Case Study Assignment
Dominique Bromwich (Mika)
School of Behavioral Sciences, Liberty University
Authors Note
Dominique Bromwich https://orcid.org/0009-0000-6162-0447
I have no known conflict of interest to disclose.
Correspondence concerning this article should be addressed to Dominique Bromwich.
Email:
, CASE STUDY ASSIGNMENT 2
Case Study Assignment [Amelia]
Amelia is a 65-year-old Asian American who self-identifies as a woman. A widow who
self-reports increasing symptoms of anxiety that have impacted on her daily functioning and
interpersonal relationships.
Client Concerns
Biological factors Psychological Social/cultural Spiritual
Present: For the past 24 Present: Sadness, Present: Strained Past grew up in a strict
months Headaches 3-4 a fearful, Grief related relationship with her Hindu home. Strong
week symptoms, feelings of daughter, son, daughter- feelings of shame and
Past: Headaches 1-2 a year loss in-law, grandchildren guilt over wanting to put
her mother in a nursing
home
Present: Body Aches/Muscle Present: Racing Present: Caretaker for Present: Hindu beliefs
Tension Thoughts, Excessive her mother (Karma, Samsara,
Past uncontrollable worry Moksha)
Present: Daily Sleep Present: Irritability, fear Present: withdrawn Present: Belief that
Concerns (1-2 hours to fall of negative outcomes, socially from family and anxiety is punishment for
asleep. 5-6 hours of sleep) difficulty concentrating friends having thoughts of
for the past 12 months placing her mother in a
-Fatigue past 12 months nursing home and
-Sleep difficulties for 18 seeking professional help
months as her belief system/
Past:7-8 hours of sleep a cultural is looked down
night on.
Past: Fatigue 2-3 days a
week
Present: Two glasses of wine Present: Sadness Present: Struggling with
up to five days a week. related to strained adjustment to
familial relationships retirement. Pushed to
retire before she was
ready to.
Present: Issues sitting still Present: Loss of Past: lost her husband to
for the last 12 months purpose after cancer four years ago
retirement over last
three years.
Present: Prescribed
Paxil for anxiety
management less than
a month ago.
Assessment
An assessment that Amelia could take is the Generalized Anxiety Disorder-7 (GAD-7).
The GAD-7 is used to assess the severity of generalized anxiety symptoms. It assesses the
patients’ symptoms toward: “feeling anxious or on edge, not being able to stop or control
worrying, worrying to much about different things, having trouble relaxing, being restless it is