Case Study: Anxiety

Instructions Read the following case consider ab out(p) a charwoman, Allison, who is suffering from concern. After you have read the case study, diagnose Allison and present nearly methods of treatment by answering the questions. Presenting Complaint Allison, a 33-year-old white woman, knew that it was fin in ally time for her to seek psychological services. She had always been an anxious person and, for years, had managed to keep it under control. But, this time she felt as though she was competitiveness a losing battle and worried that it was going to result in her being fired from her job.Allison worked as a flight attendant for a major airline and loved interacting with the passengers. She was particularly proud of her extensive fellowship of aircraft safety regulations and had confidence in her ability to properly manage a crisis situation should it arise. However, over the past times year she had missed a significant amount of work because of her extreme trouble about f ast(a) and staying in hotels in different cities. She had wanted to believe that her worry about her c areer was estimableified, moreover she knew recently down that she worried about ein truththing, non just work.She worried about other things that most citizenry would see as trivial whether she would be caught in the rain without an umbrella, if she was going to remember to pay her bills on time, or if the bus she was riding would break down and leave her stranded. Allison recalled that she noniced a change in her thinking after the terrorist attacks of September 11, 2001. She repeatedly thought, That could have been me in that plane. What would I have done? This is just one more sign that the world has become a very dangerous place. Allison finds that she cant relax on her days off because she spends the entire time worrying about taking her conterminous flight. I worry all the timeabout everything. She worries that she entrust miss the bus to the airport and be late for work. She worried that she ordain have a panic attack attack on the airplane and the pilots will have to make an emergency landing. She also worries about the hotel that she is scheduled to stay in and whether or non they will still have her reservation when she arrives. Furthermore, Allison worries about the danger of being out at shadow in a strange town.She explains, Its just non safe for a single woman to be out at night. Some cities have a high rate of crime and are extremely dangerous. Allison finds that she worries about all of these things simultaneously, which leaves her exhausted and overwhelmed. However, when she tries to sleep, she cannot shut her mind off. She lays awake for hours thinking about all of the things that could happen. Therefore, Allison is often sleep deprived which leaves her stressed, tense, and irritable. Allison has experienced a few panic attacks in her life, but has not had a panic attack in more than two years.But she still carries Xanax with her over she goes, just in case she needs it. Ever since she was 7 years old, she has worried about haphazard issues. Allison remembers walking through her signaling at 7 years old, checking on all of the appliances to make for certain that they were all unplugged before everyone fell asleep in worship that a fire would break out and burn the house down. Allison was also worried as a 3rd grader about her render destruction any day from cancer, since her mother was a smoker. When Allison was 16, she had great difficulty with learning how to drive in fear that she would be involved in a car accident.Indeed, Allison was involved in 2 car accidents, none of which were her fault. Regardless, Allison quit driving and has taken public transportation ever since. Allison has had difficulty with seeking treatment because she is horrified to give up her worrying. She believes that some of her anxiety has been helpful because it has kept her safe. And by worrying, Allison believes that is able to help check the negative event from occurring. For example, because of Allisons worrying, her mother quit smoking and is cancer-free today.In fact, Allison is considering removing herself from treatment because she is afraid that the psychologist will tell her that she has a serious problem that is beyond help. If she cannot get help, then what will she do? cordial and Family History Allison is the youngest of 6 children, 4 of which are boys. She was raised by both parents and considers herself the black sheep of the family. Allison felt very different from her brothers because of gender and the way that they treated her with a paternalistic manner. Allison felt inadequate around her sister, who seemed to be successful in everything she did.Allison feels like her sister looks down on Allison because of the anxiety. Allisons father never unsounded her, either. He was very distant and did not seem to want much to do with the children. He worked retentive hours and spent much time taking Allisons mother on long errands since Allisons mother was afraid to go out alone. Allison tried really hard to do well in schooldays to get her fathers attention, but it never seemed to be quite enough. Allison often had to rely on her older siblings to take care of her since their mother was always sick. Her mother rarely left the house and would spend hours locked in her room.Allison thought that her mother suffered from agora phobic roughnessliness and remembers conversations with her mother about how dangerous the world is. Because of her mothers beliefs about the dangerousness of the world, Allison was not allowed to play outside with friends unless a parent was supervising at all times. Therefore, Allison did not make many friends. Instead, she played in the neighbors garden since her mother could see Allison from the window. unity day, Allisons neighbor, Jack, was helping Allison in the garden and offered her some cookies and milk.Allison had to go inwar dly with Jack to get the cookies and milk, but she thought that it would not be a problem since mom was right next door. Once inside Jacks home, he sexually abused Allison. She never told anyone since she believed it was her fault for going inside and not staying in her mothers line of sight. Allison has been unable to stay in a long-term relationship. bonnie after Allison moved away from her home town for the first time in her life, her boyfriend stony-broke up with her. He was supposed to move in with Allison, but a week after Allison bought a home and moved her belongings in, he ended the relationship.That was the last time Allison had a severe panic attack. She was hospitalized and has been terrified of living alone ever since. Diagnosis strike to the DSM-IV-TR checklist for generalized anxiety disorder. Which of Allisons symptoms replete the diagnostic criteria? Be sure to match specific symptoms with specific criteria. * Based on your review of Allisons symptoms and the di agnostic criteria, could Allison be diagnosed with generalized anxiety disorder or would she be better diagnosed with a phobia or obsessive compulsive disorder*? Does Allison appear to have a comorbid* panic disorder? Refer to the diagnostic criteria for panic disorder with agoraphobia and determine if she warrants this diagnosis, too. *How would the sociocultural* position explain Allisons generalized anxiety disorder? How would the current** psychodynamic perspective explain Allisons generalized anxiety disorder? How would the cognitive perspective explain Allisons generalized anxiety disorder?What are the second-generation cognitive chronicles for generalized anxiety disorder and how do the activities associated with each theory serve to maintain the worry? Describe a biological explanation for why Allison developed generalized anxiety disorder. Treatment Which theoretical perspectives offer treatments for generalized anxiety disorder that have been more than modestly **supporte d by the research literature? Discuss the cognitive therapy proficiency of focusing on worry**. What are some of the nondrug biological treatments used to treat generalized anxiety disorder ?