PSY 6210 FGCU Molly Mental Health and Substance Abuse Disorders Case Study

Question Description

Attached is the case study and the format and guidelines to complete the case study and how it should be laid out.

Below is the finished response to the case study. Please format it correctly according to the guidelines in the attached document.



Introduction and Case Description

The case study circumnavigates Molly, a 29-year-old unmarried woman portraying symptoms of what appears to be clinical syndromes- mental health and substance abuse disorders that have caused significant impairment. She appears to be suffering from the mental consequences of a major traumatic event in her life, a foiled love affair with her former coworker that ultimately led to losing her job. She experiences signs and symptoms of depressive disorders, as elaborated by the case study-sleeping problems, a depressed mood, loss of pleasure and interest in things, lack of concentration, irritability, loss of appetite, and significant weight loss (to the tune of 15 pounds over two months). She has struggled with such symptoms for two and a half years. During her romantic relationship with the coworker, she reports having developed a substance use issue. She initially began using cocaine but shifted to marijuana because it was cheaper.

Discussion- the DSM-5 Criteria for Diagnosis

The DSM-5 criteria were adopted in 2013, integrating a non-axial approach to categorizing mental health issues. The first three axes in the previous DSM-5 were combined in the same category in the latest DSM-5 edition (published in 2013). A review of mental health disorders in this category led to the classification of mood disorders and substance abuse disorders to Axis I- mental health and substance abuse disorders that cause significant impairment to patients, which are prevalent to a vast majority of members of the public (Regier et al., 2013). Axis I disorders, therefore, include panic disorders, anxiety disorders, post-traumatic stress disorder (PTSD), dissociative disorders, eating disorders, mood disorders, psychotic disorders, and substance abuse disorders.

Molly’s symptoms correlate, in one way or the other, with several of these disorders. Most of her symptoms point to mood disorders (major depression). A lack of interest and pleasure in things she used to enjoy, sleeping issues, increased irritability, reduced sex drive, loss of appetite leading to a corresponding loss in weight, continuous depressed mood, and poor concentration are all symptoms of major depressive disorder (Dikici et al., 2017). The cause of her mental health disorder appears to be a major traumatic experience- the discovery of her romantic affair with a coworker that led to her romantic interest losing his job and their subsequent break-up, which in turn led her to lose her job. She had no previous experience dealing with failure before, which raises questions on her parents’ parental tactics.

Additional Questions: The Other Kind of Helpful Information About Molly

From the case study, one can presume that her parents ‘supportiveness,’ to the extent of giving their daughter money to purchase the said hard drugs, might contribute to her sorry mental health. It would, therefore, be imperative to question both Molly and her parents on Molly’s childhood, particularly how they managed to shield her from failure-filled experiences.

Conclusion: Additional Information and How It Impacts the Case Study

The subtle facts of this study is an over-protective parenting style that inhibited Molly’s ability to deal with traumatic experiences. As seen through her parents’ coping mechanisms with Molly’s mental health issues- the desire to protect children from hurt & pain, harm, and unhappiness has significantly contributed to her mental health breakdown at the first interaction with failure. Molly appears overly fearful of her future career and life prospects, instead opting to retreating and regressing into a depressive state.

References

Dikici, D., Aşçıbaşı, K., Aydemir, Ö., & Grubu, D. (2017). Reliability and validity of Turkish Version of DSM-5 Depression Scale. Anatolian Journal of Psychiatry, 18(2), 51. https://doi.org/10.5455/apd.238150

Regier, D. A., Kuhl, E. A., & Kupfer, D. J. (2013). The DSM-5: Classification and criteria changes. World Psychiatry, 12(2), 92–98. https://doi.org/10.1002/wps.20050

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