Reference no: EM133316289

Case Study: Bill is a 43 year old man that enters therapy. He seeks treatment to better cope with his anxiety. When he sits down, the therapist asks why he thinks he has anxiety and he says, "Well, I really start to obsess about things...you know what I mean? I literally can't stop by brain from turning off. I've had this for my entire life so I just need to learn to cope with it.

When the therapist asks about his family-of-origin, he goes onto to describe an anxious father and a conflict avoidant mother. "My dad? Yeah, he struggles with drinking. I hate it, truth be told - but there isn't anything I can do." He says he grew up in a wonderful home, and he feels lucky to have the parents he did. Bill also says he had trouble in school. He believes he suffered from ADHD his entire life, but it never went diagnosed. He is now on medication and states that it helping.

As Bill is talking through his childhood, he off-handily mentions that he has trouble sleeping at night. He says he wakes up around 2AM and the only way he can get back to sleep is by eating a large bowl of cereal and a peanut better and jelly sandwich. When asked why he does that, he says, "because it gets me back to sleep - it's the only thing that works."

Question: Diagnose Bill using the DSM 5. Support your diagnosis as best as you can with information from the case and pairing it with the diagnosis. Finally, how would you treat Bill given this/these diagnoses? What are a few interventions you might try?