Part 1
According to the DSM-5-TR 300.23, my diagnosis is that Allyson is suffering from social phobia, which is a co-occurrence of substance dependence (Hsiung, 2015). Allyson’s social phobia can be seen in her abuse of the drugs prescribed to her. Social phobia is also evident in Allyson since she does not want people around her in case she says or does something that would embarrass her.
Karen
According to the DSM-5-TR 305.70, my diagnosis is that Karen is suffering from substance dependence disorder, which is alcoholism (Hsiung, 2015). The disorder is evidenced by Karen’s addiction to alcohol to the extent of mixing vodka with coke. Once she is confronted by the husband, Karen becomes restless, irritable, and constantly worried signifying withdrawal symptoms from substance dependence.
Mary
According to the DSM-5-TR 292.89, my diagnosis is that Mary is suffering from mysophobia, which is an obsessive-compulsive disorder (Hsiung, 2015). Evidently, Mary washes her hands too much to concentrate on her studies. Her acknowledgment that she is a bit excessive in the obsession is a symptom of the disorder where she finds the behavior bizarre but has a pathological doubt (Okuda, 2015).
Part 2
Treating Borderline Personality Disorder
A client suffering from a borderline personality disorder cannot differentiate between reality and their own misconceptions. First, I would contract with the client to ensure they do not commit suicide. Secondly, I would build a relationship with my client to ensure that we bridge the gap between the emotional and rational worlds (Campbell-Sills, Espejo, Ayers, Roy-Byrne, & Stein, 2015). I would also prescribe neuroleptics such as haloperidol in low doses to help in disorganized thinking.
Treating Obsessive-Compulsive Disorder
Differentiating between Anxiety and Obsessive Compulsive Disorder from Substance-Induced Disorder
With anxiety and obsessive-compulsive disorder, the patient has insight as compared to that suffering from substance-induced disorder. Consequently, a patient finds the symptoms of anxiety and obsessive-compulsive disorder bizarre while recognizizing the absurdity in the symptoms. Unlike patients suffering from substance-induced disorder, the anxiety and obsessive-compulsive disorder patients acknowledge the impossibility in the obsessions, but are faced with the dilemma from the pathological doubt of their anxiety escalating to uncontrollable levels (Okuda, 2015).
References
Campbell-Sills, L., Espejo, E., Ayers, C. R., Roy-Byrne, P., & Stein, M. B. (2015). Latent dimensions of social anxiety disorder: a re-evaluation of the social phobia inventory (SPIN). Journal of anxiety disorders, 36, 84-91.
Hsiung, R. (2015, November 30). DSM-5 Diagnoses and ICD-9-CM and ICD-10-CM Codes, Alphabetical Listing. Retrieved from http://www.dr-bob.org/tips/dsm5a.html
Okuda, M., & Simpson, H. B. (2015). Obsessive-Compulsive Disorder. In K. A. Phillips and D. J. Stein (Eds.), Handbook on Obsessive-Compulsive and Related Disorders (pp.25-56). Washington, DC: American Psychiatric Publishing.
