Posted: February 21st, 2022

PSY 210- Abnormal Psychology Case Study Assignment

PSY 210- Abnormal Psychology

Case Study Assignment
20 factors
NEW Due date: April 10th
You’ll choose and overview ONE case examine supplied on this packet. You may be
answerable for reviewing the case and assigning multi-axial diagnoses. You’ll
even be answerable for offering a rationale for the diagnoses, in addition to a
dialogue of rule outs, differential diagnoses, and prognosis. This project
needs to be 2-Three pages in size (typed, double-spaced, one inch margins). Please
overview the entire hand out included within the course syllabus for extra
directions.
Case Abstract #1
Robin Henderson is a 30-year-old married Caucasian lady with no youngsters
who lives in a middle-class city space along with her husband. Robin was referred to a
scientific psychologist by her psychiatrist. The psychiatrist has been treating Robin
for greater than 18 months with primarily anti-depressant medicine. Throughout this
time, Robin has been hospitalized no less than 10 instances (one hospitalization lasted 6
months) for remedy of suicidal ideation (and one close to deadly try) and
quite a few situations of suicidal gestures, together with no less than 10 situations of consuming
Clorox bleach and self-inflicting a number of cuts and burns.
Robin was accompanied by her husband to the primary assembly with the scientific
psychologist. Her husband said that each he and the affected person’s household thought of
Robin “too harmful” to be outdoors a hospital setting. Consequently, he and her
household had been severely discussing the potential for long-term inpatient care.
Nonetheless, Robin expressed a robust choice for outpatient remedy, though
no therapist had agreed to just accept Robin as an outpatient shopper. The scientific
psychologist agreed to just accept Robin into remedy, so long as she was dedicated to
working towards behavioral change and keep in remedy for no less than 1 12 months. This
settlement additionally included Robin contracting for safety- agreeing she wouldn’t
try suicide.
Scientific Historical past
Robin was raised as an solely baby. Each her father (who labored as a salesman)
and her mom had a historical past of alcohol abuse and despair. Robin disclosed in
remedy that she had skilled extreme bodily abuse by her mom all through
childhood. When Robin was 5, her father started sexually abusing her. Though
the sexual abuse had been non-violent for the primary a number of years, her father’s sexual
advances grew to become bodily abusive when Robin was about 12 years-old. This
abuse continued by way of Robin’s first years of highschool.
Starting at age 14, Robin started having difficulties with alcohol abuse and
bulimia nervosa. In actual fact, Robin met her husband at an A.A (Alcoholics
Nameless) assembly whereas she was attending faculty. Robin continued to show
binge-drinking conduct at an intermittent frequency and sometimes engaged in
restricted meals consumption with consequent consuming binges. Regardless of these behaviors,
Robin was in a position to perform properly in work and college settings, till the age of 27.
She had earned her faculty diploma and accomplished 2 years of medical faculty.
Nonetheless, throughout her second 12 months of medical faculty, a classmate that Robin barely
knew dedicated suicide. Robin reported that when she heard of the suicide, she
determined to kill herself as properly. Robin displayed little or no perception as to why the
scenario had provoked her inclination to kill herself. Inside weeks, Robin
dropped out of medical faculty and have become severely depressed and actively
suicidal.
A sure chain of occasions appeared to precede Robin’s suicidal conduct. This chain
started with an interpersonal encounter, normally along with her husband, which prompted
Robin to really feel threatened, criticized or unloved (normally with no clear or goal
foundation for this notion. These emotions had been adopted by urges to both self mutilate or kill herself. Robin’s determination to self-mutilate or try suicide had been
usually achieved out of spite- accompanied by the thought, “I’ll present you.” Robin’s self injurious behaviors gave the impression to be attention-seeking. As soon as Robin burned her leg
very deeply and crammed the realm with dust to persuade the physician that she wanted
medical attention- she required reconstructive surgical procedure.
Though she had been in a position to perform competently in class and at work,
Robin’s interpersonal conduct was erratic and unstable; she would rapidly and
with out motive, fluctuate from one excessive to the opposite. Robin’s conduct was
very inconsistent- she would behave appropriately at instances, properly mannered and
affordable and at different instances she appeared irrational and enraged, usually verbally
berating her mates. Afterwards she would change into nervous that she had
completely alienated them. Robin would frantically do one thing type for her
mates in an try and carry them emotionally nearer to her. When mates or
household tried to distance themselves from her, Robin would threaten suicide to maintain
them from leaving her.
Through the course of remedy, Robin’s husband reported that he couldn’t take
her suicidal and erratic conduct any longer. Robin’s husband filed for divorce
shortly after her remedy started. Robin started binge consuming and taking unlawful
ache medicine. Robin reported suicidal ideation and feeling of worthlessness.
Robin displayed indicators of enchancment throughout remedy, however this resulted in her 14
month of remedy when she dedicated suicide by consuming an overdose of
prescription medicine and alcohol.
Case Abstract #2
On the time of his admission to the psychiatric hospital, Carl Landau was a 19-
year-old single African American male. Carl was a university freshman majoring in
philosophy who had withdrawn from faculty due to his incapacitating
signs and behaviors. He had an Eight-year historical past of emotional and behavioral
issues that had change into more and more extreme, together with extreme washing and
showering; ceremonial rituals for dressing and finding out; compulsive placement of
any objects he dealt with; grotesque hissing, coughing, and head tossing whereas
consuming; and shuffling and wiping his ft whereas strolling.
These behaviors interfered with each facet of his each day functioning. Carl had
steadily deteriorated over the previous 2 years. He had remoted himself from his mates
and household, refused meals, and uncared for his private look. His hair was
very lengthy, as he had refused to have it minimize in 5 years. He had by no means shaved or
trimmed hello beard. When Carl walked, he shuffled and took small steps on his toes
whereas regularly trying again, checking and rechecking. Every so often, he would
run in place. Carl had withdrawn his left arm fully from his shirt sleeve, as if
it was injured and his shirt was a sling.
Seven weeks previous to his admission to the hospital, Carl’s behaviors had change into so
time-consuming and debilitating that he refused to interact in any private hygiene
for concern that grooming and cleansing would intervene along with his finding out. Though
Carl had beforehand showered nearly repeatedly, presently he didn’t bathe
in any respect. He stopped washing his hair, brushing his enamel and altering his garments.
He left his bed room occasionally, and he had begun defecating on paper towels
and urinating in paper cups whereas in his bed room, he would retailer the waste within the
nook of his closet. His consuming habits degenerated from consuming with the household, to
consuming within the adjoining room, to consuming in his room. Within the 2 months previous to his
admission, Carl had misplaced 20 kilos and would solely eat late at night time, when others
had been asleep. He felt consuming was “barbaric” and his consuming rituals consisted of
hissing noises, coughs and hacks, and extreme head tossing. His meals consumption had
been narrowed to peanut butter, or a mix of ice cream, sugar, cocoa and
mayonnaise. Carl didn’t eat a number of meals (e.g., cola, beef, and butter) as a result of he
felt they contained ailments and germs that had been toxic. As well as, he was
preoccupied with the location of objects. Extreme time was spent guaranteeing
that wastebaskets and curtains had been within the correct locations. These preoccupations
had progressed to tilting of wastebaskets and twisting of curtains, which Carl
periodically checked all through the day. These behaviors had been related to
distressing ideas that he couldn’t get out of his thoughts, except he engaged in
these actions.
Carl reported that a few of his rituals whereas consuming had been makes an attempt to cut back the
likelihood of being contaminated or poisoned. For instance, the loud hissing
sounds and coughing earlier than he out the meals in his mouth had been a part of his makes an attempt
to exhale all the air from his system, thereby permitting the meals that he
swallowed to enter an air-free and sterile surroundings (his abdomen) Carl realized
that this was not rational, however was strongly pushed by the thought of decreasing any
probability of contamination. This perception additionally motivated Carl to cease showering and
utilizing the toilet. Carl feared that he could nick himself whereas shaving, which
would enable contaminants (which may kill him) to enter his physique.
The placements of objects in a sure means (waste basket, curtains, shirt sleeve)
had been all strategies to guard him and his household from some future disaster such
as contracting AIDS. The ore Carl tried to dismiss these ideas or resist
partaking in an issue conduct, the extra distressing his ideas grew to become.
Scientific Historical past
Carl was raised in a really caring household consisting of himself, a youthful brother, his
mom, and his father who was a minister at an area church. Carl was quiet and
withdrawn and solely had a number of mates. However, he did very properly in class
and was functioning moderately properly till the seventh grade, when he grew to become the
object of jokes and mock by a bunch of scholars in his class. Beneath their
fixed harassment, Carl started experiencing emotional misery, and lots of of his
downside behaviors emerged. Though he carried out very properly academically
all through highschool, Carl started to deteriorate to the purpose that he usually
missed faculty and went from having few mates to no mates. More and more, Carl
began withdrawing to his bed room to interact in downside behaviors described
beforehand. This marked deterioration in Carl’s conduct prompted his mother and father to
carry him into remedy.
Case Abstract #Three
On the time of his admission to a non-public psychiatric hospital, Sonny Ford was a
24-year-old single Latino male who lived along with his adoptive mother and father. Sonny had
been referred for hospital admission by his outpatient psychotherapist. Over the
previous 2 years, Sonny had struggled with signs reminiscent of focus
difficulties, anxiousness, and obsessional considering. Extra considerably, inside the 12 months
previous to his admission, Sonny started to expertise paranoid and delusional
ideas that had change into fairly persistent. These difficulties started after Sonny
smoked marijuana. Whereas experiencing the consequences of marijuana, Sonny believed
that his thoughts had gone “numb.” From that point on, Sonny believed that the
marijuana had completely “warped” his mind. He grew to become more and more distressed
and annoyed over his lack of ability to get others to agree that marijuana had this
impact on him. Extra lately, Sonny had developed considerations that the police and
FBI had been “out to get him.” As well as, he had begun to really feel that sure tv
exhibits had particular significance to him and essential data was embedded
in these packages directed particularly at him. Sonny believed that these messages
coming to him by way of the tv had been despatched to remind him that he was in danger
for some type of plot by the authorities. Sonny additionally heard voices in his head.
Though he couldn’t make out what they had been saying, Sonny perceived the
voices as “indignant” and “vital.”
Over the previous few months, Sonny’s signs had worsened to the purpose that they
had been interfering considerably along with his attendance at work as a state workplace janitor.
Due to these elements and the shortage of enchancment in outpatient counseling,
Sonny was referred to this inpatient hospital.
On the consumption analysis for his inpatient admission, Sonny’s feelings had been
restricted. Though showing tense and anxious, Sonny’s face was largely
motionless in the course of the interview. He engaged in little or no eye contact
with the interviewer and his physique actions had been agitated and stressed, as
evidenced by rocking actions of his legs and physique. His speech was hesitant
and deliberate, and he usually answered the interviewer’s questions with transient and
empty replies. For instance, when the interviewer requested “what difficulties are you
having that you prefer to Help for?” Sonny replied, “I believe it was the marijuana.”
Scientific Historical past
Sonny was adopted at beginning, and no information had been accessible about medical or
psychiatric historical past of his household origin. Sonny was raised in a family of 4: in
addition to his mother and father, he had a sister four years older who had additionally been adopted.
He may recall only a few recollections from his early childhood. Nonetheless, Sonny mentioned
that all through his life he had at all times been a loner who, to at the present time, by no means had any
mates. Sonny’s mother and father, who had been current on the time of his admission to the
hospital, confirmed that Sonny had at all times been annoyed by social interactions
and added that their son had at all times been hypertensive to actual or perceived
criticism throughout his faculty years. Sonny was very hooked up to his father and, for
could years, skilled appreciable misery and loneliness when he was
separated from the household’s house or his father for prolonged durations. Whereas
Sonny described his father as “a really accepting particular person” he claimed that his mom
was “excessively vital and never accepting of me as an individual.” Sonny additionally claimed
that his mom was an alcoholic, an announcement that was not supported by both of
his mother and father.
When Sonny was 16, he realized that he was gay. Though his father had
been accepting Sonny reported that his mom had been very unaccepting of his
homosexuality and sometimes referred to him with pejorative labels, reminiscent of “fag.”
Whereas Sonny accepted his sexual orientation, he mentioned that being homosexual had prompted
him many troubles one in every of which was loneliness. A lot of Sonny’s persistent and
obsessive ideas centered on the potential for contracting the HIV virus from
having unprotected intercourse on one event. Sonny’s fears of getting HIV had not been
quieted by the truth that the particular person with whom he had intercourse with was HIV damaging
or by the actual fact the all of his current HIV assessments had been additionally damaging.
Regardless of lifelong difficulties with social adjustment, Sonny had been in a position to meet
many of the calls for and tasks of adolescence. Following his commencement
from highschool (with a C+ common), sonny determined to attend an area faculty to
take introductory programs. This determination was strongly influenced by his
apprehension of shifting out of his guardian’s home to attend faculty away from his
speedy neighborhood. Nonetheless, it was throughout his freshman 12 months that Sonny had
smoked the marijuana that he believed completely broken his mind. Following
the incident, Sonny dropped out of school because of the worsening of behaviors.
Sonny enrolled at a second faculty for just one semester earlier than dropping out
once more, due to his lack of ability to deal with sitting in crowded school rooms and
finishing assignments and assessments on time.
Sonny has held his present place as a janitor for the final 18 months, partly
as a result of this place permits him to work alone and doesn’t require in depth
social interplay.

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