Personality and psychological disorders
Occupation: Student
Age: 15 years
Tom welling is a teenage student at his first year of college. Through his life in high school Tom was viewed as a grown soul in a young body. Among his age mates he would stand out as the mature one. Despite his mature character Tom did not have a healthy social life. He had only two friends whom he could trust whole heartedly. This trait had developed since he was in high school. He could seclude himself from the rest of his age mates and engage himself in sentimental conflicts. He was the only person in his world that could interpret his feelings. He was the only shoulder he could lay on when he needed help. He also kept distant from his parents when it came to personal issues. He had a lonely world but he found complete comfort in it.
However, deep in him he always knew he had a wish that he could be able to interact with activities of his age.In high school life, the impact of this disorder did not show any significance in his life. However, at his first year in college, the disorder became uncontrollable and the impact of it in his life was clearly visible. The rift between him and his age mates became greater. The only social life he had was school and other public institutions. No one around him could relate to his feelings and sentimental thoughts. He became very tempered and easy to anger. He could react violently to any form of provocation.
In his first year of college, he was involved in five fights. In this fights he brutally assaulted his rivals. His relationship and his parents became ugly. He disrespected them and never felt the need to apologize. His relationship with his friends was ruined since he wanted everyone to submit to him. At one instance, Tom punched his friend for disagreeing with him on which party to attend. The impact in his studies was also visible as he dropped all social activities in his course. His grades dropped at an average percentage of 60 percent. Teachers at his institution were also not spared on the negativity displayed by Tom. Tom had once stood against his math teacher after he was asked to go for detention. The situation became alarming both in school and at home. His parents took him to counseling which barely lasted for three days after he quit. At the age of 18, Tom was not controllable by any person around him. His life was far from the reach of the people around him.
He was the only person that could control his sentiments and ego. With the distance between him and the normal people becoming greater, he lost the human touch. He once assaulted a homeless kid for asking him for a dollar. He felt like everyone was against him and everyone was out to destroy his life. In the worst scenario, Tom set his school on fire after being dropped from the football team due to indiscipline.
Diagnosis for Tom Welling: Post Traumatic Stress DisorderJustification of Posttraumatic Stress Disorder
- Violent behavior (Oldham, 2005)
- Assaulting a homeless child
- Setting his school on fire
- Causing violent scenes in school when provoked
- Having thought of people trying to destroy him (McWilliams, 2011)
- He can only find peace when alone
- His mistrust to everyone
Problems and symptoms (Kendell, 2002)
AngerPoor communicationwithdrew from all intimate relations Disrespectful Post traumatic stressViolent Lack of trust
Strengths (Widiger, 2003)
Mature
Bright
A desire to connect with the society
Goal 1
Tom to get support from his family
- The family should track back to the time he lost his touch in the family.
- Each family member should write down how tom’s change in character has affected them (Yang, Coid & Tyrer, 2010)
- Her mum should give an insight on how her duties as a mum have been undermined by Tom’s behavior
Goal 2
Tom will learn how to trust people around him especially his family members
- He should be able to have a proper communication pattern with his parents (WHO, 2010)
- He should always tell his parents what is disturbing him
- The family should have several communications sessions for Tom to open up freely
Goal 3
Tom will learn the art of respect
- He should be given sessions on how to control his anger
- He should indulge more in social activities to enable him learn more about other people (Jeffrey, 2004)
- Tom will commit to counseling and anger management sessions
Objectives
Tom will take full responsibility of his actions he did towards the school and all other people (Susan, 2011)
Tom should open up his desire to indulge with his age mates and create more healthy social circles (Davidson, 2002)
Tom will take up mandatory counseling sessions
Tom will write his day to day experience towards to full recovery (Amy & Drew, 2004)
References
Amy, H. & Drew, W. (2004). . London:Routledge
Davison, E. (2002). . Advances in Psychiatric Treatment 8 (1): 1–9.
Jeffrey J. (2004). . London: John Wiley and Sons
Kendell, E. (2002). The distinction between personality disorder and mental illness. British Journal of Psychiatry, 180:110-115
McWilliams, N. (2011). . New York: Guilford Press.
Oldham, J. (2005). . FOCUS JOURNAL 3: 372–382
Susan L. (2011). "Personality Disorders and Work.", 3: 45-49
WHO. (2010).
Widiger, A. (2003). . World Psychiatry 2 (3): 131–5.
Yang, M., Coid, J. & Tyrer, P. (2010). "Personality pathology recorded by severity: national survey". The British Journal of Psychiatry
