Monday, May 4, 2020

Abnormal Psychology for Diagnostic and Statistical -myassignmenthelp

Question: Discuss about theAbnormal Psychology for Diagnostic and Statistical. Answer: Demographic Information The demographic information of the subject is as follows- Age- 51years Gender- Male Occupation- works in the San Francisco Police department as a consultant in the homicide cases Marital status- widower Symptoms The behaviors or the symptoms of Derek that is abnormal are his being obsessed with neatness and high levels of orders. Derek has claimed to have a number of phobias that can be confirmed from his assistant who keeps anti-bacterial wipes so that she can help Derek from the fear of germs. The sudden death of his wife made him so emotionally distressed that he retired from work and locked him in his house for three years, which is not at all normal. However, after getting help from the nurses or his assistants when he tried to get back to the world, he came up with much obsessions, compulsions and fear. He was also found being obsessed over the murder case of his wife that he thinks he has failed to solve. He himself reported of having 312 phobias, which greatly affects his personal as well as professional life. In professional field also because of his excessive obsessions, that everything needs to be perfect he faced as lot of issues because he gets anxious at work and are unable to utilize his talents. From few instances, it is clear that Derek behavior is not at all normal. Like burnt out bulb, officers undone zipper was so much of a concern to him that he could not work, which affected her professional life. His excessive determination over being orderly, neat and clean is also not normal. He also thinks balance and symmetry are important factors. However, anything that is in incomplete makes him uneasy. His excessive cleaning habits make him ultra-careful at home to keep everything in order and clean every item. He has specific menus and ways of eating which he does not want to change. Apart from all these, he keeps everything sealed in plastic bags so that he does not have to use items that are used by others. Diagnosis The diagnosis of Derek would be Obsessive-Compulsive Disorder. The diagnosis criteria of his particular disorder are very much similar to what Derek has been found to encounter. In this type of disorders, the client suffers from either obsession, compulsion or sometimes both (American Psychiatric Association, 2013). In Dereks case, presence of compulsion has been seen where he shows repetitive behaviors such as ordering, cleaning, and checking the case files of his wife. In such cases, usually the person feels driven to enact in response to obsessions. In this type of cases clients usually behaves in this way so that they can get rid of their anxiety and distress that are arising due to fear from certain situations or events (Milad Rauch, 2012). However, these acts are excessive in comparison to normal individuals and are not connected in a realistic manner. Derek is severely affected by obsessive-compulsive disorder because it is highly affecting his personal, social and occupation al life. Treatment Derek can be treated through common OCD treatments like psychodynamic psychotherapy, psychoanalysis, pharmacological and behavioral treatments. Drugs that are used for treating the depressive disorders or other mental disorders can be useful for OCD patients in their same dozes. However, any standard treatment will be with serotonin-specific reuptake inhibitors (SSRI) or with clomipramine and then moving towards other strategies of pharmacology if the serotonin-specific drugs are found ineffective (Seibell Hollander, 2014). Many other drugs can also be used if clomipramine and SSRI are not working like valproate, lithium, and carbamazepine and many more (Kaplan, 2016). An effective pharmacotherapy is behavior therapy, which includes the exposure and response prevention. Other therapies are Desensitization, thought stopping, flooding, implosion therapy and aversive conditioning. Along with the behavior therapies, few other therapies are beneficial for patients suffering from OCD, whi ch are family therapy, group therapy, and for extreme cases at time electroconvulsive therapy (ECT) and psychosurgeries are applied. However, both medication and psychotherapy can be prescribed for the client Derek as he has been diagnosed by severe OCD. It can happen that he is responding well in one form of treatment faster than the other treatment (Bandelow et al., 2012). Moreover, it has been seen that long lasting effects in OCD patients are produced by the behavioral therapy. The psychotherapy here mainly pays attention towards two features of the disorder. However, they are resolving the irrational thoughts that are included in the conditions of OCD patients and slowly revealing the sufferers to the objects that are feared or the idea unless they are desensitized to it and can consume the anxiety without engrossing in compulsive acts (Cuijpers et al., 2013). References American Psychiatric Association. (2013).Diagnostic and statistical manual of mental disorders (DSM-5). American Psychiatric Pub. Bandelow, B., Sher, L., Bunevicius, R., Hollander, E., Kasper, S., Zohar, J., ... WFSBP Task Force on Anxiety Disorders, OCD and PTSD. (2012). Guidelines for the pharmacological treatment of anxiety disorders, obsessivecompulsive disorder and posttraumatic stress disorder in primary care.International journal of psychiatry in clinical practice,16(2), 77-84. Cuijpers, P., Sijbrandij, M., Koole, S. L., Andersson, G., Beekman, A. T., Reynolds, C. F. (2013). The efficacy of psychotherapy and pharmacotherapy in treating depressive and anxiety disorders: A meta?analysis of direct comparisons.World Psychiatry,12(2), 137-148. Kaplan, B. J. (2016). Kaplan and Sadocks Synopsis of Psychiatry. Behavioral Sciences/Clinical Psychiatry.Tijdschrift voor Psychiatrie,58(1), 78-79. Milad, M. R., Rauch, S. L. (2012). Obsessive-compulsive disorder: beyond segregated cortico-striatal pathways.Trends in cognitive sciences,16(1), 43-51. Seibell, P. J., Hollander, E. (2014). Management of obsessive-compulsive disorder.F1000prime reports,6.

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