Childhood Psychopathology Case Study

Topics: Anxiety, Panic disorder, Panic attack Pages: 10 (3301 words) Published: August 27, 2013
Case Study of Cassandra Liu

Psych 4350
Developmental Psychopathology

By: C. Li

Cassandra Liu is a 16-year old high school student, currently attending Briar Ridge Secondary School. Approximately six months ago, Cassandra began having difficulties in school attendance. She would experience numerous somatic complaints like dizziness, nausea and abdominal pains that would prevent her from going to class. Eventually her parents took her to the family doctor who made a referral to the Youth and Child Services, after medical tests proved inconclusive in explaining her somatic symptoms. At our clinic, a counsellor interviewed Cassandra and her mother in order to assess her needs. A child psychologist was also scheduled to determine if Cassandra met any diagnostic criteria.

Cassandra arrived with her mother for her first appointment at the clinic, neatly dressed and well groomed. Her mother appeared stern and eager as she began describing her concerns regarding her daughter. Cassandra’s symptoms had caused her to miss enough school to impact on her academic performance, and her parents were beginning to worry that this may have a longterm affect on her academic future. Throughout the interview, Cassandra remained quiet and reserved, allowing her mother to do much of the talking. When the therapist tried to directly engage Cassandra, she appeared timid and nervous and seemed to struggle to find responses to the therapist’s questions. Often, Cassandra’s mother would become impatient and interrupt, which caused Cassandra to further withdraw.

It was understood by Cassandra’s mother that her medical tests had turned up negative in regards to her reported physical symptoms. Cassandra’s mother expressed that she was frustrated that their family doctor had found nothing, and that she suspected Cassandra was faking her symptoms to gain attention and rebel against her parents. Cassandra seemed upset by her mother’s accusation, but did not make an attempt to protest. Cassandra’s mother pointed out that she was wasting valuable vacation days to accommodate Cassandra, and that she felt irritated at what she perceived was Cassandra acting out.

When it came time to see the Child Psychologist, Cassandra’s mother was instructed to wait in the waiting room. Cassandra seemed apprehensive about the separation, but did not appear too concerned. The interview session began with Cassandra’s interpretation of her symptoms. Cassandra explained that for as long as she could remember, she would get mild stomach cramps in the morning, before going to school. However, the cramps would eventually subside by the time she arrived in class. Nonetheless, there were times where the stomach pains would get so intense, to the point where she felt too ill to leave the house. Although these episodes did not occur too frequently, Cassandra felt bothered by them because they would cause her to stay home from school. At the start of the school year, Cassandra recalled an incident in class where she suddenly felt very dizzy and lightheaded like she was going to pass out. An intense nausea washed over Cassandra, and she was terrified that she would be sick in front of her classmates. However, when she got up to run to the bathroom she momentarily blacked out and fell to the floor. Cassandra remembers feeling like she couldn’t breathe and that her heart pounded so hard she thought she was going to die. A few moments later, Cassandra’s vision returned and the nausea passed. Cassandra was taken to the school nurse, where she waited for her mother to pick her up. Although she was shaken, by the time Cassandra’s mother arrived at the school Cassandra felt okay again. Cassandra saw the doctor the following day, but they could not find a reason or cause for her illness. This incident profoundly frightened Cassandra, and she admits that she is very worried it will occur again.

In order to avoid another incident, Cassandra has become hypervigilant in...

Cited: Akinsola, E. F., & Udoka, A. P. (2013). Parental influence on social anxiety in children and adolescents: Its assessment and management using psychodrama. Scientific Research , 4 (3A), 246-253.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.
Buehler, C., Benson, M., & Gerard, J. (2006). Interparental hostility and early adolescent problem behavior: The mediating role of specific aspects of parenting. Journal of Research on Adolescence , 16, 265-292.
Degnan, A. K., Almas, N. A., & Fox, A. N. (2010). Temperament and the environment in the etiology of childhood anxiety. The Journal of Child Psychology and Psychiatry , 51 (4), 497-517.
Doerfler, L., Connor, D., Volungis, A., & Toscano, P. (2007). Panic disorder in clinically referred children and adolescents. Child Psychiatry and Human Development , 38, 57-71.
DSM-IV. American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed.). Washington, DC.
Fox, N., Henderson, H., Marshall, P., Nichols, K., & Ghera, M. (2005). Behavioral inhibition: Linking biology and behavior within a developmental framwork. Annual Review of Psychology , 56, 235-262.
Gallo, K., Chan, P., Buzzella, B., Whitton, S., & Pincus, D. (2012). The Impact of an 8-Day Intensive Treatment for Adolescent Panic Disorder and Agoraphobia on Comorbid Diagnosis. Behavior Therapy (43), 153-159.
Grillon, C., Warner, V., Hille, J., Merikangas, R. K., Bruder, E. G., Tenke, E. C., et al. (2005). Families at high and low risk for depression: A three generation startle study. Society of Biological Psychiatry , 57, 953-960.
Kessler, R., Berglund, P., Demler, O., Jin, R., & Walters, E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry , 62, 593-602.
Linden, D. v., Vreeke, L., & Muris, P. (2013). Don 't be afrad of the general factor of personality (GFP): Its relationship with behavioral inhibition and anxiety symptoms in children. Personality and Individual Differences , 54, 367-371.
Nigg, J. (2006). Temperament and developmental psychopathology. Journal of Child Psychology and Psychiatry , 47, 395-422.
Ollendick, T., Mattis, S. G., & King, N. J. (1994). Panic in children and adolescents: A Review. Journal of Child Psychology and Psychiatry , 35 (1), 113-134.
Powers, A., & Westen, D. (2010). Personality subtypes in adolescents with panic disorder. Clinical Child Psychology and Psychiatry , 16 (4), 551-565.
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