Case Study

971 words - 4 pages

CASE STUDY 01

Adrian Holdsworth was a 39-year-old Caucasian woman with two children (a son, age 12, and a daughter, age 7). Since obtaining her bachelor’s degree in business administration 8 years ago, Adrian has worked as a bank manager. Recently she had become increasingly worried about her ability to concentrate and remember things at work, and she went to her family doctor for an evaluation. Finding no physical basis for her concentration and memory difficulties, Adrian’s doctor referred her to a neuropsychologist for a more detailed assessment of her cognitive functioning. The neuropsychologist deemed Adrian’s complaints to be anxiety related, and thus he encouraged her to seek out ...view middle of the document...

She worried a great deal about her job performance, her children’s well-being, and her relationships with men. In addition, she felt stressed about a variety of minor matters such as getting to appointments on time, keeping her house clean, and maintaining regular contact with family and friends. For example, with regard to her children, Adrian often became very anxious that her kids might have been hurt or killed if they were out in the neighborhood playing and she had not heard from them in a couple of hours. (The nature and content of Adrian’s other worries are discussed later in this case.) In addition to being excessive (e.g., failure to hear from one’s children in 2 hours is not sufficient grounds to conclude that they may have been killed), her worries were also uncontrollable: When a worry came into her mind, she was unable to dismiss it and get her mind refocused on the task at hand. For instance, Adrian would become more anxious and worried at work when her supervisor was around (because of her concern that he would evaluate her job performance negatively). Her preoccupation with the possibility of being negatively evaluated made her less attentive to her work and thus she was more apt to make mistakes. During these periods of increased worry, Adrian would be more forgetful because her mind had not been focused on her work (e.g., she would often forget what her supervisor had told her because she was focused more on her worries about job performance than on what he was saying to her). In addition to concentration and memory difficulties, Adrian’s anxiety and worry were accompanied by other symptoms: irritability, problems in getting and staying asleep, frequent muscle tension and headaches, and a feeling of being keyed up or on edge. Adrian was very concerned about her excessive worry and anxiety: “I hate feeling this way all day. I just want to feel normal and in control of what’s going on in my life!” In...

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