PSYCHOLOGICALDISORDERPROJECT

CASESTUDY#3
Thepatientwashospitalizedattheageof18.Duringtheprecedingyeartherehadbeenagradual
disintegrationofpersonality,evidencedbyinappropriatelaughingandgiggling,bizarre
conversations,andfailureinschool.Thepatientsillnessbegansoonafterherfatherdeparted
fromhome.Asdescribedbythepatientsmother,Shestartedtoworryaboutayearago.My
husbandleftandshebegantothinkabouthimallthetime.Sheusedtotalkfunnyfunnythings
allthetime.Sheusedtohearanairplaneandstandonthekitchentablelookingattheceiling.
Shewouldlookoutofthekitchenwindowatchildrenwhowereplayingatschoolaboutamile
awayandaskediftheotherchildrencouldseeher.Shehelpedwiththehousework,butoften
stoodoutsidestaringatnothing.Shewouldsay.IdontknowwhetherIamaboyoragirl.Do
youthinkIwillevergetmarriedandhaveababy?Andshewouldsay,youarestayingyoung
andIamgrowingold.

CASESTUDY#12
APortraitofErica

Ericaslookslikeherletterofintroduction.Themomentpeoplelaytheireyesonhershining
face,herlongblondehair,herbig,brown,alerteyes,theyrelaxedtheirnaturalskepticismmost
ofususetoprotectourselvesagainststrangers.Sheworehersmilelikeatastefulornament,like
anexpensivepieceofjewelrythatcaughttheeyewithoutgaudiness.Thosewhowereunmoved
byherlovelinessorbyherquicksmilealwayssuccumbedtoheringratiatingmanner.Witha
combinationofeasyeyecontactandsoftresponsiveness,shemanagedtogiveeveryonewhom
shehaddirectedherattentiontothefeelingthattheywereappreciatedandimportant.

AnincidentthatoccurredwhileEricawasaseniorinhighschooltypifiedherantisocial
behavior.Erica,whoisverybrightandarticulate,hadbeenexemptedfromsubmittingaresearch
paperassignedinherhistoryclass.Sincediscussionwasanintegralpartoftheclassactivity,she
hadimpressedheryoungbutwellqualifiedteacherwithherreadyopinionsandherwillingness
toparticipate.

Thedaytheassignmentwasdue,Ericawenttotheschoolcafeteriaforlunchandhappenedtosit
nexttoagirlnamedVickiwhowasastudentinherhistoryclass.EricaoverheardVickitelling
oneofherfriendshowhardshehadworkedonherresearchpaper.

Ispentfourweeks,saidVicki,doingresearch,writing,andtyping.Agoodgradeonthisis
theonlywayIllpassthecoursebecausethatteachercaughtmecuttingclass.

WhenVickiandherfriendleftthetabletostandontheservingline,Ericawassuddenlyinspired
andexcitedbyanidea.WithVickinomorethatafewfeetaway,Ericawentthroughthebooks
shehadleftatthetable,foundtheneatlytypedresearchpaper,andslippeditintoherown
notebook.ShestayedatthetableafterVickihadreturned,calmlyateherlunch,andevenmade
casualconversationwithVickiandherfriend.AssoonasVickiwasfinishedeating,sheandher
friendpickeduptheiremptytraysandbooksandsaidgoodbyetoErica.

Ericawaitedcoollyatthetable.Withinminutes,Vickiscurriedbacktothetable,herface
contortedwithworry.EricawasamusedwhileVickifranticallyscannedthetabletopandthen
gottoherhandsandkneestocheckthefloor.

WhatsupVicki?askedErica,nonchalantly.

Ilostmyresearchpaper,saidVicki,hervoiceshaking.

Badnews!AnythingIcando?

Thanksanyway,saidVicki,overhershoulder,asshehurriedfromtheroom.Ericahadabitof
alaugh.Thenshetookouttheresearchpaper,toreoffthecoversheetandinkerherownname
onthefirstpagewithoutevenbotheringtoreadthepaper.Vickididnotshowupforhistoryclass
thatday,andwhentheteachercollectedtheassignment,hewassurprisedwhenEricasubmitted
apaper.

Diditforextracredit,huh?hesaid.Iamimpressed.

WhenhecalledtheclasssattentiontoEricasapparentdiligencesasapositiveexampleto
follow,anumberofthekidswhoknewEricawelllookedsomewhatskeptical.

Theverynextdayinschool,allhellbrokeloose.Rightbeforehomeroom,Vicki,escortedbytwo
ofherfriends,interceptedEricainthehallway.

Youstolemyresearchpaper,snarledVicki,andyouhadthegutstoturnitinasyourown.
Youdbettertelltheteacherwhatyoudid,oryoureinbigtrouble.

Whatareyoutalkingabout?saidErica,thepictureofinnocence.

YouknowdamnwellwhatImtalkingabout.Youdjustbetteradmitittothatteacher.

Inaperfectposeofrighteousindignation,EricathrewbackhershouldersandlookedVickiin
theeye.Dontyouthreatenme.Iwontstandforit.Anddontyoudareblamemeforyourown
carelessness.NowgetoutofhereandleavemealonebeforeIreportyoutotheassistant
principal.

VickiandherfriendssneeredatErica,thenstalkedoff.

Althoughshewasnotreallyworried,EricalookedupMike,herformerboyfriend.Youwantme
todowhat?askedMikeaftershehadfoundhimoutsideoneofhisclassrooms.

Ericatouchedherhandtohisarm.JusttellmyhistoryteacherthatyouwerewithmewhileI
wasdoingresearchforthepaperandthatyouhelpedmetypeit.

Mikesangersoftenedwhenshegavehisarmalittlesqueeze.Hemethereyes.Whatareyou
uptothistime,Erica?

Oh,comeon,shesaid,flashingaseductivesmiletoweakenhisresistance.Foroldtimes.

Suddenly,hepulledfreeofhertouch.Oldtimes.Youmean,youwantmetolieforyouagain.
LikeIdidtoyourparentseverytimeyoubrokeyourcurfew.LikeIdidtomybosseverytime
youcameintohisstoreandshoplifted?NowayErica.Findyourselfanotherfool.Orhaveyou
alreadyusedupalltheguysinthisschool?Doeseverybodyknowyouretheonlyoneyoucare
for?

ThehistoryteacherwaiteduntiltheendoftheperiodtoconfrontErica.

StealVickispaper?saidErica,hervoicecontrolled,hermannerpoised.Thatisabsurd.Why
wouldIstealherpaperwhenIwasntevenrequiredtoturnonein?

Youtellme,Erica,saidtheteacher.

Idontlikebeingaccused,sir.Idohavemylegalrights,youknow.Sincethisisonlyyour
secondyearinthisschool,maybeyouarenotawareofhowthingsarerunaroundhere.

Theteacherdidnotflinchatherimpliedthreat.Erica,ifyoudonttellmewhyyoustoleVickis
paperandputyourownnameonit,hesaid,quietly,Iamgoingtobringthismattertothe
administration.

Ericaflashedoneofhersmiles.Nobigdeal.Theprincipalisapersonalfriendofmine.


Whydidyoudoit,Erica?persistedtheteacher.

Ericalaughed.Itwasajoke.Justaharmlessjoke.

Harmless!YoustoleVickispaperwhenyouknewsheneededittopassthisclassandto
graduate.Ajoke,yousay.

Whatsthedifference?saidErica.Vickiisaloseranyway.

CASESTUDY#40
Nomatterwhatheisdoing,Simbaalwaysfeelsalittletense.Theapprehensionhasnoapparent
cause.Evenduringweekendsandvacations,heexperiencesconstantuneasiness.

AudreyHammondandYasodaRijal
Period2
December10,2015

MoodDisorderProject

CaseStudy#3
DiagnosisandExplanation
Thepatienthasthe
DisorganizedSchizophrenia
becausethepatienthasthesymptomsof
disorganizedspeech,disorganizedbehavior,andbluntedandinappropriateaffect.Sheishaving
difficultiesorganizingherthoughtsandspeaksomethingwhichismeaningful.Alsoshecant
focusonthespecifictasks.Sheshowedheremotionslikelaughinginaninappropriatesituations
andhaveinappropriatefacialexpressions.

BehavioralTherapies
AyounggirlissufferingfromfromtheDisorganizedSchizophrenia,whichcanbelonglasting
diseasewhichcanaffectforthewholelife.BehavioralTherapywillhelpthepatientlikethis
younggirltousetheirmindsandskillsinaeffectiveplacesandhelptolearnnewskillswhich
willhelpthemtoliveanormallife.Tolearnthoseskills,theyneedtoanalyzewhatiseffective
andwhatisnot,andithinkthisisthethingswhichissufferingthisyounggirlbecausesheis
thinkinglikesomeoneiscomingandshedonthavehighselfesteem.ThatswhyBehavioral

Therapywillhelptofindourcertainskillstoincreaseourabilitytoassumethingslike
stressmanagementskills,communicationskill,assertivestraining,andproblemsolvingskill.

CognitiveTherapies
UsingCognitiveTherapy,apatientlikeayounggirlwillrequireapsychologisttoacceptthe
cognitivedistortion,anddisorganizedthinkings.
Cognitivetherapycanonlybesuccessfulifthe
psychologistacceptstheclient'sperceptionofreality,anddetermineshowtousethis
"misperception"toassisttheclientincorrectlymanaginglifeproblems.Itwillhelpapatientor
clienttomakeacopedecisionbyusingtheinformationfromtheworld.Itwillnotcompletely
curetheDisorganizedSchizophrenia,butitwillhelpapatienttomanagethelifesproblem,to
functionindependently,andtobefreefromextremestressandotherpsychologicalsystems.

GroupTherapies
PatientwhohaveaDisorganizedSchizophreniacangethelpfromthesupportgroup.Support
groupwillaskthepatientabouttheirthoughts,feelings,emotions,symptomsandallother
things.Afterthatsupportgroupwillanalyzepatientswordsaboutwhathe/shesaidaboutillness.
Andsupportgroupwilldecideiftheycanhelpthepatientbythemselvesortheyneedpsychiatric
orbiologicaltreatment.Supportgroupwillhelpapatientineverystepuntiltheybecomenormal.

BiologicalTreatments
Schizophreniaisalsoknownasabiologicalbraindisorder,itstreatmentsprimarilycomprise
medicationsthattargettheabnormalitiesinthebrain.Typesofmedicationscommonly
prescribedincludeconventionalantipsychotics,atypicalantipsychotics,andsometimes,certain
antidepressantmedications.Thesedrugsaffectthebrainthroughvariousmechanisms,including
theincreaseinnumberofneuronalconnectionsandanincreaseinthenumberofsupportcellsin
brainareasinvolvedinjudgmentandemotion(TreatmentAdvocacyCenterWebsite).This
drugsandtreatmentcanhelpayounggirltohaveaneffectivejudgementonpeopleandhavethe
controlonemotions.

CaseStudy#12
DiagnosisandExplanation
Ericahas
AntisocialPersonalityDisorder.
Shedoesthingswithlittleconcernandtheresa
multitudeoftimesthatsheshowsshallowemotions.Themainexampleofshallowemotionsis
theactoftakingVickispaperwhenshedoesntevenhavetoturnoneininthefirstplacebut
becauseshecan,shestealsitandturnsitinasherown.Shealsoshowsalackofconsciousness
indoingthatwhichisalsoasymptomofAntisocialPersonalityDisorder.


BehavioralTherapies
BehavioraltherapyfocusesonchangingbehaviorandthatisoneofEricasproblems.Herability
tostaycalmandcollectedwhenshesinterrogatedbyherteacherisabehavioraltacticthatisa
skillbutnotagoodqualitybecauseitmakesiteasiertolie.Herbehavioroffeelingthatitsokay
tostealafriendspaperandhavenoguiltaboutitwhatsoeverisaproblemandbehavioral
therapywouldfixit.

CognitiveTherapies
Therapytohelpwiththisdisorderwouldincludecognitivetherapyaswell.Cognitivetherapy
wouldhelpEricabecausethataddressesthoughtpatternsandthatsoneofthefactorsthatpushes
EricatohaveacompulsiontostealVickispaper.Thiswouldincludegoingtoatherapistand
workingonherproblemsthathavecausedEricatodothesecondescendingthingsatschool.

GroupTherapies
Basedontheresearchdone,individualswiththisdisorderfeelbetterwhentheycantalkabout
howtheyfeelwithpeoplethathavetosameissues.Butitssometimesdifficulttopersuade
someonewiththisdisordertotalkaboutitsincetheysometimesfeelthattheydontactually
haveaproblem.Ifitsinasupportivespace,grouptherapycansignificantlyhelpthisdisorder.

BiologicalTreatments
TherearenospecificmedicationsthataregearedtowardssolelyhelpingpeoplewithAntisocial
PersonalityDisorder.However,therearesomethathelpthegeneralproblemsofpersonality
disorderssuchasantipsychoticormoodstabilizingdrugs.Thiswouldhelpwithherapathetic
behaviortowardsdoingimmoralthingsandstandingbyhermistake.

CaseStudy#40

DiagnosisandExplanation
Simbaissufferingfrom
GeneralizedAnxietyDisorder
becauseSimba
cantseemtogetridof
hisconcerns.Hecantrelax,startleeasily,andhavedifficultyconcentrating,Simbahasthe

physicalsymptomslikefeelinguneasinessallthetime,likeanxiety.Alsohedoesn'thaveany
apparentcauses.

BehavioralTherapies
BehavioraltherapiesfocusonpatientlikeSimba,whohaveGeneralizedAnxietyDisorderto
examineshowtheybehaveandreactinsituationsthattriggeranxiety.Behavioraltherapywill
identifythenegativethoughts,challengingthenegativethoughts,andhelptoreplacethe
negativethoughtswiththerealisticthoughts.Behavioraltherapyalsohelp
torecognizewhen
youreanxiousandwhatthatfeelslikeinthebody.

CognitiveTherapies
CognitivetherapyexaminespatientlikeSimbatoknowhownegativethoughts,orcognitions,
contributetoanxiety.Thebasicpremiseofcognitivebehavioraltherapyisthatpatientlike
Simbasthoughts,notexternalevents,affectthewaywefeel.Cognitivetherapiesis
notthe
situationthatdetermineshowpeoplefeel,buttofindtheperceptionofthesituation.

GroupTherapies
Grouptherapieswillhelpthepatienttopreventtheirdiseasethroughdifferentideasand
techniques.Togetoverthesedisorder,patientlikeSimbahavetokeepadiariestowritehis
feelings,opinion,andemotionstobemorestablewhenyouhavenoonetosharewith.Support
groupwillhavesomepeoplewhohavesomethingincommonwiththepatientsotheycantalkto
themeasilyandsharetheirproblem.Thegoalwillbetogivemotivationandencourageone
anothertofightagainstGeneralizedAnxietyDisorders.

BiologicalTreatments

Biologicaltreatment,likemedicationshouldbeprescribediftheanxietydisordersymptomsare
seriousandaffectingaclientlikeSimbaalot.Thereisdifferenttypesofmedicationwhichcan
helpthepatienttogetridoftheillness.Simbacanonlydothebiologicaltreatmentifhis
symptomsisanacute.Ifheisfeelinguneasinesseverydaythanhecangotothedoctorandask
forthemedication.Buthehavetotakemedicationinatimedoctorstoldhimtotakeit.

WorksCited

EducationandResearch,12Apr.2013.Web.11Dec.2015

Kingdon,David,MD.TheABCsofCognitiveBehavioralTherapyforSchizophrenia.
PsychiatricTimes
.UBMCompany,20June2006.Web.11Dec.2015.
MayoClinicStaff.AntisocialPersonalityDisorder.
MayoClinic.
MayoFoundationfor
Medical