Anxiety Case Study - MedRevise


case study on anxiety disorder

Generalized anxiety disorder is defined as excessive anxiety or worry inthe absence of, or out of proportion to, situational factors. The symptoms ofthis disorder are restlessness or feeling on edge, being easily fatigued,difficulty concentrating or the patient's mind going blank, irritability,muscle tension, and sleep by: 5. Anxiety Disorder and OCD Case Study M.S. 18 y/o male OCD, Anxiety Disorder M.S. was an eighteen-year-old male with a severe degree of OCD along with an anxiety disorder. Before starting the REI Custom Program his therapists described that often it took M.S. 25 minutes to get from the front door of the facility to her office - a total of 15 feet. Case Study: "I Can't Stop My Head": The Case of the Persistent Worrier Psychiatric and Medical History. Nancy L., a year-old married lawyer, presented with exacerbation of her chronic generalized anxiety and recurrent depressive symptoms in January

Case-Based Reviews: Anxiety disorders

He could trace his shyness to boyhood and his social anxiety to his teenage years. He had married a girl he knew well from high school and had almost no other dating history.

He and his wife, Lesley, had three children, two girls and a boy. At our first meeting, Jim was very shy and averted his eyes from me, but he did shake hands, respond, and smile a genuine smile. A few minutes into our session and Jim was noticeably more relaxed. After I got married, my wife started taking over all of the daily, family responsibilities and I was more than glad to let her.

If there was an appointment to be made, Lesley made it. If there was a parent-teacher conference to go to, Lesley went to it. If Jim had something coming case study on anxiety disorder, Lesley would make all the social arrangements.

Even when the family ordered takeout food, it was Lesley who made the call. Jim was simply too afraid and shy. Indeed, because of his wife, Jim was able to avoid almost all social responsibility -- except at his job. It was his job and its responsibilities that brought Jim into treatment. Years earlier, Jim had worked at a small, locally-owned record and tape store, where he knew the owner and felt a part of the family. The business was slow and manageable and he never found himself on display in front of lines of people.

Several years previously, however, the owner had sold his business to a national record chain, and Jim found himself a lower mid-range manager in a national corporation, case study on anxiety disorder, a position he did not enjoy.

Sometimes I have to repeat myself and that is excruciatingly embarrassing That was pretty bad! Then he would beat himself up. What was wrong with him? Why was he so timid and scared? No one else seemed to be like he was. He simply must be crazy! After a day full of this pressure, anxiety and negative thinking, Jim would leave work feeling fatigued, tired, and defeated.

Meanwhile, his wife, being naturally sociable and vocal, continually enabled Jim not to have to deal with any social situations. In restaurants, his wife always ordered. At home, she answered the telephone and made all the calls out. He would tell her things that needed to be done and she would do them.

He had no friends of his own, case study on anxiety disorder, except for the couples his wife knew from her work. At times when he felt he simply had to go to these social events, Jim was very ill-at-ease, never knew what to say, and felt the silences that occurred in conversation were his fault for being so backward. He knew he made everyone else uncomfortable and ill-at-ease. Of course, the worst part of all was the anticipatory anxiety Jim felt ahead of time — when he knew he had to perform, do something in public, or even make phone calls from work.

The more time he had to worry and stew about these situations, the more anxious, fearful and uncomfortable he felt. The more nervous and anxious he got over a situation, and the more attention he paid to it, the more he could not perform well.

This was a very negative paradox or "vicious cycle" that all people with social anxiety get stuck in. If your beliefs are strong that case study on anxiety disorder will NOT do well, then it is likely you will not do well. Therefore, thoughts, beliefs, and emotions need to be changed. The depression technically "dysthymia" that comes about after the anxious event continued to fuel the fire.

The more and more she did for Jim, the more and more he could avoid. It got so bad that Jim, case study on anxiety disorder, who loved to listen to new albums and read new books -- could not even go to stores or to the library.

He would tell his wife what to buy and she would buy it. She even kept track of when the library books were due and made sure she took them back on time.

In fact, social phobia ranks among one of the highest psychological disorders when it comes to failed relationships, divorce, and living alone. He was cooperative from the beginning, and progressed nicely doing therapy. He took each of the practice handouts and spent time each day practicing. He made a "special time" for himself that his family respected and he used this place and time to practice the cognitive strategies his mind had to learn.

His biggest real-life fear, speaking to another person in public, was not really a speaking problem; it was an anxiety problem, case study on anxiety disorder. Jim was a bright man who had associated great anxiety around these social events in public situations.

The course of treatment here is NOT to practice! In fact, practicing would just draw attention to what Jim perceived was the problem: his voice, his awkwardness, his perceived inability to speak to others. Thus, it would reinforce the very behaviors we do not want to reinforce. Instead, Jim worked on paradoxes. We deliberately goofed-up. We tried to make as many mistakes as possible. We injected humor into the situation and found that when he exaggerated his fears, he thought this was funny.

Everyone else does too! After all, case study on anxiety disorder, he was human just like everyone else. Jim was human; humans make mistakes; so what? It was certainly nothing to get upset about. In fact, as time went by, it become even more funny and humorous, rather than humiliating or embarrassing. After completion of the behavioral group therapy, Jim had an opportunity for advancement in his company, which case study on anxiety disorder now felt comfortable to take.

The promotion entailed holding weekly meetings in which he was in charge. By this time, Jim was feeling much more comfortable and much less anxious about the whole situation. To say that Jim did not have any anticipatory anxiety before taking this position or before making his weekly presentations would be inaccurate.

The difference was now they were manageable. They were simply minor roadblocks that could be overcome. I talked to Jim a few months ago and everything was going well. His responsibilities at work had increased slightly, but Jim now had the ability and beliefs to deal with them. He was much more confident and had a feeling of being in control. He was doing more around the house and his wife was a little surprised at his metamorphosis. Luckily, this did not change the marriage dynamics adversely, and the last time I talked with him, case study on anxiety disorder, Jim had become a father again: another little boy.

The Anxiety Network began in case study on anxiety disorder to growing demand from people around the world wanting help in understanding and overcoming their anxiety disorder. The Anxiety and Stress Clinic and its website, The Anxiety Network, received so much traffic and requests for help that we found ourselves spending much of our time in international communication and outreach.

Our in-person anxiety clinic has grown tremendously, and our principal internet tool, The Anxiety Network, has been re-written and re-designed with focus on the three major anxiety disorders, case study on anxiety disorder.

InThe Social Anxiety Associationa non-profit organization, was formed and now has its own website. The Social Anxiety Institutethe largest site on the internet for information and treatment of social anxiety, has maintained an active website since Continuous, ongoing therapy groups have helped hundreds of people overcome social anxiety since Skip to main content.

The Anxiety Network. Richards, Ph. Tags: social anxiety case study shyness anxiety disorder. Thinking Problems: Correcting Our Misperceptions. Personal Statements for Social Anxiety. Social Anxiety Questions and Answers. Social Anxiety and Misdiagnosis. Social Anxiety Disorder and Medication. The Least Understood Anxiety Disorder. What are "The Phobias"? Social Anxiety: Past and Present. Ask Dr. Richards About Anxiety Disorders.

Latest articles. Treatment for Panic Attacks. What is Panic? What Causes Panic and Panic Attacks? Our Facebook Feed. Our History and Our Mission The Anxiety Network began in due to growing case study on anxiety disorder from people around the world wanting help in understanding and overcoming their anxiety disorder. Follow Dr. Whitley, M.


A Child Anxiety Disorder


case study on anxiety disorder


The case study I am choosing is about James who is a doctor suffering from generalized anxiety disorder. At 31 years of age and living in New York, he is unemployed because of his constant anxiety, even at the thought of working. He now lives with his parents off a small trust fund set up for him by an uncle. A case study about generalised anxiety disorder in an ex-serving member of the Australian Defence Force. Time to read: 4 minutes. Joe, 20 years in the ADF, deployments to Bougainville, the Solomons, and East Timor. The fact is, I’ve always been a worrier, ever since I was a kid. I’d worry about my family and my Mum and Dad (they used to. A Child Anxiety Disorder: Case Study # 1. case study has experienced a number of stressors that contribute to and exacerbate her feelings of anxiety. A close family member also suffers from an anxiety disorder, thereby suggesting a genetic risk for developing an anxiety disorder herself.