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Short DSM 5 Senario Responses Essay

DSM-5 Case Study Answers Case Studies

Allyson

Using DSM-5 criteria, it appears Allyson may be suffering from social anxiety disorder, known as social phobia under DSM-IV (dsm5.org, 2016a). There are 7 symptoms listed under 300.23, the first is a fear of social or permanence situations, where there may be the scrutiny of others, and there is a fear of embarrassment (DSM5.org, 2016). Under DSM-IV, there was no timeframe, under DSM-5 this must be for at least 6 months, which we may assume is the case with the ongoing medication. There may also be reason to consider substance abuse, with increasing use of the drugs.

Karen

Karen should be considered under the substance use disorder. Two - three symptoms out of 11 listed, in DSM-5 there is no differentiation made between abuse and dependence (dsm5.org, 2016b). If Karen was drinking all the time, it is likely she was craving, or had a strong desire to use alcohol, it is also likely that the drinking levels may be the result of a second symptom of tolerance; both diagnostic criteria (Bergland, 2015). However, Karen has stopped drinking, and does not fit any of the other 9 criteria. Therefore, this is a borderline case.

3. Mary

Mary has developed mysophobia, which is a fear...

However, the DSM-5 condition is classified under obsessive compulsive and related disorders, which is no longer under the anxiety disorders. As Mary is undertaking a constant ritual of washing her hands, which is a compulsive act, this is also seen with the constant urge for house cleaning and her expressions of the need for cleaning that indicate a high level of anxiety. However, care should be taken to ensure that underlying cause is not a depressive disorder, which can occur concurrently and account for the symptoms (dsm5.org, 2016c).
Part 2: Treatment Scenarios

1. Anxiety disorder

There are several types of anxiety disorder (SAD), one is separation anxiety. Separation anxiety is normal children between 3-4 years, and needs to occur for at least 4 weeks, or in adults more than 6 months (Schneider et al., 2011). Early intervention are beneficial; those suffering as children are likely to suffer as adults (Schneider et al., 2011).. A sound approach is cognitive behavioural therapy (CBT), which should include the use of role play and storytelling (Schneider et al., 2011).. For children the use of family therapy and creative therapies may also be useful (Schneider et al., 2011).

2. Obsessive Compulsive Disorder

CBT is also…

Sources used in this document:
References

Bergland, C. (2015). What Are the Eleven Symptoms of "Alcohol Use Disorder"? Psychology Today. Available at https://www.psychologytoday.com/blog/the-athletes-way/201506/what-are-the-eleven-symptoms-alcohol-use-disorder dsm5.org. (2016a). Social Anxiety Disorder. Available at http://www.dsm5.org/Documents/Social%20Anxiety%20Disorder%20Fact%20Sheet.pdf

dsm5.org. (2016b). Substance-Related and Addictive Disorders. Available at http://www.dsm5.org/documents/substance%20use%20disorder%20fact%20sheet.pdf

dsm5.org. (2016c), Obsessive Compulsive and Related Disorders, Available at http://www.dsm5.org/Documents/Obsessive%20Compulsive%20Disorders%20Fact%20Sheet.pdf

OCD-UK, (2016). Treatments for OCD. Available at http://www.ocduk.org/ocd-treatments
Mayo Clinic. (2016). Obsessive-compulsive Disorder. Available from http://www.mayoclinic.org/diseases-conditions/ocd/basics/treatment/con-20027827
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