Details of Assessment
Students will be randomly allocated a ‘case study’. This case study will describe an individual’s set of behaviours, thinking patterns, and emotions. Firstly, you are to answer the following question: According to DSM-V criteria, which disorder do the symptoms the client is presenting most closely align with? To answer this question, your task is to identify symptoms the individual is presenting and relate these symptoms to DSV-V Diagnostic Criteria. Please note that you must make specific reference to Diagnostic Criteria. It is not sufficient to state ‘sadness is a symptom of depression’. You must note, for example, they meet criteria A, symptoms 1, 2, 3, and 5. Do not just summarise the case. Be thorough, convincing, and refer to DSM-V criteria and checklists.
Following this, you will consider the multipath aetiology model in relation to the case study. How are biological, psychological, social, and sociocultural factors involved in the development of this person’s disorder? You must consider each of the four variables. It does not matter if you identify, for example, more psychological variables than social variables.
Finally, describe which form of treatment you would suggest, given the disorder these symptoms most closely align with. This can be a combination of treatments, but you must be specific. For example, specify the type of therapy and why, rather than just simply stating ‘psychotherapy’. Also discuss any specific steps that might be taken during treatment.
Case Study 1
Katherine is a 25-year-old Caucasian Australian woman, single with no children. Katherine has always considered herself a slightly nervous person who seems to scare easily. Last year, one of Katherine’s friends experienced a fire in their kitchen, and Katherine has spent a lot of time recently listening to her friend’s experience. About a month ago, Katherine arrived at her fiancé’s apartment while he was cooking a special dinner. The entire time at her fiancé’s place, Katherine was deathly afraid that something would catch fire on the stove. After he finished, Katherine delayed the start of dinner while she rigorously cleaned the stove and made sure that all the burners were turned off. Throughout dinner, she was distracted by the stove and was constantly looking at it, to the point of completely ignoring her fiancé. After a short argument, she left halfway through dinner and went home. After they made up, she again went over to her fiancé’s apartment, only to find that he’s placed a sheet over the stove so that she “wouldn’t be distracted by it”. Upon seeing this, Katherine became hysterical and started screaming about fire. She ran into the kitchen, ripped the sheet away, and began checking the knobs and burners to make sure they were turned off. When her fiancé attempted to calm her down, she pushed him to the floor and kept yelling. Eventually, he kicked her out and threatened to call the police. Afterwards, her fiancé told her friends what happened, and they have been wary of Katherine and avoiding her ever since.
Whenever Katherine sees a stove, she immediately imagines flames bursting out of it, setting the kitchen ablaze. She becomes preoccupied with thoughts of fire and has great difficulty shifting her attention. In response, she has developed a few rituals to calm herself down. Often, she will turn the burners on all the way and slowly count backward from 10 as she turns each one off. If it doesn’t turn off right as she reaches zero, she repeats the process. Furthermore, the knobs on the stove must be absolutely clean, as Katherine is convinced that drips and residue can interfere with turning the stove completely off. It’s not unusual for Katherine to call in sick to work and spend hours cleaning and checking the stove. Last year, she used all of her sick days by mid-August and forged doctor notes to get additional days off from her employer.
Most of the time, however, Katherine attempts to avoid stoves. At home, she avoids the kitchen by eating fast food and keeping a mini-fridge and microwave in her bedroom. At work, she keeps a coffeemaker in her cubicle to avoid using the office kitchen. This approach, however, is not always practical. One time, her boss asked her to get some coffee for a client and was upset about how long it took her to return. In response, she lied and claimed that the coffeemaker was broken and she had to make a fresh pot at her cubicle. She is not currently taking any drugs or medications.
(1500 words with 12 point font, double spaced, with APA citation and reference list)