Vignette of Annie

Annie is a 47-year-old Chinese-American woman who has come to therapy because of difficulties she is having with her husband. Since her last child left home for college, Annie has felt increasingly lonely and has been asking her husband to spend more and more time with her. His response has been to become angry and critical, saying her expectations are unreasonable and that she needs to find other ways to fill up her time.

For over two years, Annie has felt sad most of the day. She has low energy, poor concentration, and often feels a sense of hopelessness. Annie is in good health and does not use alcohol or drugs. She has not felt this “low” before in her life.

Annie does admit that she has always felt a lack of confidence in herself, even as a child, and has relied on friends and family to provide guidance and direction. She remembers a reluctance, dating back to elementary school. to disagree or express a different opinion for fear of losing friends. She has looked to her son and husband to make all of the important decisions in the family, and has counted on her two daughters for continual reassurance.

Annie hates to be by herself and cannot imagine being able to face life on her own. She is terrified that her husband may leave her and has been clinging more to her friends, calling them frequently and asking them for advice. Lately her friends have been less available for her however, and suggested that she should really be talking to a therapist about these things. This has made Annie feel even more frightened and unhappy.

Based on the information presented, address the following questions:

What diagnosis would you give this client? Provide the rationale for your choices, linking the client’s symptoms to specific DSM-5 criteria.

How might age, gender, ethnicity, and relationship dynamics contribute to the symptoms and issues this client is presenting?

How is neurocognitive functioning impacted by a personality disorder? How might a personality disorder be exacerbated by neurocognitive problems?

What factors would you need to consider when developing a treatment plan for this client?

How would a personality disorder diagnosis impact the client-counselor relationship, goals of therapy, and interventions you might choose?

** The 2 papers attached are to be used to create a final product. You will need to take those two and add an additional answer so as to come from 3 perspectives.  

Use the two papers attached and collaboratively answer the following:

Directions

1. Go to http://iriscenter.com.
2. Click on Behavior and Classroom Management.
3. Click on Case Studies and then click on Norms and Expectations.  I encourage you to print this out. 
4. Read and complete 2 case studies LEVEL A CASE 2 LEVEL B CASE 1
5. Read the Star Sheets for this material. These sheets summarize the research and how to’s that address the case material.  In other words, these pages teach you what you need to know in order to do this assignment.  Each case tells you what concepts you need to apply under, Possible strategies.  You should also refer to what you learned in the readings and material for this course. You should follow APA to give credit for ideas as you compose your solutions.

   Your paper should have the following parts for each case:

   • Introduction to the case in your own words
   • Summary of each problem or question to be addressed
   • A response based on what the star sheets taught you and the other readings and materials for the course.  Be sure to give credit for ideas but put your answers in your own words.  DO NOT COPY FROM THE STAR SHEETS.  You can use (star sheet, p. xx) as a format.
   • A response based on what texts have to say on the topic.  DO NOT COPY.  Use your own words.  You can use (Author, date, p. xx) as a format.
   • A response based on what Dr. Mac has to say on the topic.  DO NOT COPY. Use your own words.  You can use (Dr. Mac, topic you read, page number is available)
   • You can also talk about what other sources said.
   • Repeat the above for each question or problem presented in the case.