Robin Henderson Case
心理学代写 Currently, Robin has tendencies to commit suicide through mutilations, burns, consumption of lethal drugs and alcoholism.
Name
Institution
Robin Henderson Case
Assessment
Current Presentation of Suicidality 心理学代写
Currently, Robin has tendencies to commit suicide through mutilations, burns, consumption of lethal drugs and alcoholism. It is evident from the conducts that she feels helplessness, worthlessness, and see no reason to live. Moreover, she has no plans for her future for dropping out of medical school. Although she has not shown signs to harm others, the likelihood of it occurring cannot be overruled. Generally, her current behaviour is highly inclined to being suicidal by inflicting pain to self or taking lethal substances.
Psychiatric Illnesses
The patient exhibits sporadic mood disorder, substance use disorder, depression disorder, and personality disorder. She has previously been diagnosed and treated with depression disorder and had psychiatric hospitalization that took six months. The hospitalization was also associated with substances use including overdose and alcoholism.
History 心理学代写
Robin was the only child and her both parents were drunkards. She underwent abuse and violence during childhood which culminated to sexual abuse from her father. In her teenage, she occasionally became an alcoholic and binge eater. The suicidal ideation started after her close friend committed suicide. Although Robin has no history of family suicide nor mental illness, she has attempted to commit suicide severally without success which led to hospitalization for psychiatric illnesses. Currently, she is an alcoholic and has shown suicidal tendencies.
Psychosocial Situations
Robin seems to have psychosocial crisis attributed by her interpersonal losses, family discord, as well as past physical and sexual abuse from the parents. She suffered neglect from her family especially parents who do not care about her life nor how she chooses to do with it. The extended family relationship is broken, and no one is willing to be associated with her. All these combined led her to feel worthless and believe suicide to be the only solace to end her suffering.
Individual Strengths and Weaknesses 心理学代写
Henderson was strong academically and did well until she dropped out of college. Were it not for her alcoholism, she is also good at working, well-mannered, and reasonable. However, she has a problem of coping with friends because of her emotional instability, irrationality and anger. She is neurotic which makes her emotionally insecure and feeling inadequate. As such she is not able to cope with stress which alienates her from realities and being rational of things happening around her.
Diagnosis
According to the assessment and with reference to the Diagnostic and Statistical Manual (DMS 5), Robin Henderson is suffering from depression disorder, substance use disorder, and personality disorder.
Depression Disorder
Robin was diagnosed with depression and put under anti-depressant medication. In suicidal cases, depression is not ruled out as it is one of the variable factors in suicidal tendencies (Porche et al., 2014). The symptoms exhibited by her illness are:
i.Anxiety: She feels overwhelmed by the events going on in her life
ii.Feeling hopelessness: Robin has been treated severally
iii.Feeling worthlessness: She has been feeling worthlessness when her friends and her husband want to walk away from her. She also inflicts pain on her body through mutilation and burns.心理学代写
iv.Suicidal ideation: She has been visiting a psychiatrist over failed suicides and ideations
v.Irritable: She experiences interpersonal losses, and most of her friends and family do not want to be associated with her because of her mood swings
The above symptoms are evident in the Robin’s case and rules that she could be suffering from the depressive disorder. Therefore, she is likely to have bipolar disorder, borderline personality disorder, drug-induced mood disorder, and anxiety. However, her conditions rule out Obsessive-Compulsive Disorder (OCD) because there is no obsessiveness in any of her actions nor event portraying her as such.
Prognosis
The condition is likely to be caused by the life experience which includes childhood violence, abuse and rape by her father as well as substance abuse and alcoholism.
Substance Use Disorder
According to DMS 5 (2013), Robin experience substance use disorder which is caused by alcoholism, bulimia nervosa, and an overdose of prescription drugs. Following are the characteristics and symptoms used to inform the drug use by Robin.
i.Increase in her aggression and annoyance
ii.Her personality changes erratically
iii.She was depressed
iv.Loss of interpersonal level
v.Changed her priorities in life, like dropped out of school
Others physical changes according to Aggarwal et al. (2015), which might be observable on her include bloodshot, dilated pupil, changes in body weight, and sleeping disorder.心理学代写
Prognosis
Robin used alcohol and other drugs to reduce the amount of stress or to forget the challenges in her life. She uses it as a psychosis mechanism for self-denial. She wants to feel delusional from her problems and reality.
Personality Disorder
Robin has a neurotic personality which she developed over the years. The disorder affected her rationality in thinking, functioning, as well as behaving (Black et al., 2015). She also has a problem of relating with people because of her skewed perception which is irrationally guided by emotions. Her personality created a problem in her interpersonal life.
Below are the personality disorder symptoms as observable in her
i.Irrational thinking and decision making
ii.Eccentric behaviour and thinking
iii.Overly emotional 心理学代写
iv.Erratic odd thinking and behaviour
v.Anxiety
Some of the personality disorders she was diagnosed with include borderline personality disorder and histrionic personality disorder. The symptoms of the above personality disorders are:
i.Seeking attention with her suicide threats
ii.Dramatic and easily provoked
iii.Unpredictable change of emotions
iv.The misconception of the closeness with others
v.Risky behaviour like binge eating
vi.Fragile self-worth 心理学代写
vii.Unstable relationships with friends and family
viii.Erratic moods or mood swings
ix.Suicidal ideation
x.Fear of being left alone or abandoned
xi.Feeling empty
xii.Frequent anger
xiii.Stress
The above symptoms are evident in Robin’s life and have taken toll of her leading to suicide contemplations. However, some of the personality disorders are overruled as explained below.
i.Paranoid Personality Disorder
She has not been diagnosed with any distrust, need for revenge, suspicions, nor hostility towards others as per this disorder.心理学代写
ii.Schizoid personality disorder
Contrary to this disorder, Robin showed the need for social and personal relationships through her friends, family, and husband. She was also able to express her emotions which changed over time.
Prognosis
Robin has a history of abuse, negative and poor parental relationships as well as childhood emotional disruptive disorder which caused her personality disorder.
Differential Diagnosis
Furthermore, Robin had various symptoms which could be diagnosed resulting to different psychiatrist illnesses. However, although these disorders may be sharing symptoms and characteristics, to arrive at appropriate prognosis and medication, some must be eliminated as a differential diagnosis. Therefore, after an assessment of her condition, schizophrenia is ruled out.
Schizophrenia 心理学代写
The disorder exhibits cognitive, behavioural, and emotional symptoms which are divergence in symptoms. It is difficult to diagnose the disorder because of constellation of symptoms. Some of the symptoms which made it be ruled out from Robin’s case are:
She did not show signs of:
i.Hallucinations
ii.Disorganized speech
iii.Disorganized behaviour
iv.Autism
The above symptoms are diagnosed in a patient suffering from schizophrenia.
References 心理学代写
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, Va.
Aggarwal, A., Vaish, S., Sharma, D., Sushil, C., Usman, N., & Sudarsanan, S. (2015). A study of personality profile and criminal behavior in substance abusers. Industrial Psychiatry Journal, 24(1), 35-39. doi:http://dx.doi.org/10.4103/0972-6748.160960
Black, D. W., Coryell, W. H., Crowe, R. R., Shaw, M., Mccormick, B., & Allen, J. (2015). Personality disorders, impulsiveness, and novelty seeking in persons with DSM-IV pathological gambling and their first-degree relatives. Journal of Gambling Studies (Online), 31(4), 1201-1214. doi:http://dx.doi.org/10.1007/s10899-014-9505-y
Porche, Kay, MBBS,F.R.A.C.G.P., F.A.ChP.M., Reymond, Liz, MBBS, MSc, PhD,F.R.A.C.G.P., F.A.ChP.M., O’Callaghan, John, MBBS, FRANZCP, & Charles, Margaret,B.A., PhD. (2014). Depression in palliative care patients: A survey of assessment and treatment practices of australian and new zealand palliative care specialists. Australian Health Review, 38(1), 1-7. Retrieved from https://search.proquest.com/docview/1535036142?accountid=45049
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