Two Case Studies Read the following scenarios and diagnose the client. Identify the treatment you would use in working with these client. Remember to look carefully at the criteria for the disorder before you make a decision as to the diagnosis.
1. As the psychiatrist in a large hospital, you have been called in to evaluate a patient who had been admitted two days before. The patient, Cathy, had awakened in the morning and had been unable to see. She was blind. After being admitted to the hospital and the doctors determining there had been no accident, a complete medical and neurological exam was done. The results turned up nothing that would cause the blindness. You were called in to see if there could be a psychological cause. After talking to her for a while, you find out that husband had died unexpectedly about three months ago, leaving her with financial problems. She was going to have to get a job and she was worried about her employability. You ask if she has a picture of her husband. She says, “Yes,”and walks to the shelf skirting a chair that is in her way.
How would you diagnose Cathy and why. How would you treat her?
2. Frank comes to see you because he has been urged him to talk to somebody. He is wearing sunglasses, even though he is in your office, and it is dark outside. When you ask him about the glasses, he tells you that his eyelids are horrible and ugly. He doesn’t want anyone to see them—ever. Frank tells you that he spends much of the day checking his eyelids and trying to make them look better. He is saving for another surgery, his third, because he just can’t stand the way his eyes look. You ask if he dates, has friends or a job. Frank says that he doesn’t date (Who would want to be with someone as ugly as he is?), so he has started to withdraw even from his few friends. He recently lost his job because he was unable to meet clients, looking the way he does.
How would you diagnose Frank and why? How would you treat him?
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