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This document contains detailed clinical case studies based on real-life observations during my internship at a hospital’s psychiatric department. It includes presenting symptoms, diagnosis, psychological assessments, therapeutic approaches, and insightful suggestions for students. The cases cover a range of disorders such as depression, anxiety, and personality disorders, presented in a simple yet professional format suitable for undergraduate psychology students or anyone studying abnormal psychology.
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A Case Study on Generalized Anxiety Disorder (GAD) with Occupational and Caregiver-Related Psychosocial Stress.
Case History Summary: Adult Female Client with Anxiety and Psychosocial Stressors
Age: 27 years Gender: Female Occupation: Communication Strategist in a multinational organization Marital Status: Unmarried Referral Source: Self
Presenting Complaints:
The client presented with multiple psychological complaints, persisting for over 1-2 months. These include:
Persistent and extreme stress, especially in work and personal environments. Episodes of fear and anxiety triggered by unknown/random calls, associated with a history of financial fraud. Symptoms of panic attacks, feeling perplexed, and communication difficulties during moments of social interaction. Fear of humiliation, emotional outbursts, and crying spells in interpersonal situations. Excessive worry about her mother’s neurological condition and health. Self-reported disturbed sleep schedule, though she noted slight improvement over the past week.
History of Present Illness (HOPI):
The issue escalated after a workplace incident in which her supervisor took a personal loan using the client’s name as a co-applicant/guarantor without her full awareness. As a result, she started receiving frequent calls from unknown sources demanding repayment, causing significant psychological distress.
In addition to the financial distress, the client also experiences ongoing familial stress, especially related to the responsibility of caregiving for her unwell mother.
She has a known history of hypothyroidism and hypertension (latest BP recorded: 140/ mmHg).
Past Medical & Psychiatric History:
Diagnosed with hypothyroidism and high blood pressure. No major surgical or accident history. No prior psychiatric consultation or pharmacological treatment reported.
Family History:
The client belongs to a nuclear family structure. Her father passed away when she was 22 years old, which led her to assume significant responsibility for her mother. Her mother suffers from an unspecified neurological condition, increasing the client’s emotional and caregiving burden. Family dynamics described as cordial, with effective communication patterns.
Premorbid Personality:
Previously described as structured, organized, and functionally stable with a 9–5 work lifestyle. Reported no major interpersonal or occupational issues before the onset of current stressors.
Mental Status Examination (MSE):
Appearance & Behavior: Healthy, well-dressed, cooperative, and appropriate emotional expression.
Speech: Relevant, coherent, normal rate and tone.
Mood and Affect: Anxious and stressed; congruent affect.
Thought Process: Logical and goal-directed with flight of ideas.
Thought Content: Excessive worries about loan-related calls and concerns about her mother’s health.
Perception: No hallucinations or perceptual disturbances reported.
Orientation: Fully oriented to time, place, and person.