Individuals with psychological disorders
Read the case, review the chapter and conduct research on the case.
Please read the direction attachment file and use chapter 12-13 as references.
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Step1: Read Case Case Joan is a 23 year old female. Joan was raised by her maternal grandparents who she describes as caring and supportive. Joan has not met her father as he moved across the country when Joan's mother was pregnant with her. After Joan was born, her mother struggled with chemical dependency. Joan’s mother has a long history of chemical addiction, speciFcally alcohol and cocaine, which is the primary reason Joan was raised by her grandparents. Joan's mother has been an unstable presence in her life, depending on her sobriety. Joan reports that her life is less stressful when her mother is absent from her life, yet she also feels guilty for feeling this way because knows that this means that her mother is using and abusing drugs. Joan has been in a long-term romantic relationship for 6 months. Her relationship has been turbulent at times. One of the main reasons is that Joan is fearful of being left by her boyfriend. Her fear has caused Joan signiFcant distress and is also creating con±ict in their relationship as Joan is constantly questioning her boyfriend's love and faithfulness, especially when she does not see him for several days or when he does not respond to her messages immediately. After not hear from him for 24 hours, Joan became so distraught that she felt an overwhelming urge to cut herself. Joan notes that when her boyfriend did Fnally call her, she yelled at him for not returning her call, which led to an argument where her boyfriend indicated that she was su²ocating him with her insecurity. This led to even more emotional upset for Joan. She describes feeling worthless and unlovable. Joan also reports feeling sad and disconnected from her friends and family, as well as lonely, in general. She also notes that she feels like she is never good enough - that she is always letting others down and never does anything correctly. She reports that a couple of times a year over the last 5 years she has had episodes lasting 3-4 weeks where she has stayed in bed crying, sleeping and feeling like she does not matter or that anything matters. She also reports di³culties falling and staying asleep because she can’t seem to quiet her thoughts. She reports that during these periods, she has no appetite and misses work often and does not spend time with friends. She describes being fatigued and lacking interest in most activities, including painting, which is one of her passions. Joan denies current suicidal ideation, but reports that she has attempted suicide three times by overdosing on pills over the last 10 years and the most recent attempt was 3 years ago. She also notes that she has called the suicide crisis line approximately 8 times in the last three weeks because she was feeling really down, lonely and empty inside.
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