Reference no: EM133455058

Question

Mary is a 23 year old married white female with two children, ages 5 and 8. She was sent to the psychiatrist office by her family physician because about two times a week she would wake up around four or five in the morning and feel as if she had a bad case of insomnia but could not bring herself to get out of bed. About 1 or 2 hours later she would feel as if she had taken some type of drug. She reported feelings of extreme depersonalization and visual hallucination. ( E.g., neon Indians walking down the hallway. ) She also complained that she was very depressed most of the time and that she had a hard time going to work. She said when she was there she would experience high levels of anxiety. She also pointed out that she felt funny but that she could not explain these feelings. In conducting a thorough history, the psychiatrist discovered that Mary suffered from panic attacks but she said these feelings were different. He also discovered she had been hospitalized for schizophrenia many times. It was also discovered that he had undergone electro convulsive therapy and sleep treatments ( scopes ). He ordered an MRI which came back negative and he also had Mary get an EEG. The EEG was normal but it was noted that the beta waves were abnormal.