What diagnosis would be most appropriate

Reference no: EM133248555

Question - Read the following case study below and answer the following questions:

Q1. What diagnosis would be most appropriate?

Q2. What are other possible differential diagnoses? Why?

Q3. What other possible clinical issues do we need to rule out?

Q4. What is the best treatment (therapy) for this client?

CASE STUDY - Mary is a woman of 46 years who initially studied to be a secretary, but went on to study Fashion and interior design. Mary's working history is not disclosed.

Mary displays the following symptoms to the GP: low energy, heart palpitations, menstrual problems, shaking and trembling, constipation and insomnia. Mary also had a medical history of cysts in the pancreas, liver and intestines. Mary displays suicidal feelings and immense anger and resentment towards her mother, poor communication with her husband and anger and frustration towards her oldest daughter. Mary came from a dysfunctional family. Her parents both had addictive personalities. Her father was an alcoholic and suffered from Casanova complex, thus having 23 children from nine different women, and had married five times.

Furthermore, he was not married to her mother at the time Mary was born, but to someone else. His addiction to alcohol meant that he was verbally and physically abusive.

Mary's parents did marry but also got divorced when she was six. Mary's mother became a divorcee with illegitimate children and became an outsider in the small town they lived in, so they moved to London. This had a major affect on Mary's mother who became angry and used extreme violence towards her children. Mary, at seventeen, could not take any more and decided to take her siblings and moved out, which made her the main support for her siblings.

Mary went on to marry a dentist who promised to stay with her for life, so she dedicated herself to her husband and two daughters. Mary only managed to have one close personal friend who she confided in but never disclosed details of her past. Mary fears abandonment and this caused her to suffer deep anxieties in marriage and family commitments.

Reference no: EM133248555

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