Case Study: Anxiety

instruction manual Read the following case exact ab surface a woman, Allison, who is suffering from fretting. after you have read the case study, examine Allison and present some methods of treatment by answering the questions. Presenting Complaint Allison, a 33-year-old duster woman, knew that it was fin all in ally m for her to seek psychological services. She had always been an anxious person and, for years, had dispensed to have it under control. But, this sentence she felt as though she was fighting a losing contend and in a bad way(p) that it was discharge 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 majestic of her extensive knowledge of aircraft safety regulations and had self-reliance in her ability to properly manage a crisis situation should it arise. Howalways, over the unwrapgoing year she had missed a meaning(a) amount of work because o f her extreme c are closely flying and sojourning in hotels in different cities. She had wanted to believe that her touch intimately her c beer was andified, yet she knew oceanic abyss down that she worried about e verything, non just work.She worried about separate things that most people 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 cumulus she was riding would produce down and leave her stranded. Allison recalled that she noniced a change in her thought process 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 existence has become a very chancy place. Allison finds that she cant relax on her sidereal days off because she spends the entire time worrying about taking her attached flight. I worry all the timeabout everything. She worries that she allow miss the bus to the airport and be late for work. She worried that she leave behind have a little terror attack on the airplane and the pilots go out have to make an emergency landing. She as surface as worries about the hotel that she is scheduled to stay in and whether or not they will nevertheless have her reservation when she arrives. Furthermore, Allison worries about the peril of being out at shadow in a strange town.She explicates, Its just not 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 half-hearted and overwhelmed. However, when she tries to nap, 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 irrit fitted. Allison has experienced a hardly a(prenominal) fear attacks in her life, but has not had a dismay attack in more than two years.But she pacify carries Xanax with her everywhere she goes, just in case she needs it. Ever since she was 7 years old, she has worried about ergodic issues. Allison remembers walking through her house at 7 years old, checking on all of the appliances to make sure that they were all unplugged forrader everyone fell asleep in panic that a fire would break out and burn the house down. Allison was also worried as a 3rd grader about her begin dying any day from cancer, since her yield was a smoker. When Allison was 16, she had great encumbrance with learning how to drive in idolise 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 unprompted and has taken public transportation ever since. Allison has had difficulty with seeking treatment because she is numb to give up her worrying. She believes that some of her perplexity has been helpful because it has kept her safe. And by worrying, Allison believes that is able to help pr eccentric the negative event from occurring. For example, because of Allisons worrying, her arrive quit dope 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 caper that is beyond help. If she cannot get help, then what will she do? Social 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 enured her with a paternalistic manner. Allison felt scant(p) 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 become never soundless her, either. He wa s very distant and did not seem to want very much to do with the children. He worked long hours and spent much time taking Allisons fix on long errands since Allisons mother was afraid to go out alone. Allison tried and true really hard to do well in school 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 seldom left the house and would spend hours locked in her room.Allison thought that her mother suffered from agoraphobia 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 away 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. whizz day, Allisons neighbor, prick, was h elping Allison in the garden and offered her some cookies and milk.Allison had to go inside with Jack to get the cookies and milk, but she thought that it would not be a problem since momma was right next door. Once inside Jacks floor, 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. dear after Allison moved away from her home town for the first time in her life, her boyfriend 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 lifespan alone ever since. Diagnosis rival to the DSM-IV-TR checklist for generalized anxiety overturn. Which of Allisons symptoms examine the diagnostic criteria? Be sure to snatch specifi c symptoms with specific criteria. * Based on your review of Allisons symptoms and the diagnostic criteria, could Allison be diagnosed with generalized anxiety swage or would she be better diagnosed with a phobia or obsessive compulsive unsoundness*? Does Allison appear to have a comorbid* panic discommode? Refer to the diagnostic criteria for panic disorder with agoraphobia and determine if she warrants this diagnosis, too. *How would the sociocultural* prospect 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 explanations for generalized anxiety disorder and how do the activities associated with each theory serving to maintain the worry? Describe a biologic explanation for why Allison unquestionable generalized anxiety disorder. Treatment Which conjectural pe rspectives offer treatments for generalized anxiety disorder that have been more than modestly ** back up by the research literature? converse the cognitive therapy technique of focusing on worry**. What are some of the nondrug biological treatments used to treat generalized anxiety disorder ?