Psychopathology Case Study
Richmont Graduate University
Dr. William F. Doverspike
A. Client History
Jane Doe (client) is a 48 year old single (currently not dating anyone) Caucasian female. She is employed at a museum where she sorts, identifies, and classifies fossils. She is being referred to Richmont Counseling Center by her employer to seek counseling (“to get my act together”) for reasons due to lack of performance at her current employment after discovery of several weeks of backlog of work. 2. Personal, Family, and Social History
The client reported that she was born and raised in Maryland as an only child by a dad who was a traveling salesman and a “stay at home” mom. She stated that her childhood was “ok” and “not a problem”, except that her parents wanted her to be more involved with friends and extracurricular activities. She stated that her childhood preference was to participate in more solitary activities such as reading, studying, hiking in the woods, and searching for arrowhead and fossils. She expressed that she has never had any friends or social relationships. No sexual history was acknowledged except that she is not sexually active. The client recalled her childhood experience of spending some time with her grandparents, which included looking for fossils with her grandfather. Her parents were married until her father’s death 10 years ago. Her mom is still living and she maintains limited contact with an accessional meal together. The client presented that she did not consider herself to be a religious person and that she “might be an agnostic.” The client graduated in 1972 from the University of Maryland with degrees in Archeology and Anthropology accumulating an A-B grade average. She was not involved in any extracurricular activities. She was employed immediately after college and worked for 10 years at a museum before accepting her current employment with another museum. She has no history of any legal/arrest activities or military service. 3. Medical and Psychiatric History
The summary of the client’s medical and psychiatric history revealed: Her medical history consisted only having chronic sinusitis that required several surgeries’ and required the use of antibiotics. She currently is not consuming any medication. She denied any history of alcohol or other substance use. Her mom has a history of adult-onset of diabetes and hypothyroidism. No information was provided relative to her father’s medical history. B. Major Symptoms
The client’s presenting complaint is her fearful concern of being terminated by her employer in light of perceived employee cutbacks at the museum that would possible result in losing her health insurance. She presents the symptoms that include the following: feelings of losing control over her life, hopelessness, and depressed; has lost interest in what was going on; sitting and doing nothing for much of the evenings; no interest in her previous pastime activities such as reading and playing computer games; and no interest in getting control of her life back (“I just kind of sit there”); has a diminished appetite;
experiencing difficulty sleeping;
has difficulty concentrating on performing her tasks at work and successfully performing her job. Tasks that normally take one or two days now remained unfinished for weeks. The client also presents the following pervasive personality trait symptoms of detachment from social relationships: The client’s parents were unsuccessful in urging of her to develop friends and be more involved in extracurricular events during childhood and college years. She has never been involved in outside social activities (“just not interested”); she characterizes her childhood by a preference for solitary activities, which is indicative of her employment history and work environment. (currently working in the basement of the museum spending most of her time alone); and she...
References: American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Washington, D.C: American Psychiatric Association.
Barlow, D. H., & Durand, V. M. (2012). Abnormal psychology: an integrative approach.
Belmont, CA: Wadsworth, Cengage Learning.
Jongsma, A., Peterson, L. & Bruce, T. (2014). The complete adult psychotherapy treatment planner. Hoboken, NJ: John Wiley and Sons, Inc.
Nussbaum, A. (2013). The pocket guide to the DSM-5 diagnostic exam. Washington, DC: American Psychiatric Publishing.
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