7.2-1 At this point, what are some of the possible diagnosis you would consider for Maya?
Id consider inferiority complex as a possible diagnosis for Maya. Usually, people have particular needs and desires that they need to fulfill. When this does not happen, people result in a feeling of helplessness which may make one feel powerless to a certain extent. This is the case with Maya since she explains that not being able to take care of her aging parents and sending them money every once in a while results in depressive feelings. Inferiority complex may result in dissatisfaction, depression, and shyness which is the case with Maya. Maya might also be suffering from anxiety disorders, which refer to overwhelming feelings of worry and distress. Under anxiety disorders, I would consider panic disorder, which is characterized by terror feelings that occur randomly. In Mayas case, she is continuously terrified of germs which is the reason she keeps washing her hands. Also, I would consider social-anxiety disorder since Maya is conscious about others judging her behavior when she explains that she has not had very good friends and that people think she is weird following her behavior. Obsessive-compulsive disorder (OCD) is also a possible diagnosis that I would consider for Maya because she is much disturbed by the thought of contacting germs and getting dirty. She explains that working in the hospital bothered her a lot because she kept thinking about all the germs in the place which made her wash her hands all the time.
7.2-2 Based on the aunts phone call, what are some of the questions you might like to peruse in the next session with Maya?
Some of the questions I would ask Maya may include:
Do you feel the need to arrange things in a particular order?
Do you feel the need to repeat specific prayers?
Do you eat food in a specific order?
7.2-3 What are some of Mayas strengths?
According to her aunt, Maya has always been a good child, easy to get along with. This may imply that Maya is sociable and might be willing to open up to people, discuss her problems and interact with them, despite being shy. Her sociability aspect is most likely what makes her confide in me in the first place, which is of the essence to her and those around her. Although expressed in a very peculiar way, Maya is also a kind girl who is concerned about other peoples affairs. This is seen by the fact that she is worried about her parents well-being and that she sees it good to go and help out at home. She feels the need to take care of her parents especially their old age, a responsibility that most kids of this generation neglect. As her aunt describes, Maya has been responsible since childhood. This is seen from her decision to work part-time when in high school and finance her college studies through part-time jobs and student loans. Maya is also well dressed, which in most likely not the case with people experiencing the same problems as her. Most of them would probably be shabbily dressed and unkempt due to depression.
7.2-4 What are some of the possible diagnosis that you would rule out of Mayas case?
At this point, especially after having talked to Mayas aunt, I would rule out my diagnosis on inferiority complex since, at this point, the symptoms of Obsessive-compulsive disorder (OCD) and Paranoid Personality Disorder (PPD) are the most outstanding. The symptoms that would point at OCD include counting out loud and the fear for dirt. The symptoms of PPD include Mayas irritable feelings and her suspicion of other people.
7.2-5 How might a physician be of help to you in this case?
Physicians diagnose and treat illnesses, examine patients, take medical histories, prescribe medications and interpret diagnostic tests. I will need a physicians help with Mayas case to come up with the final and professional diagnosis. This way, I would establish what condition Maya is suffering from. After establishing her condition, the physician would assist me in coming up with a proper design and plan for treatment.
7.2-6 Following your conversation with Mayas aunt, what is your preliminary diagnosis for Maya?
My diagnosis for Maya would be that she is suffering from Paranoid Personality Disorder (PPD), which is a type of eccentric personality disorder. An individual with this disorder is suspicious of other people, and they often mistrust the motives of others. According to me, this might be the reason why Maya keeps looking behind her every now or then. Probably she feels that someone is watching her, and every time she does, she feels better. Also, her aunt confesses that Maya becomes uneasy and irritated when she offers to help her with tidying up her room. It is worth noting that people with PPD often become offended or easily irritated by others.
Juanita also explains that during her senior year, Maya became very withdrawn and was washing her hands every time and Maya would often open the door handle using a towel. From this, I would also consider the fact that Maya is suffering from Obsessive-compulsive disorder (OCD). It is a potentially disabling illness that traps people in endless cycles of repetitive behavior that they perform to prevent nervousness. Obsessive-compulsive disorder symptoms may include the fear of dirt or contamination by germs and repeated showering, bathing or washing of hands. Also, constant counting aloud while performing routine tasks is a sign of OCD. Finally, her aunts concern about her collecting and hoarding so much items in her room that there is hardly any space to sit.
7.3-1 What is your preliminary assessment of Mr. Amari?
My diagnosis for Mr. Amari is that he would be most likely suffering from Diogenes syndrome, which is in other words called Senile Squalor syndrome. Its most common characteristics include domestic squalor, compulsive hoarding of garbage and animals and lack of shame. In this case, Mr. Amari shows signs of domestic squalor since his wife complain of his bizarre behavior of collecting garbage and keeping it in the house. He also expresses compulsive hoarding of garbage, since he rummages through rubbish to collect tins and stuffed animals.
7.3-2 What additional information would you want to gather about Mr. Amaris situation?
Whether he ever hurts himself when nervous
Whether he arranges the things he collects in a specific manner
Whether he can remember any traumatic experience from his childhood
7.3-3 What are some of the resources that could be beneficial to Mr. Amari?
I would recommend some books that would aid him in calming his nervousness and improving his lifestyle and personal hygiene. This is because most people suffering from this condition tend to neglect themselves.
7.3-4 What is your diagnosis of Mr. Amari?
He is suffering from Diogenes syndrome, which in his case would be an accurate diagnosis since the condition is associated with old age. He is 65 years of age. Some of the symptoms that justify this diagnosis include collection of garbage and hoarding on things that have no value at all, especially garbage.
7.3-5 List the cultural and psychological factors as V codes (and Z codes) that are impacting the diagnosis of Mr. Amari.
Mr. Amari seems to be experiencing social isolation, even from his wife and is always in a misunderstanding with her. Also, he confesses to have been a worrier all his life. At times he worried about his children, whether they would make it to college, what he would sell in his shop and whether he would make enough profit from his sales. His physical deterioration also influences the diagnosis, since during his second session, he comes with a bag full of garbage and particularly a dirty stuffed animal.
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