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Case Study: Adrian Monk

Ab Psych
by

Emily Brewington

on 1 May 2013

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Transcript of Case Study: Adrian Monk

by: Emily Brewington Abstract Diagnosis, DSM, GAF History of Presenting Problem: Justification of Diagnosis: When Adrian was a child, he always showed the signs of OCD and Generalized Anxiety Disorder, but they both got worse after his father left the family. After he got married, Trudy helped him cope but when she died, he became helpless and his issues got the better of him. Trudy's death caused Mr. Monk disorders to spiral out of control which is why he came to see me. Adrian Monk was born Marin County, on October 17, 1959. At a young age, Adrian showed the distinct signs of Obsessive-Compulsive disorder, where were intensified to the extent of becoming a hermit and not being able to leave his house for almost four years after his wife, Trudy’s death. Adrian has also stated on more than one occasion that since Trudy’s death, he has never truly felt happy, and never expects to again GAF: 36 (when admitted) 65 (current)

Diagnosis:
- Obsessive-Compulsive Disorder
- Obsessive-Compulsive Personality Disorder
-Depression
- Generalized Anxiety Disorder
- Post-traumatic Stress Disorder (PTSD)
-Difficulty coping with job loss

DSM-IV-TR
-Axis 1-Post-traumatic Stress Disorder (PTSD), Generalized -Anxiety Disorder, Obsessive- Compulsive Disorder and -Depression
-Axis 2-Obsessive-Compulsive Personality Disorder
-Axis 3-None
-Axis 4-Job loss
-Axis 5- GAF-36 (when admitted) 65 (current) Adrian was slightly OCD as a child, due to his father abandoning his family. His tenancies were curbed after he married Trudy but after she was murdered, his anxieties intensified to the point that Adrian could not even leave his house. -Depression-Said he doesn't think he will ever be happy
-Obsessive-Compulsive Disorder-Excessive cleanliness
-Obsessive-Compulsive Personality Disorder-Has difficulty leaving his house
-Generalized Anxiety Disorder-Has a phobia for everything (312)
-Post-traumatic Stress Disorder-Nightmares
-Job Loss-Thinks being reinstated as a detective will make him happy again Possible Causes for the Behavior: Case Study: Adrian Monk
Recommendation for Relevant Type of Treatment: I recommend a combination of two treatments. I recommend Cognitive-Behavior Therapy and medication. The therapy will help Adrian in the long term, but to help him cope in the present, he needs to take medication. Probability of Success of Treatment: It is very likely that with therapy and medicine, that Mr. Monk will eventually be able to stop taking medication for his disorders. He should always continue to attend therapy sessions, and if he does, Mr. Monk will learn to overcome most of his disorders, if not eliminate them all together.
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