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efine the diagnosis for each of the following and provide detail as to why you d

ID: 3167559 • Letter: E

Question

efine the diagnosis for each of the following and provide detail as to why you diagnosed the individual with a specific disorder. You’ll need to use outside sources to support your diagnosis, i.e. your text and Power Points. Please be sure to cite where you obtained the supportive information.

Ty was the oldest son in a single parent household. He assumed responsibilities when he was young, and it seems to have carried over when he got older. He is very serious and lacks a sense of humor. He has alienated his siblings because of his desire to maintain control over them although they are all adults now. He tends to run his family much like his mother raised him and his siblings, and is rigid in his rules. He has developed tics, in conjunction to his ‘odd’ behavior of constantly checking all the locks in the house before he goes to bed and as soon as he wakes up in the morning. Further, he has difficulty allowing anyone else in the house grocery shop. He must take a specific route to the store; walk through the store in a specific manner, places items in the cart in an orderly and specific manner. Lastly, he frequently angers other customers at the checkout, as he’ll go through the self-checkout with a cart full of groceries because he will not allow the cashier to touch the groceries for fear of contamination.

While watching television one day, Karlene experienced a rush of anxiety, accompanied with a pounding heart, numbness in her fingers and toes, violent shaking and chest pains, which left her gasping for air. Thinking she had just experienced a heart attack, she went to the emergency room, but all test results were negative. 5 months later she experienced another episode on her way to work. A third attack occurred 3 weeks thereafter, and soon the attacks picked up in frequency. She soon became so preoccupied with the fear of having an attack that she could not concentrate on her work.

When I have to call people up to tell them that their order is in," he said, "I know my voice is going to be weak and break, and I will be unable to get my words out. I’ll stumble around and choke up....then I’ll blurt out the rest of my message so fast I’m afraid they won’t understand me. Sometimes I have to repeat myself and that is excruciatingly embarrassing........" Jim felt great humiliation and embarrassment about this afterwards: he couldn’t even make a telephone call to a stranger without getting extremely anxious and giving himself away. 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. He had no friends of his own, 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.

Explanation / Answer

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