Case Studies in Abnormal Psychology

Title Page......Page 3
Copyright......Page 4
Dedication......Page 5
CONTENTS......Page 7
PREFACE......Page 9
CASE 1: Panic Disorder......Page 13
Joe: An American Success Story......Page 15
Joe: The Attack......Page 16
The Family Doctor: Armed with New Knowledge......Page 18
Joe in Treatment: Regaining Control over His Mind and Body......Page 19
Session 1......Page 21
Session 2......Page 22
Session 4......Page 24
Session 5......Page 25
Sessions 11 and 12......Page 26
Assessment Questions......Page 27
CASE 2: Obsessive-Compulsive Disorder......Page 28
Sarah: Early Worries and Odd Behaviors......Page 29
Sarah: Beyond Worrying......Page 30
James: Trying to Understand......Page 32
Treatment for Sarah: Eliminating Obsessions and Compulsions......Page 33
Session 1......Page 34
Session 2......Page 36
Session 3......Page 37
Session 5......Page 38
Session 8......Page 39
Session 9......Page 40
Session 14......Page 41
Assessment Questions......Page 42
CASE 3: Hoarding Disorder......Page 43
Jenny: Early Difficulties in School......Page 44
Jenny: The Beginning of Acquiring......Page 45
Jenny in Adulthood: A Struggling Marriage......Page 47
Steven: Through a Husband’s Eyes......Page 49
Sessions 1 and 2......Page 51
Sessions 3 to 6......Page 52
Sessions 7 to 10......Page 53
Sessions 15 to 26......Page 55
Assessment Questions......Page 56
CASE 4: Posttraumatic Stress Disorder......Page 57
Elaine: A Woman of Energy and Optimism......Page 58
Elaine: Disaster Strikes......Page 60
Elaine: Aftermath of the Trauma......Page 61
Elaine Drifts Away: A Friend’s Perspective......Page 63
Elaine in Treatment: The Journey Back to Normalcy......Page 65
Session 1......Page 67
Session 4......Page 68
Sessions 5 to 8......Page 69
Sessions 14 and 15......Page 70
Assessment Questions......Page 71
CASE 5: Major Depressive Disorder......Page 72
Carlos: A Comfortable Climb......Page 73
Carlos: A Sudden Decline......Page 74
Sonia’s View: Sinking Along with Carlos......Page 76
Carlos in Treatment: Focusing on Cognitions......Page 78
Session 1......Page 79
Session 2......Page 80
Session 3......Page 82
Session 4......Page 84
Session 5......Page 85
Session 6......Page 87
Sessions 10 to 14......Page 88
Assessment Questions......Page 89
CASE 6: Bipolar Disorder......Page 91
Gina The First Incident......Page 92
Gina The Roller Coaster Continues......Page 93
A Friend’s View Along for the Ride......Page 97
Gina in Treatment One More Time......Page 99
The First Session ​After gathering a description of Gina’s symptoms and history, Dr. Rabb was certain that the patient’s condition met the DSM-5 diagnostic criteria for bipolar I disorder. Gina had had both manic and depressive episodes. Her manic episode......Page 100
The First Year of Treatment......Page 101
Months 2 and 3 ​Unfortunately, even this higher dose did not bring about the desired results over the next few months. The first sign was Gina’s arrival at a treatment session dressed more strikingly than Dr. Rabb had yet seen her. There was nothing outla......Page 102
Months 4 to 8 ​The new medication regimen appeared to control Gina’s mood swings. In fact, she led a calm existence for the next 4 months, meeting all of her work demands and leading a quiet personal life. During this period she practically went out of he......Page 103
Months 9 to 12 ​For the next couple of months Gina felt fine. She was happy to be off the lithium and feeling more like her “normal” self. As the weeks progressed, however, her feelings of contentment progressed to euphoria and then mania, which led to on......Page 104
Second Year of Treatment......Page 105
The 3rd Through 7th Years......Page 106
Assessment Questions......Page 107
CASE 7: Somatic Symptom Disorder......Page 109
Sadie: A Scary Experience......Page 111
Sadie: High School and Beyond......Page 112
Janet: A Mother’s Perspective......Page 113
Sadie: Focusing on Her Symptoms......Page 114
Sadie: The Search for a “Good” Doctor......Page 117
Session 1......Page 118
Session 2......Page 119
Sessions 3 to 5......Page 120
Sessions 6 and 7......Page 121
Sessions 8 and 9......Page 122
Assessment Questions......Page 123
CASE 8: Illness Anxiety Disorder......Page 125
Andrea: Bodily Concerns Take a Serious Turn......Page 127
Andrea: Bodily Concerns Take Over......Page 128
A Spouse’s View: Living with Imagined Illness......Page 131
Andrea in Treatment: Achieving a “Healthy” Perspective......Page 132
Session 1......Page 133
Session 2......Page 135
Session 3......Page 136
Session 4......Page 139
Sessions 6 to 8......Page 140
Assessment Questions......Page 141
CASE 9: Bulimia Nervosa......Page 142
Rita: Fundamental Concerns About Weight and Appearance......Page 144
Rita: Caught in a Binge-Purge Cycle......Page 145
A Coworker’s Perspective: Piecing Things Together......Page 148
Rita: in Treatment: Gaining Real Control......Page 150
Session 1......Page 151
Session 2......Page 152
Session 4......Page 154
Session 6......Page 156
Session 7......Page 157
Sessions 8 to 11......Page 158
Sessions 12 to 15......Page 160
Sessions 16 and 17......Page 161
Assessment Questions......Page 162
CASE 10: Alcohol Use Disorder and Marital Distress......Page 164
Michelle: Awareness on the Rise......Page 166
Alcoholism and Marriage Don’t Mix......Page 167
Kirk and Michelle in Treatment: A Marital Approach......Page 169
Session 1......Page 170
Session 2......Page 172
Session 4......Page 173
Session 5......Page 175
Session 6......Page 176
Sessions 7 to 9......Page 177
Communication Training for Marital Difficulties......Page 178
Relapse Prevention......Page 180
Assessment Questions......Page 181
CASE 11: Sexual Dysfunction: Erectile Disorder......Page 182
Walter and Cynthia......Page 183
The Unfolding of a Sexual Dysfunction......Page 184
A Spouse’s Perspective: “Concerned Yet Kind of Relieved”......Page 188
Walter and Cynthia in Sex Therapy: Giving and Receiving Pleasure......Page 189
Session 3......Page 190
Session 4......Page 191
Session 5......Page 192
Session 6......Page 193
Session 7......Page 194
Session 8......Page 195
Epilogue......Page 196
Assessment Questions......Page 197
CASE 12: Gender Dysphoria......Page 199
Renee: A Lonely Childhood......Page 200
Renee: Puberty Hits......Page 203
Treatment: Stage 1 (Psychotherapy)......Page 206
Treatment: Stage 2 (Hormone Therapy)......Page 209
Treatment: Stage 3 (Real-Life Experience)......Page 210
Treatment: Stage 3 (Surgery)......Page 212
Assessment Questions......Page 213
CASE 13: Schizophrenia......Page 214
Jim: Unfulfilled Promise......Page 216
Jim’s Mother: Unfulfilled Dreams......Page 218
Jim in Treatment: The Journey Back......Page 220
Phase 1: Engaging Jim as a Collaborator......Page 222
Phase 2: Attacking Jim’s Symptoms......Page 223
Behavioral Family Management......Page 225
Individual Behavioral Skills Training......Page 228
Epilogue......Page 230
Assessment Questions......Page 231
CASE 14: Antisocial Personality Disorder......Page 232
Jack: Disturbed or Disturbing?......Page 234
Jack in Treatment: Using Therapy to His Advantage......Page 235
A Parent’s Tale: Watching Antisocial Behavior Unfold......Page 238
Jack: No Success with Therapy......Page 241
Assessment Questions......Page 242
CASE 15: Borderline Personality Disorder......Page 243
Karen: A Typical Relationship......Page 245
A Roommate’s Perspective: “Two Years of Hell”......Page 247
Karen: The Early Years......Page 248
Karen in Treatment: “The Break of a Lifetime”......Page 250
Karen in Treatment: Dialectical Behavior Therapy......Page 251
Pretreatment Stage......Page 252
Increasing behavioral skills (group training)......Page 253
Decreasing suicidal behaviors......Page 254
Decreasing therapy-interfering behaviors......Page 257
Decreasing behaviors interfering with quality of life......Page 258
Third-Stage Treatment: Addressing Longer-Term Issues......Page 259
Assessment Questions......Page 260
CASE 16: Attention-Deficit/Hyperactivity Disorder......Page 261
Billy: From “Dynamo” to “Dynamite”......Page 263
Billy at Home: A Parent’s Perspective......Page 264
Billy at School: A Teacher’s Perspective......Page 265
Billy in Treatment: The Therapist in Action......Page 267
Stimulant medication......Page 270
Parental training......Page 271
Social skills training......Page 272
Token economy......Page 273
Epilogue......Page 274
Assessment Questions......Page 275
CASE 17: Autism Spectrum Disorder......Page 276
Adam: Clues During the Second Year......Page 277
Adam: Confirming His Parents’ Worst Fears......Page 279
Adam: Seeking an Early Start......Page 280
Michelle and Joe: Trying Everything......Page 283
Growing Child, Growing Problems......Page 284
Adam at 3: Preparing to Enter the System......Page 285
Adam at School: Fully Entering the System......Page 290
Epilogue......Page 291
Assessment Questions......Page 292
Case 18: You Decide: The Case of Julia......Page 293
Julia: Measuring Up......Page 294
Julia: Coping With Stress......Page 295
Julia: Spiraling Downward......Page 297
Rebecca: Losing a Roommate......Page 298
CASE 19: You Decide: The Case of Fred......Page 301
Margaret: “My Husband’s Brain Stopped Working Properly”......Page 302
Fred: “Preparing for a Trip to Nowhere”......Page 304
Margaret: “A Long Goodbye”......Page 305
CASE 20: You Decide: The Case of Suzanne......Page 308
Suzanne: A Sign of Things to Come......Page 309
Suzanne: Entering the Big Leagues......Page 310
A Mother’s View: “You’ve Got to Stop This”......Page 313
Clinical Information......Page 316
Common Treatment Strategies......Page 317
Clinical Information......Page 318
Common Treatments......Page 319
Clinical Information......Page 320
Common Treatments......Page 321
References......Page 323
Name Index......Page 357
Subject Index......Page 361