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Summary NUR2459 / NUR 2459: Module 08 Case Study – Anxiety Disorder/Obsessive Compulsive Disorder Mental and Behavioral Health Nursing - Rasmussen

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NUR2459 / NUR 2459: Module 08 Case Study – Anxiety Disorder/Obsessive Compulsive Disorder Mental and Behavioral Health Nursing - Rasmussen

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Module 08 Case Study – Anxiety Disorder/Obsessive Compulsive Disorder

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Anxiety Disorder/Obsessive Compulsive Disorder

In this case study of an adolescent named Lauren, there are some clear signs that she is

suffering from social anxiety disorder and obsessive-compulsive disorder (OCD). To start,

Lauren is displaying poor eye contact during the interview and this is a common cognitive

indicator of social anxiety. Lauren’s constant worry of saying something wrong, and the physical

discomfort while presenting in front of a group are also signs of social anxiety. Her excessive

fear of embarrassment if she says something wrong interferes with her daily life because she

avoids interactions with her peers. This fear also leads to physical side effects, like nausea, while

speaking in front of her classmates (Schub & March, 2018).

Not only did Lauren display signs of social anxiety disorder, she also appears to be

suffering from obsessive-compulsive disorder (OCD) as well. Her obsessive thoughts and

compulsions started at a young age, and stem from a fear of something bad happening to her

grandpa. She has to begin each day by making her grandpa breakfast, and the meal has to be

prepared by no later than 9:00am to ensure a day free of worry. If this task is not completed her

day does not go well. She has only missed one day, and it led to body shakes, constant hand

tapping, an overall feeling of discomfort, and constant worrying about her grandpa the whole

day. Lauren does not like it when things are uneven. If she notices that somebody’s shoelaces are

not even, she either says it in her head, or has to write it down to help with the anxiety it causes.

This problem with things being uneven also leads her to continuously count the students in her

class, and if the number of students (including herself) do not equal 17, she is in constant worry.

She will count the students over and over again throughout the entire class period to ensure they

always equal 17. This dislike of uneven things began when she was a child as well, when she

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