Read the following case study of “K”. After reading the Case of K, prepare a case study analysis that includes the following information:
Identify the primary problems that K is experiencing.
Discuss any issues (presenting problems) contributing to “K’s” situation as it relates to the categorical and dimensional domains of the DSM-5.
Describe the behaviors K has developed to “help” him with his problems, and analyze them in terms of the DSM-5 criteria for OCD. Explain why a diagnosis of GAD or a phobia would not be appropriate for K.
Design a treatment profile by discussing what therapeutic interventions you would implement if you were responsible for treating K. Be sure that you make connections between the research literature and your treatment recommendations. Here, please include at least one scholarly article that addresses your specific treatment recommendations. You must include 2 outside scholar sources: one can be your textbook, another should be from the scientific literature.
The Case of K:
K, a 45-year-old male was referred by his physician for a mental health assessment. He is experiencing intense stress and worry, intrusive thoughts, an inability to sleep, and difficulty leaving his house. He described his problems as “worrying about everything and not being able to relax.” He reports that these symptoms have been present for over 6 months. Additionally, he has experienced weight loss and difficulties with his personal and family life secondary to employment concerns and difficulties completing his daily tasks.
K states he is troubled with intrusive thoughts and behaviors, which he reports are “necessary”. He states that he is experiencing disturbing images of disease and how the presence of this could harm him and his family. These thoughts have caused him to develop the “need” to clean bathrooms, bedrooms, and the kitchen that family members use. He also described how one morning when he pulled out of the driveway he noticed a piece of litter on the curb. He pulled back into the driveway, picked up the litter and went into the house to throw it away. He then reported having to clean his pathway to the kitchen, worried that viruses and bacteria will cause serious illness, even death. K has also become increasingly worried about someone breaking into his house and is now constantly checking and rechecking the locks on the doors and windows. When he cannot complete his ritual of checking everything he feels petrified with fear. He reports knowing that his current concerns are causing him harm and reports frustration, anger and a sense of worthlessness regarding his inability to control his thoughts and emotions.
At work, K indicates that as a manger, he is under a lot of pressure to make sure things are done correctly and reports a strong sense of control and need for perfection, which he states is demanded in his job. He adds that internal issues at work have forced him to increasingly check and recheck his reports and figures. His high need for order became so rigid that he recently lost his job.
K also reports strain in his relationship with his wife due to his intrusive thoughts and behaviors. She has become increasingly angry with him over his intense desires for cleanliness and constant need for reassurance regarding his thoughts.
Guidelines:
Papers should be typed, double-spaced, reflect college-level writing, and observe APA format. An Abstract is not required for this assignment. Please include a properly formatted title and reference page.
Choice 2:
The Case of Mr. E:
Mr. E is a 37 year old man who presented in the emergency for a psychiatric evaluation. Mr. E was brought to the ER by his wife after weeks of what she described as “nonfunctioning”. After a week of partying all night and shopping all day, his wife stated that she intended to divorce him if he did not check into a psychiatric hospital. While in the ER, Mr. E. was fast-talking, jovial, with pressured speech, and thoughts that at times appeared unconnected. The psychiatrist who evaluated Mr. E. noted that there was no evidence of delusions or hallucinations during the time of the interview.
Mr. E.’s troubles began 7 years before when he was working as an insurance adjuster and has a few months of mild, intermittent, depressive symptoms, anxiety, fatigue, and loss of appetite. At the time, he attributed his symptoms to stress at work and within a few months was back to his usual self.
A few years later, Mr. E experienced a dramatic shift in his mood. For approximately a month, Mr. E had remarkable energy, hyperactivity, and euphoria, followed by about a week of depression during which he slept a lot and felt he could hardly move. This pattern of alternating periods of elation and depression, with a few “normal” days repeated itself continuously over the next several years.
During his energetic periods, Mr. E was optimistic and self-confident, but short tempered and easily irritated. His judgment at work was erratic. He spend large sums of money on unnecessary and, for him, uncharacteristic purchases, such as a high-priced stereo system and several Doberman pinschers. He also had several impulsive sexual flings.
During his depressed episodes, he often stayed in bed all day because of fatigue, lack of motivation, and depressed mood. He stopped eating, bathing, and shaving. He felt guilty about irresponsibility and excesses of the previous weeks. After several days of withdrawal, Mr. E would rise from bed one morning feeling better and, within 2 days, be back at work, often working feverishly, though ineffectively, to catch up on work he had let slide during his depressed periods.
Although he and his wife denied any drug use, other than drinking binges during his hyperactive periods, Mr. E was dismissed from a job 5 years earlier because his supervisor was convinced that his over activity must be due to drug use.
Instructions:
Read the case study of “Mr. E”. After reading the Case of Mr. E., prepare a case study analysis that includes the following information:
Identify and Describe the primary DSM-5 diagnosis for Mr. E and why this diagnosis is the most appropriate in this case.
Discuss treatment recommendations you would make for Mr. E. and explain why you have made each recommendation. Use at least two other outside sources (academic sources only) to support your discussion on treatment recommendations.
Guidelines:
Papers should be typed, double-spaced, reflect college-level writing, and observe APA format. An Abstract is not required for this assignment. Please include a properly formatted title and reference page.
