately needs to sell it because it is "falling apart" and she listed the items that are going wrong. She is also having issues with her car and the title. Both of her twin daughters are graduating from college. They are apparently having difficulty with that. She is worried about them. One of

Felicia is a 22 year old college student that has been referred to your agency for counseling. She is a well-dressed, Caucasian woman, who is majoring in pre-med at Illinois State University which is about 2 hours away from her hose. In your first session, Felicia begins crying stating she “can’t take this pressure and stress anymore” and explains about the domestic violence in her family. She explains that her father is mentally and physically abusive, but more mentally abusive. With more questioning, Felicia explains that her parents have always fought and yelled at each other, but it has become worse since her dad lost his well-paid job and recently started working at a rough, but well-paid job to support his family. She believes that her

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

If the patient does have a religious background, provide a list of churches in the local area and online resources. From a cultural standpoint, it is imperative to assess the client’s cultural heritage, as this may provide other important beliefs besides religion that provide strength and inspiration. Emotionally, the patient is struggling internally over past issues, so the patient would greatly benefit from continuously talking with a counselor and working through some of the issues that may be present. Physically, the patient is functioning at an appropriate level, but may benefit from joining a gym or becoming more active. This could help the patient become more physically fit and at the same time take her mind off of some of the issues that are constantly running through her

Emily a 41 year old Caucasian female seem to be in a mid-life crisis in which she reports increasing depression. This may be as a result of a lot of things that has happened or has not happened in Emily’s life. Emily has been struggling with unemployment since May 2010 and cannot pay her bills. This has caused her to worry as she does not seem to have any other source of support. She has major dental work to be done but cannot afford to do it because she cannot pay for it. This further frustrates her.