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The Case of CathyCathy is a 32-year-old, divorced, heterosexual African American female. She came to her first initial intake session with complaints of depression with passive suicidal thoughts, anxiousness, and trouble sleeping. She presented as casually groomed, coherent, and goal directed. Cathy\u2019s primary concern was the added stress in helping her mother with her illness. \u00a0Cathy reports a history of threatening suicide since she was a teenager. Her family thought she was just trying to get attention. Cathy states that she was \u00a0suicidal because she always felt empty, and sometimes she just felt so overwhelmed that she didn\u2019t know how else to cope with these emotions. \u00a0She denies any suicide attempts. \u00a0The following is a summary of the initial appointment and assessment for Cathy. \u00a0Cathy is the oldest of four children (two brothers and one sister), all of whom are married and live in the same community. Cathy believes she is close with all her siblings but sometimes gets so frustrated with them she \u201ccan\u2019t stand them\u201d. \u00a0Cathy works in a doctor\u2019s office and lives in a one-bedroom apartment where she often \u201cisolates.\u201d She is the primary caretaker of her mother, who was involved in a car accident 20 years ago and was left a quadriplegic. Cathy goes to her home daily to help with her personal hygiene. Cathy has an arrest history and was incarcerated for 3 years for drug-related charges. She was charged with possession and intent to distribute. Cathy stated that at that time she was addicted to heroin and using daily. Cathy reports that she began using marijuana at 14 years old. \u00a0As she entered high school she began experimenting with many different kinds of drugs. \u00a0Her heroin use began when she was 21 years old. \u00a0When she completed her prison sentence, she was paroled and mandated to attend a 1-year outpatient drug treatment program, which she successfully completed. Cathy reported that she returned to using cocaine 2 years ago, stating that it helps her do her fast-paced job better and it keeps her energy up so she can help her mother early in the morning and late at night. \u00a0Cathy believes the cocaine use is just an added stress reliever as well as \u201cretail\u201d therapy. \u00a0She reports shopping has been a great relief from the time she was working full time. \u00a0She said no one in her family or at her job knows that she has been doing drugs. Cathy also takes numerous medications prescribed to her by her primary care doctor, including an antidepressant and pain medication.As we discussed her presenting concerns, multiple issues came up. Cathy shared her feelings about being her mother\u2019s primary caretaker, stating, \u201cI love my mom, but everyone expects me to care for her. It feels so unfair, but it\u2019s because I am not married and don\u2019t have any children, this is when I really hate my siblings.\u201d \u00a0\u00a0Cathy reports never feeling as important as her siblings and believes that is why she is the only one helping her mom now. \u00a0She believes they look at her differently since she has a criminal history. \u00a0<\/p>\n
She said her father does not help with the care of her mother and that all he does is \u201chang out.\u201d She reported feeling increasingly frustrated with this added responsibility and resentful that her father and siblings have relegated this job to her. \u00a0She sometimes resents her mother for her being in this situation. \u00a0She was dysphoric as she shared this content and described being \u201cstuck.\u201d She described her father as a \u201cmanipulative loser.\u201d She also stated that she recently allowed one of her brother\u2019s friends to move in with her as a favor because he was homeless and had nowhere to go. She said she believed he was a sweet person who just has had a hard time in life, and she wanted to help him. She had been supporting him financially over the last month, and was concerned because it appears that he has not made any effort to get a job. She feared she made a mistake allowing him into her home and has thrown him out several times. \u00a0Cathy then felt bad and allowed him back in. Cathy stated that this has been a pattern in her relationships her entire life. When she first meets someone, she idolizes them and believes that they can do nothing wrong, then something always happens and they end up hurting her. \u00a0\u00a0\u00a0\u00a0Cathy said that she and this new roommate had sex one time when he first moved in. She said they both got very intoxicated, and she is not sure exactly what happened, but she blacked out and found him in her bed, undressed. She then told him she had herpes, and he responded that it had been a \u201cmistake\u201d and that he did not want to have sex with her again because he was afraid of getting infected. Cathy became angry with him at this. Cathy explained that her promiscuity through her twenties had resulted in this lifelong disease, and she expressed anger and resentment toward some men she had sex with. \u00a0She said even though the herpes is controlled with medication, she feels embarrassed and fears she will never have another healthy relationship. She said she feels used, slighted, and humiliated by the man now living in her home. Cathy then shared that when she was 12 years old her father molested her. She stated that she tried to forget what happened to her, but this recent incident with her new roommate brought it up again. Cathy complained of recent nightmares related to the abuse and exaggerated startle reactions to other people\u2019s movements. \u00a0Adapted from: Plummer, S.-B., Makris, S., & Brocksen, S. (2013). Social work case studies: Concentration year. Baltimore, MD: Laureate Publishing.<\/p>\n
Personality disorders can arise through trauma, \u00a0and they often carry added stigma. In this Discussion, you analyze a \u00a0case study focused on a personality disorder while also reflecting on \u00a0how power, privilege, and stigma affect such diagnoses.<\/p>\n
To prepare:<\/strong> \u00a0Review \u201cThe Case of Cathy\u201d and consider your differential diagnostic \u00a0process for her. Be sure to consider any past diagnoses and what \u00a0influence they might have on her current diagnosis and needs. Finally, \u00a0return to the Week 1 Discussion topic (sample nursing essay examples by the best nursing assignment writing service) of stigma and reflect on stigma \u00a0related to personality disorders.<\/p>\n Post<\/strong> a 300- to 500-word response in which you address the following:<\/p>\n \u00a0<\/p>\n Morrison, J. (2014). Diagnosis made easier<\/em> (2nd ed.). New York, NY: Guilford Press. American Psychiatric Association. (2013m). Personality disorders. In Diagnostic and statistical manual of mental disorders<\/em> (5th ed.). Arlington, VA: Author. doi:10.1176\/appi.books.9780890425596.dsm18 Cicchetti, D. (2014). Illustrative developmental psychopathology perspectives on precursors and pathways to personality disorder: Commentary on the special issue. Journal of Personality Disorders, 28<\/em>(1), 172\u2013179. doi:10.1521\/pedi.2014.28.1.172 Ferguson, A. (2016). Borderline personality disorder and access to services: A crucial social justice issue. Australian Social Work, 69<\/em>(2), 206\u2013214. doi:10.1080\/0312407X.2015.1054296<\/p><\/blockquote>\n<\/div>\n","protected":false},"excerpt":{"rendered":" \u00a0\u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0\u00a0 The Case of CathyCathy is a 32-year-old, divorced, heterosexual African American female. She came to her first initial intake session with complaints\u2026<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10601,10596,10882,479,537,172,478,10597,10599,10595],"tags":[10524,10522,10890,10561,10883,10889,10515,10521,10696,10518,10888,10887,10886,10885,10884,10525],"class_list":["post-128129","post","type-post","status-publish","format-standard","hentry","category-assignment-help-by-uks-no-1-writing-service","category-assignment-writers-canada-university-cost","category-free-ai-english-assignment-writers-china","category-nursing-course-hero","category-nursing-essay-pro","category-nursing-study-bay","category-nursing-study-pool","category-professional-assignment-writers-usa","category-uae-1-cheap-assignment-writing-service","category-write-a-word-essay","tag-apa-citation-format-assignment","tag-assignment-writers-australia-college-student","tag-best-nursing-case-study-writing-services","tag-buy-essay-usa","tag-case-study-nursing-writing-services-for-care-plans","tag-free-nursing-case-study-writing-services","tag-help-write-a-page-assignment","tag-i-need-someone-to-do-my-assignment-within-hours","tag-need-assistance-completing-the-assignment","tag-need-to-write-an-essay","tag-nursing-case-studies-with-answers","tag-nursing-case-study-paper-example","tag-nursing-case-study-template-examples-of-case-studies-nursing","tag-pharmacology-case-study","tag-soap-note-case-study","tag-write-pages"],"_links":{"self":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/128129","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/comments?post=128129"}],"version-history":[{"count":0,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/128129\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/media?parent=128129"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/categories?post=128129"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/tags?post=128129"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}By Day 4<\/h4>\n
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Chapter 16, \u201cDiagnosing Personality and Relationship Problems\u201d (pp. 251\u2013270)
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Note:<\/strong> You will access this e-book from the Walden Library databases.
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Note:<\/strong> You will access this article from the Walden Library databases.
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