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Essay Topic: Personality Disorder, Your woman,
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Sherry has been given the diagnosis of dissociative identity disorder or officially known as multiple personality disorder. She has experienced multiple hospitalizations over the last several years, and has been produced multiple different diagnoses starting from schizophrenia (disorganized type), zweipolig disorder, significant depression, and borderline individuality disorder. This lady has been placed on several different types of medications during the time of these hospitalizations depending on the analysis, ranging from lithium to a various antidepressant and antipsychotic medications, such as Thorazine.
After reviewing her case additional I feel that the most probable prognosis would be the among dissociative personality disorder, the lady exhibits lots of the key symptoms of this disorder outlined inside the DSM-IV-TR. Which is the presence of several identities, who take control above the persons behavior along with unexplainable times of dark out which could range from several hours to a few months of her life, these types of periods exceed any ordinary type of forgetfulness.
During one among her latest hospitalizations Sherry became seriously distressed and violent, demanding to know who has rearranged a healthcare facility and the argument, and kept asking to view people who would not exist, both equally other patients and staff members, she then became by speaking and physically abusive towards the staff, yelling obscenities at them and swinging her firsts about as they made attempts to calm her. In the past, Sherry has made several attempts in suicide over these periods of black out, such as trimming her arms and choosing an overdose of tranquilizers, sometimes performing both.
Sherry maintains a romance with her mother and twin sister, she also was at a relationship for a time period but they split up after some time. For the majority of of Sherry’s life developing up equally her dad and mom were literally abusive toward her and her sibling. After her parents single and her mother remarried her stepfather also started to be physically violent towards her and her sister. Based on the DSM-IV-TR’s information of dissociative identity disorder I feel that her abusive childhood may be an adding factor as to why Sherry designed this disorder.
Although these attempts have ceased for the moment, and currently I feel that she actually is not a danger to himself or other folks I cannot confidently say that in the event that another stress occurs that she will remain as not being a danger to himself or others. Axis 2: Personality Disorders or Mental Retardation: As of this present Sherry does not present any signals of a mental retardation or maybe a personality disorder. Axis 3: General Medical Disorders:
Presently with the present state Sherry is in That stuff seriously there isn’t any underlying medical conditions which will she is suffering from, I would recommend a physical and getting blood vessels work done just as a affirmation that there is simply no underlying health conditions that we are certainly not currently aware about. With her sexual record I would recommend obtaining a sexual well being scan performed just to stay positive that the lady does not have got any sort of std specially because of the fact that the lady had been raped before and in addition because the statements she has made before of getting woken up in strangers pickup bed after having unprotected sexual intercourse with all of them.
Although I am certain that your woman received assessment done following she was brought to the hospital after the lady was raped I would recommend these kinds of tests just like a preventative measure. With Sherry’s history of self-mutilation and overdosing the blood operate and other checks performed can be checking to make sure that her internal organs were not hurt during these suicide tries and that she actually is in great physical overall health. Sherry has additionally suffered from anxiety for most of her life due to her painful and abusive childhood.
Also I would need to review the previous medicines Sherry was given while your woman was obtaining treatment intended for the various disorders doctors thought she was suffering from. Axis 4: Emotional and Environmental Problems: Sherry is a forty- eight yr old woman whom works as a nurse’s aid, she actually is currently single although has maintained interactions in the past. The girl with currently in known exposure to her double sister and her mother. When Sherry was a child she was physically mistreated and neglected by her mother, you will find accounts of Sherry’s mom having broken Sherry’s tooth and also having bloodied her nose just before she turned four.
An additional account of abuse is definitely from a hospital report stating that Sherry received second-degree burns on her breasts due to her mother tossing a pot of boiling water at her in a in shape of trend. Later Sherry’s parents once Sherry’s father and mother divorced and her mother remarried her stepfather then simply became bodily abusive on the girls, generally beating these a panel studded with nails while the primary type of punishment. After a couple of years Sherry and her sister were then provided for move in with their father whom also was abusive toward them during his alcoholic binges, if he would the fatigue girls with a belt buckle.
After the young ladies were taken away from their dad and put in the care of their mother, she delivered them apart to live in boarding university. Sherry was a mediocre scholar and believed she acquired no expect of getting into a good school so upon graduating your woman joined the Army, exactly where for the first time in her existence she was separated by her sister. It was not really until this time into that Sherry began exhibiting odd behavior and began to demonstrate signs of dissociating herself coming from her unpleasant and violent past.
She would state that each of the abuse your woman received since a child had never actually happened to her and in turn happened to her sister, a good example of this dissociation would be once Sherry stated that her mother got never thrown the hot water on her but on her sis instead although hospital reviews and assertions taken from both her mom and sis confirm or else.
During these amnesic episodes is usually when Sherry would make these suicidal risks, such as trimming or overdosing on tranquilizers and when Sherry would be excessively promiscuous with either guy soldiers for the base or perhaps with randomly men she’d pick up in bars. This is how doctors initially began treating her for a mental disorder, she was given a psychiatric discharge in the Army and began obtaining treatment pertaining to schizophrenia (disorganized type). Over the next twelve to fifteen years is definitely when the most Sherry’s multiple hospitalizations came about and where she was treated for the different disorders the doctors felt she was affected by.
After finding she a new high capability of dissociation, was it discovered that your woman was almost certainly suffering from dissociative disorder. Your woman began acquiring hypnosis treatment which discovered “Karla, That stuff seriously this was very important to Sherry’s restoration. This empowered the therapist she was working with during those times to begin to aid her interlace her character with the personality of Karla. An important take into account Sherry’s recovery would be to discover why and how these dissociations initially began.
Supporting Sherry to come to terms with her raumatic experiences throughout her child years are challenging for both the patient and the therapist because flowing Sherry to handle these difficult and disturbing memories will make these dissociations even worse but allowing Sherry to continue to repress these kinds of memories could perpetuate the need for the dissociations in the future. Due to Sherry’s mom constant manipulation and forget caused Sherry to feel guilt and obligation with her mother. Even though Sherry feels resent for her how her mother treated her and her sister throughout all their childhood she gets an undeniable addiction on her mother.
A former specialist told Sherry that it can be beneficial to her recovery in the event that she could confront her mother about these things, although because of just how damaged Sherry’s self-esteem is she instead repressed these feelings towards her mother. Seeing that Sherry repressed these feelings towards her mother and was not able to confront her about it immediately, she started to criticize very little for being and so weak and dependent on her mother leading to her repressed feelings on the situation to come out in various ways including the personality of “Karla and through self-mutilation.
When the therapist Sherry was working with at the moment urged her to deal with her mom about these items it caused Sherry to a severe state of depression. Following this episode Sherry was placed on antidepressant medication which she responded well to and then began working better which in turn helped her in her recovery. After this episode and treatment, Sherry’s therapist determined that a great way to help her recovery should be to begin attending joint-therapy periods with her mother, her sister, and then at a later time her boyfriend.
In these sessions, Sherry’s therapist helped her locate ways of getting more aggressive when re-acting to the diverse interpersonal demands of these people. After Sherry was released from your hospital Sherry began participating in weekly psychiatric therapy as an outpatient. After about three years, both individuality became known with each other and it was at this time that your woman began a relationship with her man. Her treatment as a great outpatient essential frequent business office visits and interventions when necessary, this ongoing for another 2 years.
During this time, Sherry broke up with her sweetheart causing her to enter into a severe depressive episode, even so during this period your woman made simply no attempts in serious committing suicide attempts and remained treatment as an outpatient. Around three years after her treatment as a great outpatient finished Sherry was raped. Since previously mentioned Sherry was in a state of blackout when the rape occurred, and had no recollection with the event till she was taken to a hospital in a confused and agitated state.
Through remedy she surely could recall the actions of the doj of her rape and was able to recognize that what happened has not been her wrong doing. She was launched from the clinic after 2 days and for another two years has brought supportive psychotherapy on and off at her own request. Even though the event of Sherry’s rape is a traumatic and awful experience, I really believe that it was very helpful in getting some of where she was in her recovery.
Although what happened what indeed a setback, how Sherry dealt with the situation and was simply hospitalized for a couple of days reveals great progress on her account, although That stuff seriously she is very vulnerable to long term dissociations specially when her mother passes away, and potentially consist of highly nerve-racking situations in which financial or perhaps sexual exploitation could be a aspect. Axis a few: Global Analysis of Functioning: 51 We would rate Sherry as creating a GAF score of 51 because although she has manufactured great progress in her road to recovery and that she is able to maintain a career and human relationships in her life.
I do believe that when her symptoms exist and she enters right into a dissociative or severe depressive state her life is considerably affected. This is particularly prominent with her great frequent hospitalizations, suicide attempts, and self-mutilation. I think that when her symptoms are present the girl could be scored at falling even decrease on the GAF scale nevertheless currently I might say that her symptoms are only moderate rather than serve enough to greatly affect her daily life. Treatment Plan:
The treatment plan I would suggest for Sherry would be ongoing for her for taking her medicine and to carry on and receive remedy. While looking at her background I noticed that lots of of the emotional breakthroughs happened during hypnotherapy, I feel that the lady should carry on and receive this style of treatment because it seems to support her remember the durations when the lady was in a state of black out, nevertheless I do not really think that this would be the principal type of treatment for Sherry.
I think which a better form of treatment pertaining to Sherry could be the psychotherapy combined with the joint remedy sessions with her mother and sister. I think that by continuing these weekly sessions it could be vital in assisting Sherry to overcome the good feelings of sense of guilt and anger towards her mother. With both Sherry and her mother enroll in these joint-sessions, I feel will probably be helpful since it will allow Sherry to become more open and honest with her mother and possibly strengthen their very own damaged romance.
I think that the element of Sherry’s treatment will be helpful as it would lessen some of the controlling aspect of her relationship with her mom, so once her mom eventually passes away it may generate Sherry better able to deal with the separation simpler. Prognosis: I believe that in Sherry’s circumstance although this wounderful woman has made great progress in recovering from a traumatic childhood and conquering the dissociations caused by these types of traumatic occasions she is still highly at risk of future dissociations and greatly depressive episodes.
I think that it will take a lot of treatment and therapy to ensure that Sherry to experience a full recovery although I am unable to fully declare I believe an entire recovery can be done. I think that if the lady continues moving on like she actually is and does not have got any long term setbacks the probability of her recovery is much better but as of now I simply cannot say for certain that she could ever manage to overcome each of the traumas this lady has faced throughout her your life.
I think her outcome nevertheless is mostly positive for just how she is progressing at the present. I do believe once her mother passes away she will get caught in a serious depressive express but I believe if she actually is able to overcome that after that she will be able to progress even more in her recovery since I feel that when her mom is still surviving and within her lifestyle she even now holds onto the remorse for being and so dependent on her mother when she is so controlling and manipulating.
