Couples Therapy Case Study

Questions and Answers

What is the diagnosis for Mr. Judd?

Obsessive-Compulsive Personality Disorder

Mr. Judd denied symptoms of depression and free-floating anxiety.

True

Which of the following statements is true regarding Mr. Judd's beliefs?

He enjoys living with Mr. Kleinman.

He has never experimented with cigarettes or alcohol. (correct)

He has a family history of mental illness.

He believes in being flexible.

Mr. Judd had a personal rule to always have a blank ______ list by the end of the day.

to-do Signup and view all the answers

Match the following characteristics with Mr. Judd's behavior:

Perfectionism = Resulted in rigid rules about organizing items Irritability = Observed in his affect during the interview Difficulties with living arrangements = Led to arguments about unpacking boxes Denial of mental health symptoms = Claimed he was difficult but wanted things to work out Signup and view all the answers

What is X?

Personality Signup and view all the answers

What is the diagnosis for Frazier Archer?

Paranoid personality disorder (PPD) and Obsessive-compulsive personality disorder (OCPD) Signup and view all the answers

What is the diagnosis for Grzegorz Buchalski?

Schizoid personality disorder Signup and view all the answers

What is the diagnosis for Henry?

Schizotypal personality disorder Signup and view all the answers

What is the diagnosis for Ike Crocker?

Antisocial personality disorder Signup and view all the answers

What is the diagnosis for Juanita Delgado?

Not explicitly stated but suggests Major Depressive Disorder Signup and view all the answers

What is characterized by a pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity?

Borderline personality disorder Signup and view all the answers

What did Karmen Fuentes think of her suicidal comments?

She said they were 'just a threat' aimed at her husband to 'teach him a lesson'. Signup and view all the answers

Ms. Fuentes expressed suicidal ideation regularly according to her psychiatrist.

False Signup and view all the answers

What diagnosis did Larry Goranov have?

Dysthymic disorder Signup and view all the answers

What personality disorder is characterized by excessive emotionality and attention seeking?

Histrionic personality disorder Signup and view all the answers

What advice did Ms. Herbert's cousin give her regarding her shyness?

To get out and enjoy her youth. Signup and view all the answers

What disorder is characterized by a pervasive pattern of grandiosity, need for admiration, and lack of empathy?

Narcissistic personality disorder Signup and view all the answers

What disorder might Mr. Irvin be diagnosed with, considering his escalating use of alprazolam?

Benzodiazepine use disorder Signup and view all the answers

Which of the following is a potential diagnosis for Nate Irvin?

All of the above Signup and view all the answers

Ms. Herbert had an easy time speaking in public.

False Signup and view all the answers

Study Notes

Personality Overview

Personality is the enduring pattern of behavior and inner experience that defines individual identity, guiding thoughts, feelings, and actions.

Case of Frazier Archer

Age/Gender: 34-year-old single white male.
Exhibits paranoid personality disorder (PPD) characterized by pervasive distrust and suspicion of others.
Believes in widespread deception, particularly among authority figures and those trained in psychology.
Displays obsessive behavior regarding details at work; struggles with delegating tasks.
Social interactions marked by superficial connections and a tendency to recall perceived betrayals.
Emotional responses include anger and irritability, particularly concerning perceived manipulations by others.
Presents at a mental status examination as well-groomed and coherent but has constricted affect.

Case of Grzegorz Buchalski

Age/Gender: 87-year-old white male.
Demonstrates signs of schizoid personality disorder, marked by a pervasive detachment from social relationships and a limited emotional expressiveness.
Recent death of his sister prompted him to reach out for help, revealing a pattern of disorganization and avoidance.
Exhibits an unusual preoccupation with scientific research on bioluminescence, indicating a compensatory interest in intellectual pursuits.
Recognizes his social deficits yet prefers solitude, showing no history of psychiatric treatment.
Mental status examination shows intact cognition, good insight, and an appropriate response to discussions about his late sister.

Case of Henry

Age/Gender: 19-year-old college sophomore.
Diagnosed with schizotypal personality disorder; shows social anxieties and cognitive distortions.
Exhibits paranoia, believing peers undermine him and question his sexuality.
Holds a fixation on supernatural elements (e.g., telepathy) that affect his worldview.
Claims his thoughts predict real-world events, creating a sense of personal agency over external realities.
Clinical examination reveals above-average intellect with no current signs of hallucinations or severe mood symptoms.

Case of Ike Crocker

Age/Gender: 32-year-old man referred for mental health evaluation after employment issues.
Presents symptoms indicative of antisocial personality disorder (APD); demonstrates a disregard for rights of others and irresponsible behavior.
History includes manipulative behaviors, quick dismissals of personal responsibility, and a tendency to place blame on external factors.
Denies significant reflection on behavioral consequences; emphasizes that past struggles were due to external injustices rather than personal failings.
Mental examination indicates poor insight, with preoccupations focused on perceived unfairness rather than self-improvement.

Case of Juanita Delgado

Age/Gender: 33-year-old single Hispanic female.
Symptoms align with borderline personality disorder; displays chronic emocional dysregulation, social isolation, and self-harm tendencies.
Struggles with mood fluctuations, including periods of depression paired with brief "manic" episodes.
Background includes familial pressure and psychological trauma from previous relationships and work experiences.
Engages in chronic suicidal ideation and exhibits feelings of shame regarding her performance and social connections.
Clinical engagement shows disorganization in personal life, reflective of underlying anger and dissatisfaction with societal expectations.### Depression and Personality Disorders Overview
Depression involves instability in relationships, self-image, and marked impulsivity.

Case Study: Karmen Fuentes

50-year-old Hispanic woman, presented with thoughts of overdosing on Advil.
Back pain and feelings of abandonment influenced her mood, leading to a poor state of mind.
Suicidal statements described as "just a threat" aimed at gaining attention from her husband.
History of treatment with various SSRIs (sertraline, escitalopram, fluoxetine, paroxetine) without remission.
Defined as having Histrionic Personality Disorder due to excess emotionality and attention-seeking behavior.

Case Study: Larry Goranov

57-year-old unemployed white man with a 7-year history of dysthymic disorder and low-grade depression.
Expressed dissatisfaction with treatment and felt "blackballed" from his profession.
Avoided job applications and relationships, indicating a grandiose self-view and lack of empathy, suggestive of Narcissistic Personality Disorder.
Extensive medication trials (fluoxetine, escitalopram, etc.) without significant improvement.

Case Study: Mathilda Herbert

23-year-old woman experiencing extreme shyness and social anxiety after moving to a new city.
Previous relationships marked by criticism; avoidance of social situations due to fear of being judged.
Described upbringing characterized by teasing and competition, leading to excessive sensitivity to criticism.
Traits indicative of Avoidant Personality Disorder and Social Anxiety Disorder due to pervasive avoidance and compliance.

Case Study: Nate Irvin

31-year-old white man presenting for "lack of self-confidence" and dissatisfaction with his job.
Struggled with assertiveness and self-identity tied to dating relationships.
History of escalating use of alprazolam for anxiety, leading to suspicion of Benzodiazepine Use Disorder and potential Dependent Personality Disorder.
Diagnosed with Adjustment Disorder with Depressed Mood for treatment purposes.

Case Study: Ogden Judd

Presented with boyfriend for couples therapy, indicating rigid behaviors impacting their relationship.
Exhibited obsessive-compulsive traits, including meticulous organization and perfectionism that overwhelmed his partner.
Maintained performance at work but faced criticisms for being overly critical and inflexible.
Characteristics aligned with Obsessive-Compulsive Personality Disorder due to focus on orderliness and control at relationships' expense.

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Explore a case study involving Ogden Judd and Peter Kleinman, who are seeking couples therapy due to conflicts about moving in together. This quiz delves into their relationship dynamics and the challenges they face during their apartment search.