Jason Had Left His Apartment for Several Months Case Study
Clinical Case Study #1 Description of Patient: Jason sought therapy only after being urged by friends to do so. Indeed, even coming to the clinic was a challenge as he had not left his apartment for several months. It all began when he had a fainting spell in an elevator in his office building. At the time he believed he was having a heart attack, and what made it even worse was that there was no immediate way for him to get medical attention; Although he dialed 911 on his cellphone, it was a very slow elevator and it took several minutes before he was able to meet the paramedics on the bottom floor of the building. A clinical interview with Jason revealed that he had no past history of mental illness. However, several members of his father’s family had been diagnosed with anxiety disorders. A complete medical exam revealed that Jason was healthy, though a cardiovascular stress-test revealed that his heartrate increased more than usual in response to walking on a treadmill. Diagnoses/Diagnosis: Biopsychosocial model of causality: Biological factors: Psychological factors: Prescribed psychological treatment: Prescribed pharmacological treatment: Example Case Study – You will add in the boldened parts to the posted word document for your case study submissions. Description of Patient: Jennifer was a ballet dancer referred to our clinic by her plastic surgeon, who felt that she was attempting to “fix” imaginary flaws in her appearance. She had undergone four surgeries in the last year. Although Jennifer was pleased with the results of each, she always sought an additional procedure to address some other aspect of her appearance that she found to be “disgusting” and she spent hours per day examining herself in front of a mirror. Her medical bills had caused her to go deeply into debt, and recovery from the numerous operations had made it impossible for her to continue dancing. A clinical interview with Jennifer revealed that she had no past history of mental illness, though her father had been diagnosed with obsessive-compulsive disorder. A complete medical exam revealed that she was physically healthy. Diagnoses/Diagnosis: Body Dysmorphic Disorder (BDD). Jennifer had a preoccupation with flaws in her appearance that were apparent only to her and exhibited repetitive behaviors (mirror checking). This preoccupation was causing significant distress and impairment both financially and in Jennifer’s hobby of ballet dancing, and she had no other mental illness that could better account for her symptoms. Biopsychosocial model of causality: Biological factors: Research suggests that obsessive compulsive disorder may share traits in common with BDD. In turn, her father (who had obsessive-compulsive disorder) may have given her a genetic predisposition towards developing either BDD or OCD. Psychological factors: Jennifer’s hobby of ballet dancing, where low body weight is desirable, may have caused her to initially be preoccupied with her body weight. Eventually, however, this could have interacted with her genetic predisposition towards developing OCD causing her to develop BDD. Prescribed psychological treatment: Exposure and Response Prevention (ERP) therapy, in which Jennifer is made to examine each of her remaining perceived physical flaws for extended periods of time (exposures) without reaching out to her plastic surgeon to address them (response prevention). She is taught coping mechanisms including deep breathing exercises to help her face the anxiety that these exposures create. Prescribed pharmacological treatment: Selective Serotonin Reuptake Inhibitors (SSRIs) …
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