Treatment Plans
Case 1C – Amy
Axis One – Panic Disorder- Panic Disorder is a type of anxiety disorder that develops in early adulthood. Individuals with first-line bloodline relatives suffering from the ailment like immediate parents or siblings are more likely to acquire the same. It involves panic attacks and intense feelings of terror even in the absence of any imminent danger. It also evidences apprehension episodes. The panic attacks occur for a period of about 10 minutes and then subside, though sometimes they may occur successively. Amy evidences all the preceding symptoms.
Axis Two – Obsessive-Compulsive Disorder – An individual with the given disorder has a pattern of unclear judgments, thoughts and behaviors. A patient experiences the urge to control and order people around, has a large inclination to inflexible standpoints and mostly encounters feelings of helplessness. Amy exhibits all these symptoms.
Axis Three – The patient has no known physical or medical conditions.
Axis Four – Amy’s livelihood of being a homemaker acts as the main contributor for her psychiatric condition. She spends her days in the house possibly alone; the children spend a majority of their time in school whereas the husband has to be at work. This makes Amy lonely and gives her ample time to worry about her loved ones and their safety. Note that, Amy has no employment and therefore thinks of nothing else but her home. However, she has no known financial difficulty, as her husband seems capable of providing for the family. Additionally, Amy has no known legal problems and the only possible issue seems to be social in nature as she rarely keeps contact with her friends. This should be the reason for her psychiatric condition.
Axis Five – I would rate Amy sixty-five percent on the Global Assessment of Functioning (GAF) scale. She has moderate difficulty in socializing, as she has friends that are not close with her. Amy also has mild symptoms in occupational functioning, as she seems to take care of her family quite well (Maruish, 2004).
Case 2A – Gary
Axis One – Gary appears to have a Social Anxiety Disorder (SAD), as he is afraid of being judged or evaluated by other individuals; he becomes extremely angry if this happens to him. Gary has no known friends and he feels that he will be inadequate in handling women after he leaves jail for the second time. In addition, he finds it hard to socialize and he evidences inadequate forms of communication to his lover or her two children. In fact, he sometimes beats them up by justifying that they are noisy. Gary also has Impulse-Control Disorder, since his actions that are quite dangerous not only to himself but also to others. Upon the execution of these actions, Gary becomes tense and this feeling is often followed by pleasure then remorse or guilt. Gary also is a Kleptomaniac since he is addicted to stealing, notably from the time he was fourteen years to the present. Even after being arrested subsequently, Gary still repeats the stealing practices. He also displays the intermittent explosive disorder as evidenced by the extreme fits of anger and uncontrollable rage exhibited when in prison and in playing sessions with the kids.
Axis Two – Gary has both paranoid personality disorder and antisocial personality disorder. Paranoia is indicated by the fact that he feels people are watching him during his stealing instances. It is also exhibited when he shoots the gas station attendant. His antisocial personality disorder is evident since Gary has no known friends and he has difficulty socializing with females and children.
Axis Three – Gary has no known ailments that fit on the third axis.
Axis Four – Gary experienced problems with his family or his primary support group, because they neither associated with him nor supported him whatsoever. He also had social problems as he lived alone most of his life and only cared about himself. Gary did not get much of an education and this act as a learning problem. More so, Gary has not had any known stable employment and therefore has experienced occupational problems. He had no permanent home as he spent most of his life in jail and he has refused to seek home independence. Gary has been stealing; an indication of economic problems that translate to problems of accessing proper medical care since no health insurance can be traced to his name. He has also had problems with law enforcers for a majority of his life.
Axis Five – I would rate Gary forty percent on the GAF scale since he exhibits a high impairment in testing reality, communication issues and major impairments in his other social settings such as school and family relations, judgment, thinking patterns and highly fluctuating moods. This is observed when Gary says he was not interested in any of his class work (Antony & Barlow, 2010).
Case 3C – Mikey
Axis One – Mikey has an adjustment disorder. This is because he fails to accept his development as a human being and wants to be spoon fed for his whole life. Mikey has immense school problems that contribute to his adjustment disorder and it is highly likely that he has sexuality issues, since he is an adolescent. The sexuality issues have made his concentration problem worsen since the magnitude noted in his younger sate is less notable.
Axis Two – Mikey does not seem to have any ailment fitting in the second axis. He has no personality disorders or mental retardation whatsoever as he is known to be a bright. Mikey also has known friends and his only problem is lack of organization.
Axis Three – Mikey does not suffer from any medical or physical conditions and has great health.
Axis Four – Mikey has a problem with his education, as evidenced by the fact that he cannot concentrate in his learning though he is a very bright boy. The only learning issue has been noted in mathematics since it requires constant practice and attentiveness, the two prime things that Mikey is unable to achieve.
Axis Five – I would rate Mikey eighty percent on the GAF scale since he is very capable of performing in terms of education; he only appears to be lazy and uninterested in school because he believes that education is worthless in his life. A change of attitude should be able to restore Mikey’s health.
Case 4C- Lacey
Axis One – Lacey has an obsessive-compulsive disorder; she exhibits unhealthy ideas and thoughts concerning her boyfriends with regard to infidelity. Lacey is very obsessed with these thoughts and images and that is why she raises issues with her male friends frequently. In fact, Lacey is obsessed with any lover that she dates and she confuses this behavior and the emotions attached to it with love. Lacey’s obsessions also stem from the panic caused by her views of being rejection about by the boyfriends; she actually feels compelled to prevent this from occurring.
Axis Two – Lacey has a dependent personality disorder and the obsessive-compulsive personality disorder. She does not make her own decisions and feels too attached to her boyfriends to a level that if any of her lovers would reject her, then she would find life inadequate of living. Lacey is drawn into her relationships too quickly without gauging the compatibility aspect. She wants to be always in control of the relationships, in a bid to ensure that the association is perfect. Due to this, Lacey is quite resistant to the changes that she may face and therefore, she treats all her boyfriends identically. Lacey feels helpless in situations where she is left by any of her boyfriends and this makes her paranoid.
Axis Three – Lacey has no known medical or physical conditions.
Axis Four – Lacey appears to have had problems with her parents or her primary support group as noted by her dependent personality disorder. Lacey’s parents instilled this form of overdependence during her growth period. From her actions, it is evident that Lacey was not raised to be an independent individual and this trait is reflected in her adult life, notably in the close nature of her relationships. Lacey evidences economic problems because she is a shopping addict and indicates problems in her credit status. More so, she has faced bankruptcy about three times and cannot maintain a job for long periods (Maruish, 2004).
Axis Five – Lacey would rank fifty percent on the GAF scale since she has serious difficulties in executing and delivering her occupational tasks.
References
Antony, M. M. & Barlow, D. H. (2010). Handbook of Assessment and Treatment Planning for Psychological Disorders. Guilford, CT: Guilford Press.
Maruish, M. E. (2004). The use of psychological testing for treatment planning and outcomes assessment. New York, NY: Routledge.
Treatment Plan – Case 1C – Amy
| Problem or Concern | Objective | Treatment
Intervention |
Expected Achievement Date | Evaluation | Follow-Up |
| Amy has Panic Disorder and Obsessive-compulsive disorder accompanied by feelings of loneliness. | Reduction of her panic disorder, and her obsession with regarding the family’s safety, towards improving her functionality | Individual therapy- comprises of frequent personal counseling sessions and occasional family sessions. This form of therapy will aid Amy in coping with the fact that her family cannot spend the whole day in the house. Additional treatment should be given in the form of medication for relieving Amy’s anxiety. | Five months | Progress observations will be done every two weeks during the patient’s visits. The main assessment criteria will measure the reduction of present symptoms as reported by the family members and observed by the health practitioner | Every two weeks |
Treatment Plan – Case 3C – Mikey
| Problem or Concern | Objective | Treatment
Intervention |
Expected Achievement Date | Evaluation | Follow-Up |
| Mikey has an adjustment disorder and serious educational problems, as he fails to be attentive in all his classes, especially in mathematics. | Reduction of Mikey’s adjustment disorder; this will be achieved by promoting his educational interests and improving his concentration levels. | Individual therapy will be used in managing Mikey’s condition. This will include various sessions with an instructor and Mikey’s parents. The boy’s interests appear to be in co-curricular activities and therefore high attention is accorded to such in contrast to the learning requirements. Mikey’s parents need to instill discipline in their son, and uphold the same for long-term behavior modification and maintenance. | Three Months | An improvement in his class work over the general interests will act as the main assessment criteria. There needs to be an evidenced improvement in Mikey’s mathematics grades as a positive reflection of the interventions effectuality. Disciplinary actions like punishments for lack of improvement in his studying capacity should be instituted. Mikey’s interest in sports and co-curricular activities should however be nurtured and encouraged as a positive tool for behavior modification. This means that, his interest should be used as a motivator for improved studies; failure to note any learning progress should lead to a prohibition of extra curricular activities with the inverse association holding as true. | Every week |
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