NAME : MEHREEN KHAN

ROLLNO :06

SUBJECT :PRESENTATION ON DIAGNOSING OF CASE HISTORIES

CASE # 1

Illness Anxiety Disorder

Demographics :

Name: ABC

Age: 40-year old

Marital status married Sex: female

Children: 5

A women came into the emergency room of a small town hospital, stating in a soft, hoarse voice that "….my throat is closing up, and I'm losing my ability to breathe well or speak! Please help me!" As doctors rush to run several medical tests, staff interview Carol to learn more about her and her situation. While relating her recent history, she tells them that she recently experienced a divorce after 15 years of marriage, and has temporarily relinquished custody of her 5 sons to her ex-husband.

She since has also remarried a man who was arrested three weeks ago in a high profile cocaine bust. She further states that she must get better quickly since she was on her way over the mountain pass to attend a deposition about her husband's case and is afraid of how upset he'll be if she does not make an appearance. Upon evaluating Carol's test results, doctors can find no medical reason for her extreme throat symptoms, but do acknowledge that these symptoms appear to be quite real and not feigned. Carol does indeed appear to be losing her voice. After additional tests with several specialists, still no physical findings are evident in her case.

Points evaluated from case

my throat is closing up.

losing my ability to breathe well or speak

indeed appear to be losing her voice

extreme throat symptoms

no physical findings are evident in her case.

Doctors acknowledged that these symptoms

appear to be quite real and not feigned.

additional tests were clear.

No evident of physical symptoms in the case.

Continued……

Diagnostic Criteria 300.7 (F45.21)

A. Preoccupation with having or acquiring a serious illness.

B. Somatic symptoms are not present or, if present, are only mild in intensity. If another medical condition is present or there is a high risk for developing a medical condition (e.g., strong family history is present), the preoccupation is clearly excessive or disproportionate.

C. There is a high level of anxiety about health, and the individual is easily alarmed about personal health status.

D. The individual performs excessive health-related behaviors (e.g., repeatedly checks his or her body for signs of illness) or exhibits maladaptive avoidance (e.g., avoids doctor appointments and hospitals).

E. Illness preoccupation has been present for at least 6 months, but the specific illness that is feared may change over that period of time.

F. The illness-related preoccupation is not better explained by another mental disorder, suchas somatic symptom disorder, panic disorder, generalized anxiety disorder, body dysmorphicdisorder, obsessive-compulsive disorder, or delusional disorder, somatic type.

Specify whether:

Care-seeking type: Medical care, including physician visits or undergoing tests and procedures, is frequently used.

Care-avoidant type: Medical care is rarely used.

CASE # 2

Schizophrenia

The client has recently been diagnosed with schizophrenia .he experiences delusions of persecution and is constantly under the illusion that aliens from outer space are trying to download his thoughts. Simon’s friends often find it very difficult to understand what he is talking about as he often creates new worlds and talks in rhythms that makes no sense. He receives very little support from his family ,this lack of support stems from his up bringing .

When he was younger his parents were quite harsh and cold towards him ,in particular he can remember his parents being very strict with him when he was growing up and often talks of a time when his mum used to punish him for failing to ‘reach the toilet’ when he was being potty trained .One of his friends described his behavior as childlike ,selfish and overly self-centered.

Points evaluated from case1:Experiences delusion of persecution

2:Alians are downloading this thoughts

3:Creating new world.

4:Talking in rhythm that makes no sense

5:behavioer is child like.

6:Selfish and overly self-centered

7:no interest in usual activity

Demographics :

Name: Simon

Sex :male

Marital status: Unmarried

Diagnostic Criteria 295.90 (F20.9)A.Two (or more) of the following, each present for a significant portion of time during a 1 -month period (or less if successfully treated). At least one of these must be (1 ), (2), or (3):

1. Delusions.

2. Hallucinations.

3. Disorganized speech (e.g., frequent derailment or incoherence).

4. Grossly disorganized or catatonic behavior.

5. Negative symptoms (i.e., diminished emotional expression or avolition).

Flat Affects

Asociality

B. For a significant portion of the time since the onset of the disturbance, level of function ing in one or more major areas, such as work, interpersonal relations, or self-care, is markedly below the level achieved prior to the onset (or when the onset is in childhood or adolescence, there is failure to achieve expected level of interpersonal, academic, or occupational functioning).

C. Continuous signs of the disturbance persist for at least 6 months. This 6-month period must include at least 1 month of symptoms (or less if successfully treated) that meet Cri terion A (i.e., active-phase symptoms) and may include periods of prodromal or residual symptoms. During these prodromal or residual periods, the signs of the disturbance may be manifested by only negative symptoms or by two or more symptoms listed in Criterion A present in an attenuated form (e.g., odd beliefs, unusual perceptual experiences).

D. Schizoaffective disorder and depressive or bipolar disorder with psychotic features have been ruled out because either 1 ) no major depressive or manic episodes have occurred concurrently with the active-phase symptoms, or 2) if mood episodes have occurred during active-phase symptoms, they have been present for a minority of the total duration of the active and residual periods of the illness.

E. The disturbance is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition.

F. If there is a history of autism spectrum disorder or a communication disorder of child hood onset, the additional diagnosis of schizophrenia is made only if prominent delu sions or hallucinations, in addition to the other required symptoms of schizophrenia, are also present for at least 1 month (or less if successfully treated)

VIDEO ON SCHIZOPHRENIC AS SUFFERERS