NR668 Week 5
1. Jane is a 27 year old female with no previous psychiatric hx. She was employed
at a large company within the outside sales division. The company recently
downsized and eliminated 50% of its workforce. Jane was let go 1 month ago.
She had recently purchased a condominium near her former employer and
expressed worry about the mortgage payment. She stopped attending her
weekly outings with her friends from college and no longer attends yoga. She
is often tearful and notes that 1-2x a week, she will feel overwhelmed with
hopelessness. She denies SI. She denies changes in appetite, weight, sleep
or energy level. She has been able to update her resume and denies trouble
concentrating. She finds pleasure walking her dog, but is seeking help with her
,"crying".
Given the current info above, what disorder best describes Jane's symptoms?-
: adjustment disorder with depressed mood
*key is that it is not chronic
2. Susan is a 22 year old female who has a marked fear of elevators, Uber
rides and public transportation. She never shops or travels alone. She is now
experiencing "nervousness" when she waits in line at the grocery store. Her
husband suggested that she receive counseling after she recently refused to
go into Walmart alone.
1. What disorder best describes Susan's behavior?
2. What 1st line pharmacological tx would reduce relapse?: 1. Agoraphobia
2. SSRI's
, *note: one can be diagnosed with agoraphobia and not necessarily panic disorder
3. Michelle, a 28 year old female began having recurring thoughts about people
dying somewhere in the USA. One month later, she learns on social media that
an act of terrorism occurred on the opposite coast. She felt strongly that she
played a role in the act by merely thinking of the act. She complains that the
more she tries to not think about the thought, the more often she has the
unwanted thought.
1. Michelle linking of the terrorist act to her previous unwanted thought is an
1. Jane is a 27 year old female with no previous psychiatric hx. She was employed
at a large company within the outside sales division. The company recently
downsized and eliminated 50% of its workforce. Jane was let go 1 month ago.
She had recently purchased a condominium near her former employer and
expressed worry about the mortgage payment. She stopped attending her
weekly outings with her friends from college and no longer attends yoga. She
is often tearful and notes that 1-2x a week, she will feel overwhelmed with
hopelessness. She denies SI. She denies changes in appetite, weight, sleep
or energy level. She has been able to update her resume and denies trouble
concentrating. She finds pleasure walking her dog, but is seeking help with her
,"crying".
Given the current info above, what disorder best describes Jane's symptoms?-
: adjustment disorder with depressed mood
*key is that it is not chronic
2. Susan is a 22 year old female who has a marked fear of elevators, Uber
rides and public transportation. She never shops or travels alone. She is now
experiencing "nervousness" when she waits in line at the grocery store. Her
husband suggested that she receive counseling after she recently refused to
go into Walmart alone.
1. What disorder best describes Susan's behavior?
2. What 1st line pharmacological tx would reduce relapse?: 1. Agoraphobia
2. SSRI's
, *note: one can be diagnosed with agoraphobia and not necessarily panic disorder
3. Michelle, a 28 year old female began having recurring thoughts about people
dying somewhere in the USA. One month later, she learns on social media that
an act of terrorism occurred on the opposite coast. She felt strongly that she
played a role in the act by merely thinking of the act. She complains that the
more she tries to not think about the thought, the more often she has the
unwanted thought.
1. Michelle linking of the terrorist act to her previous unwanted thought is an
