In this activity, you will demonstrate your understanding of the basic theories and techniques of abnormal psychology.
Gary is a 39-year-old male who comes into your office complaining of a variety of life stressors. To begin with, he lists the following:
- weight gain of approximately twenty pounds
- insomnia and interrupted sleep
- decreased self-esteem
- general fatigue
- moodiness and irritability
- loss of appetite followed by increased eating
- decreased libido
- feelings of guilt stemming from loss of income due to economic troubles (business owner)
Gary has been married to his wife for twelve years. The marriage has had its ups and downs, but it is intact and relatively happy. Gary's wife is a successful business owner with many irons in the fire and a healthy income (six figures). As is the case for Gary, his wife has to put the majority of her income back into her business ventures. The economy has taken a toll on the couple's savings and investments, as well as on the way of life to which the two have been accustomed (doing and buying all they wanted—for an upper-middle income household).
Gary holds a master's degree from Johns Hopkins University. He obtained his MBA and has ventured out in his own business. He has one full-time employee and a receptionist/data entry person who works hourly. He recently moved from a home office, which he shared with his wife, to a new office that has space for his employees. The office is large enough to be used as a meeting space for his clients. His list of clients has grown, yet the clients tend to pay later than Gary desires (60 days or more), and he often has to have his virtual accounting office prompt them for payment.
Gary has to have a good cash flow in order to pay his employees, pay off his bills, and meet his family obligations. Due to a pre-existing health condition (his wife has a chronic illness), his health care premium is enormous (over $1K per month for his family plan alone). This does not include the premium Gary must pay for his full-time employee. Gary's wife paid the family health care premium on her own plan for over two years. It cost her $1,600 per month to carry the entire family (which she did with no complaints).
Gary took over the premium, as he felt that his wife had carried that nearly $2K per year burden alone while he built his company. She had also covered all the expenses he was not able to pay during that time. Gary has stated that he could not have embarked on his private venture without his wife's support (financial and otherwise). He feels that this has put a strain on his marriage in these stressful economic times.
Gary and his wife have two children, ages 6 and 9. Both are healthy, smart, obedient, fun, and well-behaved, per his report. Gary has no concerns regarding the children at the time of his visit. His wife works very hard to support the family and take care of the children. While Gary works most days from 8 a.m. to any and all hours of the evening, his wife does "double duty," making nearly 200K and acting as a stay-at-home mother.
Gary feels that his wife's deteriorating health stems from her attempts to do it all and be there for the children and him. While his wife does not complain, he feels and understands that she must resent him for her 24/7 work schedule that has been set to accommodate his business. As the economy has declined, Gary has felt his overall physical, emotional, professional, and personal state in decline.
Gary comes to your office asking you to help him regain control of his situation and make a plan to turn this cycle of decline around. Your assignment is to analyze Gary's case and give this client a preliminary diagnosis using the International Classification of Diseases, Tenth Revision (ICD-10 link) provide a diagnosis.
Then, you will discuss your rationale for each decision using the knowledge you have gained in your studies. You will include homework assignments for this client in order to anchor his commitment to treatment and help him attain results.
Your paper will be around 6–8 pages.
Your directions for this case:
- What is your diagnosis of Gary? This is your first session/intake, so your information is limited to the above. (20 points: rationale; proper use of diagnostic coding; one-page discussion)
- What are the key symptoms that led you to your diagnosis or treatment concern? Explain and be specific. (15 points: rationale; one-page discussion)
- What are your treatment goals for Gary? (20 points: rationale; one-page discussion)
- What are Gary's strengths as you see them (look for these to assist you in being a good helper for him)? (15 points: rationale; one-page discussion)
- What are areas for improvement for Gary? (15 points: rationale; one-page discussion)
- What two homework assignments will you give Gary to work on for his next appointment with you? (7.5 points: rationale; one-page discussion)
- What are some areas you will explore next (e.g., Gary's relationship with his wife; professional goals)? (7.5 points: rationale; one-page discussion of your reasons for wanting to find out this information)
Explanation & Answer
please find the attached files. i look forward to working with you again. good bye
Running head: ABNORMAL PSYCHOLOGY APPLIED PROJECT
Abnormal Psychology Applied Project
ABNORMAL PSYCHOLOGY APPLIED PROJECT
Abnormal Psychology Applied Project
From the case analysis, it remains evident that Gary suffers from a grave depressive
disorder. Medically, the disorder is abbreviated as MDD. In terms of its disease classifications,
the condition is classified as ICD-10, which is also under the F30-F39 code (Moniz-Cook, &
Manthorpe, 2009). In this case, F39 remains a billable code, which is normally used in
specifying unspecified mood diagnoses. Here, a billable code tends to be detailed enough and is
essential for medical diagnosis. In medical terms, MDD is simply some mental state or rather an
acute disorder that is usually characterized by low moods, which tend to be present because of
various unsatisfactory situations (Moniz-Cook, & Manthorpe, 2009).
Also known as depressive disorder, the condition mostly affects an individual causing
him to have various physical and emotional issues. More than the ordinary blues, Gary’s state is
not necessarily a weakness. The condition is accompanied by interest loss, pain without some
clear cause, low energy, and lack of esteem (Moniz-Cook, & Manthorpe, 2009). According to
the case, Gary seems to be experiencing some weight gain, decreased self-esteem, and anxiety
issues. Apart from that, he is having a decrease in his libido, irritability, and moodiness. Other
MDD traits that Gary shows are insomnia issues, fatigue, and increased eating, something that
justifies he is experiencing the condition.
The review demonstrates that Gary’s life is nothing but confusion, something that
continues to cause him massive stress. He struggles to deal with the various situations that he
faces in life. Perhaps his major undoing that continues to cause him stress is his marriage and
business. The business is performing dismayingly as much as he tries to fix it. On the other hand,
he is currently having issues with his wife. For instance, in as much as Gary has been with the
ABNORMAL PSYCHOLOGY APPLIED PROJECT
wife for many years, whereby they are blessed with two children, he still feels that the marriage
has been having issues.
Treatment preferences and goals based on MDD or rather the depressed patients remain
important in as much as they are infrequently studied empirically. In as much as some clinicians
prefer discussing preferences and goals with patients, medical experts tend to clarify that the
general module in the treatment goals based on MDD patients could be important especially in
informing better interventions that would deal with the condition (depression/MDD) (Woods, &
Hollis, 2000). Therefore, this particular case could potentially help in addressing some issues,
including psychotherapy dropout and poor adherence. In line with the magnitude of Gary’s
depression, it is al...