FREE ESSAY ON DIAGNOSIS

DIAGNOSIS

Complaint: 
Jennifer came to me several failed visits and theripys through out her teen years. She
had, like it past reports complained of always feeling worried and anxious. She often
talked on how going out to social settings and relationships was so difficult. Believing
that it was her fate to always be alone. She felt very uncomfortable around crowds as if
they would turn on her in angry or disapproval. Jennifer had came to me after a referral
from a mutual friend of mine. One that she had built a friendship with the current job
that she had worked continuously for 2 yrs.
Past History: 
Talking about her past relationships, I found she hadn't been intimate with any single
person in over six yrs. That all had failed within 3 moths. Most of her broken
relationships were because she felt mistrust, and a feeling that they were trying to pull
something over on me, and I (Jennifer) was so afraid of being hurt. Often, making quick
calls and predictions to the short-term future, she thought it was best to run away.
Jennifer's body language showed of an act. Working in the pubic she had taught herself to
act how she viewed as normal. There was difficulty in eye contact, almost as if she was
fighting not to look away. Observing her petite frame, it was on that Turning around I
viewed her expressions threw a mirror on the wall, becoming untensed and looking down, it
was an action of a person being gratefully relived.
After building a strong foundation over several months, I begun slowly taking her back to
her teen years. I found when Jennifer was 15 years of age; she had become intimate with a
17-year-old male. This relationship had lasted for two years. During the relationship,
she told of constily being put down, that it wasn't nothing physical but all mental. She
told of several experiences of that the male had look outside their relationship for
other sexual gradifications, even so far to involve the majority of her trusted female
friends. Jennifer spoke with tremble in her voice as she recalls certain personal
situations. The short stories were that of deceit and humiliation. 
Identifying Systems: 
Social Phobia is the marked and persistent fear of one or more social or performance
situations in which the person is exposed to unfamiliar people or to possible scrutiny by
others. The individual fears that he or she will act in a way (or show anxiety symptoms)
that will be humiliating or embarrassing. Exposure to the feared social situation almost
invariably provokes anxiety, The person recognizes that the fear is excessive or
unreasonable. The feared social or performance situations are avoided or else areendured
with intense anxiety or distress. The avoidance, anxious anticipation, or distress in the
feared social or performance situation interferes with the person's normal routine,
occupational functioning, or social activities or relationships, or there is marked
distress about having the phobia. If you suffer from social phobia, you tend to think
that other people are very competent in public and that you are not. Small mistakes you
make may seem to you much more exaggerated than they really are. Blushing itself may seem
painfully embarrassing, and you feel as though all eyes are focused on you. You may be
afraid of being with people other than those closest to you. Or your fear may be more
specific, such as feeling anxious about giving a speech, talking to a boss or other
authority figure, or dating. The most common social phobia is a fear of public speaking.
Sometimes social phobia involves a general fear of social situations such as parties.
More rarely it may involve a fear of using a public restroom, eating out, talking on the
phone, or writing in the presence of other people, such as when signing a check. 
Although this disorder is often thought of as shyness, the two are not the same. Shy
people can be very uneasy around others, but they don't experience the extreme anxiety in
anticipating a social situation, and they don't necessarily avoid circumstances that make
them feel self-conscious. In contrast, people with social phobia aren't necessarily shy
at all. They can be completely at ease with people most of the time, but particular
situations, such as walking down an aisle in public or making a speech, can give them
intense anxiety. People with social phobia are aware that their feelings are irrational.
Still, they experience a great deal of dread before facing the feared situation, and they
may go out of their way to avoid it. Even if they manage to confront what they fear, they
usually feel very anxious beforehand and are intensely uncomfortable throughout.
Afterwards, the unpleasant feelings may linger, as they worry about how they may have
been judged or what others may have thought or observed about them. 
Treatment: 
About 80 percent of people who suffer from social phobia find relief from their symptoms
when treated with cognitive-behavioral therapy or medications or a combination of the
two. The first approach to treatment of social anxiety disorder usually involves the
prescription of a drug by a physician. Typically Xanax is prescribed for situational
relief. Inhibitor such as (Paxil) is used to target the biological production and/or
absorption of serotonin. Therapy may involve learning to view social events differently;
being exposed to a seemingly threatening social situation in such a way that it becomes
easier to face; and learning anxiety-reducing techniques, social skills, and relaxation
techniques. The prognosis for diagnosed social phobias is excellent, with a reported 90%
of treated patients experiencing a significant reduction in symptoms.
Cognitive Behavior Therapy is a psychological treatment, which trains anxious people to
overcome their fear through the practice of a variety of exercises and coping techniques.
With social anxiety, group therapy is especially effective in that clients have the
opportunity to practice their learning in a safe and sympathetic environment. CBT usually
begins with a study of the disorder, examining the situations that provoke the anxiety
and the accompanying somatic symptoms. The educational process sets the understanding for
training in skills to alleviate and eventually conquer social phobia. These skills
include relaxation techniques, diaphragmatic breathing, and the cognitive restructuring
of distorted and negative thinking that contribute to social anxiety and exposure to
situations that precipitate anxiety.
. 
Prognosis:
Beginning within months Jennifer showed great improvements. With the proper dosage
adjustments and therapy, she was able maintain and over come many of her fears. Jennifer
now attends monthly group sessions that she feels are most important. The prescription of
Xanax has gradually been reducing to lower dosages, as she feels less more dependants.
The Paxil has, however has been reduced, she found a noticeable change when reducing
consumption. But with support threw CBT and group therapy she feels more confiendent in
herself in finding out how to life a structured life around had have social phobia.