Mr. Fife is a 25 year old, Asian single man living with his mother and working at the post office where he has been employed since he dropped out of college after 2 years.
PYCL584 Diag/Tx of Adult Psych
Week 10 Critical Thinking
Mr. Fife
Mr. Fife is a 25 year old, Asian single man living with his mother and working at the post office where he has been employed since he dropped out of college after 2 years. He complains of “nervousness” and says he is “just going through the motions” and “wants to lead a normal life and return to college.” His father abandoned him soon after his birth and divorced his mother. During his adolescence and young adulthood he had no close friends, but formed several close relationships in college. However, he states he became “super self conscious” when speaking to strangers and classmates, feel nervous and had difficulty speaking. He had a “buzzing” in his head, felt like he was “outside his body,” had hot flashes and perspired. He called these experiences “panic attacks” that came on suddenly when he was with people. He became increasingly uncomfortable in social situations and was “afraid of doing something stupid.” He finally dropped out of school. To deal with his discomfort he tried various drugs to medicate his symptoms and enjoyed some relief. His physician discovered he had mitral valve prolapse and treated him with medication, but it provided no change in his anxiety.
Mr. Fife feels that at the post office he does not have to deal with people. He avoids public restrooms and uses a stall rather than a urinal. He has 2 best friends but does not date and avoids group settings. He has no problems with authority figures.
The purpose of this assignment is for you to practice applying what you are learning about mental health diagnoses, the diagnostic process, and infusing counseling principles into diagnosis.
Analyze thiscase in an 8-page (minimum) paper. You do not need a cover page or references, and strict adherence to APA style is not necessary. You can also use first person language as needed. Your paper should have sections that address the following topics (minimum 1 double-spaced page per section):
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