Reference no: EM133566757

Case Study: Jane is a 19 year-old, Asian-American college student who is attending theUniversity of California, Berkeley. She is currently in her second semester andis a political science major. She wants to go on to law school like her father.Jane has a self-reported history of intense anxiety at the prospect of speaking inclass.Jane went to private schools in Berkeley for elementary, middle and highschool. She reports feeling uncomfortable when she was younger speaking infront of the class, but admits it has gotten much worse. She remembers inmiddle school her mother picking her up early on days she had to present abook report to the class, telling the office she had a dentist appointment. WhenJane got to high school she began to use marijuana to ease the anxiety. Janesays it helped her to speak in front of the class, but admits not being able tofocus as clearly on her assignments causing her grades to slip.Both of Jane's parents are professionals. Her father is an attorney with asuccessful practice and her mother is an English professor. Her father came tothe U.S. from China when he was a young boy. He met Jane's mother incollege. She is an only child. There is no history of psychological illness oneither side. In fact, Jane states quite the opposite. She says her family is a"bunch of over achievers". Jane's father quickly put a stop to her motherpicking her up from school when these anxiety attacks would occur. Bothparents did not condone the use of marijuana and out of respect for them Janegave it up. A couple of night's a week she does enjoy having a couple of beersin her dorm room, but states her parents would disapprove of this as well,particularly since she is under age.Jane deals with the fear now by taking only crowded lecture courses andseating herself at the rear of the room where she hides herself as completely aspossible. If she arrives late and cannot get a seat in the back, she doesn't go toclass.Jane is in good physical health, maintains a normal weight and eats properly.She states this is because even though she lives at the dorm, her parentsrequest that she eat dinner at home with them no less than four times perweek. She does admit that days when she is feeling particularly anxious shedoes not have much of an appetite. This is difficult on family night, when herparents become frustrated with her for not eating the dinner they haveprepared. When she is on her own there have been days when she eats nothingat all, even though she does have a food voucher for the cafeteria at school.

Jane would like to exercise more, but the thought of a crowded gym makes heruncomfortable. She did try a 30- day trial membership at a local gym a coupleof months ago, but felt so dizzy and nauseas when she entered the lobby,decided to return to her dorm room.Jane does not work. In fact, she has never held a job. Her father feels that herjob is her school work and would like Jane to be working in the family law firmas soon as she passes the bar. Jane has shown a desire to work at the firmduring breaks, and her father says he will consider it for the summer.Jane does not have many friends. The few friends she had in high school havegone off to college, or spend their time with their boyfriends. Jane reportshaving a few dates in high school, but can't really meet anyone at college.Last week in class when the teacher began to call on students at random Janeexperienced intense anxiety accompanied by sweating and trembling. She hadto exit the room and return to her dorm. Away from the situation it took Jane afew hours to calm herself again. When Jane did not come out of her dorm roomfor so long, a classmate alerted the dorm resident who referred Jane to campusmental health.

Questions:

• What is the prevalence of Janes's disorder? ?
• Discuss etiology of Jane's disorder using the multipath model, you can choose more than one dimension
• What assessment tools would be helpful in diagnosing Jane's disorder?
• What research has been done on effective treatments of Jane's disorder?