Biopsychosocial Model / Anxiety

5 p’s for the biopsychosocial model (Presents, Predisposing, Precipitant, Pattern, Perpetuant)

 

Case Study:   Sheila is a white casucasian female coming from a family of four. Sheila is 22 YO, physically healthy, and single. Sheila is the oldest child with younger sister, and two younger brothers. Sheila was raised in the US and moved to canada when she was 15. Sheila’s father was hard working and somewhat distant in sheil’s childhood however Sheila believes that her father provided a good home and the necesssities of life. Sheil’s father has a quick temper and would often raise his voice when the children did not listen to him. Sheilas mother works in a high pressure office and often feels anxiety about her job. Sheila currently attends universty, is in the oithird year of a sociology program and is struggling with grades and assignments. Sheila beginds to tell her therapist her personal emotions over the past year as sheila has experienced many events. Sheila has ecome involved with friends that enjoy partying and social gatherings during the Covid 19 pandemic. Sheila is struggling to fit in with her friends and she also fears rejection. Sheila has been introduced to alcohol and drugs at a number of parties and has been more involved in the consumption of alcohol and drugs than she is comfortable with.

Sheila has also realized that her mother has become quite forgetful of events and trying to put sentences together. Sheila father believesthat her mother is just under pressure and nothing is wrong. Sheila is very converned for her mother and wantd to have an assessment copmpleted yet her family does not.  Sheila explains she is experiencing a great deal of anxiety ass the pressure of the assignments and exams at school build.

Sheila tells he therapist she is in a low mood and cant sleep or eat.  She doesnt know what to do 

 

      Sheila is a white Caucasian female coming from a family of four. Sheila is 22 years old , physically healthy, and single. Sheila is the oldest child with younger sister, and two younger brothers. Sheila was raised in the United States and moved to Canada when she was 15. Sheilas father is hard working and was somewhat distant in Sheilas childhood however Sheila believes that their father provided a good home and the necessities of life. Sheilas father had a quick temper and would often raise his voice when the children didnt listen to him. Sheilas mother also worked hard in a high pressure office environment and often came home expressing her anxiety over the decisions made and the people she worked with.

     Sheila currently attends University, is in the third year of a sociology program and is struggling with grades and assignments.  Sheila begins to tell her therapist her personal emotional issues over the past year as Sheila has experienced many different events. Sheila has become involved with friends that seem to enjoy partying and social gatherings during a time of Covid 19. Sheila has struggled to find her place to fit in with friends as Sheila also fears rejection.  Sheila has been introduced to alcohol and drugs at a number of the parties and has been more involved in consumption of alcohol and marijuana more than what she is comfortable with. 

     Sheila has also realized that their mother has become quite forgetful of events and trying to put sentences together. Sheilas father believes their mother is just under pressure and nothing is wrong. The last time Sheila was at home she noticed her mother not remembering where she had placed certain items she was just using, and at one point looked at Sheila and asked who are you?  Sheila is very concerned for her mother and wants to have an assessment completed  however Sheilas siblings are not in favor at this time.

    Sheila explains she is experiencing a great deal of anxiety as the pressure of the assignments begins to build, exams are coming, and Sheila does not feel prepared. Sheila also explained as a young child experienced rejection as those in school often made fun of Sheila and teased Sheila. She regularly feels a sense of doom and constantly worries. 

     Sheila tells her therapist she has been feeling quite low in mood. Is having difficulty sleeping, not much appetite and is concerned about how she will be able to move forward.