Ch : 4.

PSYCHOLOGICAL DISORDERS

1. Nakshahra is a person who is employed In The IT Industry. She BELIEVES That her
team leader is PLOTTING against her, SPYING her and she
thinks that she is being attacked or threatened.
A. Identify t h e disorder.
B. What is the symptom?

2. Spandhana is a person who is very afraid of Germs. She REPEATEDLY WASHES her
hands and legs and she used to wash even the coins. She repeatedly does these
activities and she cannot stop doing this. Because of this behavior, Spandhana is even
late to her work and this has affected her normal day to day activities.
A. Identify the disorder.
B. Name the other disorder which is included under this category.

3. Ashish hails from a Fisherman family. They Lived near the coastal areas.
When he was 5 years old, he and his family were terribly affected by the TSUNAMI
which happened in the year 2004 December. After this
a particular incident of Tsunami Ashish had recurrent dreams, flashbacks.
He was unable to concentrate on anything
A. Identify the disorder
B. Name some disorders which are included under this category.

4. Samara is always worried about developing a new illness. When Samira’s friend
Aadhya talks about another person's illness Samaira was EASILY ALARMED. Samara is
always anxious about her health. She is not satisfied even with the doctors' assurance
A. Identify the disorder with the help of the above-mentioned case
study.
B. What is the major difference between the above -mentioned disorder in the case
study and Somaticsymptom disorder?

5. Ankitha has suicidal thoughts and find it difficult to reveal this to

anybody fearing about what others will think of her. The reason behind
this act of Ankitha is because of the stigma surrounding the suicide in the society despite
recent advances in Research in this field. Mention Some measures suggested by the
World Health organization to prevent suicides.

6. Nakul is a Ten-year-old boy. He is very STUBBORN and HOSTILE while

dealing with people. This has severely affected Nakul's interpersonal relationships. He is
very disobedient. When questioned by his parents Nakul says that he is not angry and
tries to justify his behavior as a reaction to the circumstances.
A. Identify the disorder.
7. Aadharshini Complains that she has difficulty in walking. But the medical evaluation
does not prove this.
A. Name the disorder that Aadharshini is suffering from.

8. When Ishikha was a child her mother used to feed her by narrating scary stories about
Crocodiles. One day an excursion to Guindy National Park is arranged by the school.
When Ishikha saw the Crocodiles in the Guindy
National park she experienced INTENSE FEAR and terror and she immediately left the
place.
A. Name the disorder that Ishikha is suffering from.

9. Janasya is always a top scorer in the class . But due to some reasons in three
consecutive exams she scores less. This makes her feel that she is worthless and
develops feelings of guilt. She even had suicidal thoughts. Gradually Her Body weight
changed, she is having sleep problems. She lost pleasure in activities.
A. Identify the disorder that Janasya is suffering from.
B. Mention the factors that predisposes a person towards depression
C. Women are particularly at risk during…………, while men are particularly at risk
during……………

10. The parents of a seven - year - old boy take him to a medical practitioner because
they are increasingly concerned about his behavior not only in School but also at home.
His parents complain that he is not able to sit still and have meals at home. The mother
says that dinner time has become very unpleasant because of his behavior. The Sister of
the boy complains that he is not able to sustain his attention even during play. The family
is worried as there are constant complaints about the boy from the teacher and also his
fellow classmates. The teacher complains that he does not listen to the instructions. The
teacher says that the boy is in constant motion. He cannot sit still and listen to the
classes. The teacher and parents describe the boy "as driven by a motor "
A. Identify the disorder that the boy is suffering from.

11. Disha is a 16-year-old girl. Disha's mother observe's her behavior to be

abnormal. Disha's mother plans to take her to a Shaman or Ojhaa.
A ……........is a practice of removing the evil that resides in a person through counter
magic and prayer.
B. Who is a shaman or medicine man?

12. Aadhanya Is a 17-year- old girl. She is invited to a birthday party by her friend Avni.
In the birthday party Aadhanya refuses to eat in front of others.
She constantly complains about being fat to her friend Aditi even though she is not fat .
She frequently looks into the mirror and does repetitive weighing. Aadhanya's family
reported that in these days Aadhanya has lost considerable amounts of weight by
starving herself.
A. Identify the disorder that Aadhanya is suffering from.
13. Shaarav Is born and brought up in Thanjavur. He even works in Thanjavur. One day
he wakes up from the bed and tells his name to be Dhruva and says he has been
working in Chennai for years. He is not able to recognise his surroundings like even his
own dress.
A. Identify the disorder that Shaarav is suffering from

14. You see Jill (age 24) in the emergency room of a hospital where her parents have
brought her for evaluation. They are worried because she is giving away all of her
possessions and says she is planning to move to Seattle so she can "save the world."
Her parents say that she has hardly been sleeping at all, but she seems very energetic.
They say she has appeared to be "in a frenzy" lately. When you interview Jill you notice
that she speaks very rapidly. It is hard to get her to be quiet long enough for you to ask
questions. She seems agitated, and has difficulty sitting still.

15. Morris has been referred to you for psychotherapy following a suicide attempt. When
you interview him he is very teary. He speaks slowly and looks down at the ground as he
speaks. He reports difficulty in falling asleep and staying asleep for the past month.
Morris states that he hasn't had much of an appetite and has lost 15 pounds. He reports
that things he used to like just don't seem enjoyable anymore, and he thinks that life is
not worth living. Morris doesn't expect things to improve in the future, which is why he
tried to kill himself.

16. Lenore has been feeling very sad since her husband died 12 days ago. She has
eaten very little, and has difficulty sleeping. She is weepy most of the time. Lenore is
preoccupied with thoughts of her dead husband and does not want to do much other
than thinking about him. She has declined all invitations by friends and spends most of
her time alone.

17. Elise is a 35 year old architect. She comes to you in great distress, feeling that
sheisunabletowork, and generally unable to function. She says that she feels tired all the
time, to the point of feeling completely exhausted. She says that she cries easily, and
almost every day. She is having difficulty sleeping, and has lost 20 pounds in the last 2
months without trying. She says that things have been "real bad" forthe last 2 months;
she doesn't enjoy doing anything and thinks frequently of suicide. However, she also
says that she has never been a very happy person. She says that things rarely go right
for her, and she has given up on expecting good things to happen for her.

18. Amy, age 38, is a worrier. She is restless, irritable and has difficulty
concentrating. She worries that she worries so much and isn't always sure what it is that
she is worried about. She can't let her husband or children leave the house without
making them call her regularly to reassure her that they are ok.Her husband is growing
weary of her fretting. Her children can’t understand what all the fuss is about. Their
impatience with her only makes her worry more.
19. Hannah, age 55, was in a major car accident 20 years ago during a cross country
trip. Ever since, she has been unable to drive on major highways. Although she does
drive, she goes to great lengths to travel only on back roads and scenic routes. She is
able to go where she wants but it often takes her much longer to get there than it should.

20. Bert is 40 years old and works on an assembly line in a brush factory. He is terribly
afraid of being contaminated by germs. He avoids shaking hands with others. He won't
eat in the cafeteria. He has trouble leaving the bathroom because he isn't sure he has
washed his hands well enough.

21. Joanne, age 32, is involved with the first man that really counts in her life. As the
couple has become more intimate, Joanne has started to have flashbacks about an
uncle who touched her sexually when she was only eight years old. She is distressed to
find out that she is shutting down feelings about her boyfriend and distancing herself
from him. Although she has been sexual with other men, she says she can't stand to let
herself be sexual with someone she Ives and trusts. She startles easily and reports a
general increase in anxiety. She is very angry that h e has to deal with the feelings about
the incidents with her uncle that happened so long ago. She says that she thought she
had gotten beyond all that.

22. A 28-year-old woman is a rising junior executive in her investment company. Her
increasing duties require her to make periodic formal presentations to the senior
management of the company. However, she becomes intensely anxious at the thought of
speaking in public. When she is forced to give a presentation she begins to feel anxious
days in advance of the talk and the anxiety increases as the time for the talk
approaches. She is concerned that her anxiety will become noticeable during the talk or
that she will do something to embarrass herself.

23. A 28-year-old woman was walking through her local shopping mall when she began
to feel intensely anxious. The anxiety was accompanied by sensations of choking,
smothering, and sudden sense that the people and st
were unreal. She began to fear that she was going crazy and the more she worried
about this the more anxious she became. A guard, seeing that she was in distress,
brought her to the mall office where she was able to lie down. A few minutes later the
symptoms began to subside. She went home after leaving the mall but she did not tell
her husband what happened. A week later she had a similar attack while she was
walking down the street. She was able to reach her house where she lay down until the
attack ended. In the following three weeks she had two or more attacks. Between the
attacks she was constantly worried about having another attack. The patient was finally
forced to tell her husband about the problem because she was so fearful of not being
able to get help if an attack occurred that she would not leave her house alone or travel
on public transportation.
24. A 35-year-old clothing salesman was showing a particularly fussy customer a suit 2
months ago and suddenly began to sweat profusely. His heart started to pound, he felt
dizzy, and became fearful that he was about to die. The customer didn't notice his
condition and continued to question him about the suit in minute detail. The patient,
feeling faint, abruptly left the customer and went to lie down in the back of the store. The
customer became insulted, complained to the manager, and left. When the manager
found the patient he was slumped in a chair in the back room trembling. Approximately
10 minutes later the patient's symptoms began to subside. He saw his physician the next
day who found no evidence of any medical problems. Two weeks later, he had another
similar unexpected attack. Since that time he has worried continuously about having
another attack. His friends and colleagues have noticed that he is no longer as
spontaneous and outgoing as he had been in the past.

25. A 26 year old man is very concerned about cleanliness and hygiene. He spends a
significant amount of time each day washing his hands or showering, especially after
touching a toilet seat, doorknob, or any other item he thinks may be dirty or
contaminated. The patient explains that he is concerned about becoming infected or sick
from touching these objects. He periodically acknowledges that the washing is excessive
but explains that he becomes very anxious when he tries to avoid washing and
eventually feels compelled to wash even more to make up for the omission.

26. A 27-year-old, athletic young man has an intense fear of needles. He tries to
rationalize his fear by explaining that he is just being cautious and protecting himself
from acquired immunodeficiency disease syndrome (AIDS). He realizes that his fear is
irrational but is unable to control it. The patient has fainted twice in the past when his
blood was drawn during a physical examination. He becomes extremely anxious at the
sight of a needle and worries for days before an appointment with his physician or
dentist.

27. A 36 year-old man and his young son were driving through an intersection when
another car ran through a red traffic light and struck them. The two were trapped in the
car until a fire department rescue team freed them. The patient was bruised but not
seriously hurt. His son had a broken leg. The first few days after the accident the patient
was preoccupied with arranging care for his son and getting the car repaired. A few days
later he began having recurrent distressing thoughts and images of the accident. The
memory of his son's screams after the car was struck seemed particularly vivid. The
patient became irritable, had difficulty concentrating, and avoided talking about the
accident. He went out of his way to avoid driving down the street where the accident
occurred. These symptoms lasted for several weeks.

28. Jack graduated from high school and got a job working in a video store. After
working for about 6 months Jack began to hear voices that told him he was no good. He
also began to believe that his boss was planting small video cameras in the returned
tapes to catch him making mistakes. Jack became increasingly agitated at work,
 particularly during busy times, and began "talking strangely" to customers. For example
one customer asked for a tape to be reserved and Jack indicated that that tape may not
be available because it had "surveillance photos of him that were being reviewed by the
CIA''. After about a year Jack quit his job one night, yelling at his boss that he couldn't
take the constant abuse of being watched by all the TV screens in the store and even in
his own home.

29. Rajini after her husband’s accidental death suddenly went into a paralyzed state, the
doctors couldn’t find any biological reason for her condition.
A. Write on possible reasons for her condition.

30. Seven year old Ben dislikes staying away from his parents even going to school
is fearful for him. He throws tantrums in the morning to avoid going to school.
A. Write on the disorder these symptoms signify.

31. Veer began to see doctor smith 3 months ago regarding his abdominal pain that he
has been experiencing for a year now. Changing his diet did not help. Dr. Smith performed
various tests but they are all normal.
A. Write on the condition that veer is undergoing.

32. Joshiva scores less marks in a class test. He thinks of himself as a useless person
and he couldn’t be able to achieve anything in life.
A. Which psychological model highlights Joshiva’s case - explain?

33. 21 year-old Akash refuses to visit his grandma, who is on her deathbed in the hospital
for fear of germs. Write on the possible cause/disorder that Akash is undergoing.

34. Lisa was given chocolates as a reward each time she did a good deed. Which learning
method is practiced here, explain?

35. Viji was extremely upset after the embarrassing event at the office late that day while
returning home usually, she boarded the train to a far off hill station and called herself Asha.
Analyze the statement.

36. Ms. B calls the police at midnight and informs that her husband is trying to/ plotting to
kill her. On arrival the police find him sleeping soundly in the bedroom with no clue of what’s
happening. This is the third time that she is making such a call.

37. Pratap tells everyone that he is an incarnation of lord krishna and that took birth in
kaliyuga.

38. Shopkeeper finds Raj finds a regular customer, one Ms. R always purchases things from
him and believes that Raj is in love with her.
 39. Aravind would often be seen talking to himself. On questioning he states that there were
people around whom he could see and hear when no one was around. Identify the symptoms of
disorder of Schizophrenia.

40. Sameera keeps organizing in her cupboard the whole day even the thought of somebody
messing it keeps her disturbed in class and makes her anxious.

41. Fathima is experiencing generalized anxiety disorder. Explain the causes with reference to
diathesis stress. Odel which may have led to the disorder.

42. Aman is an 8yr old with profound difficulty in relating to other people. Often he is found to
be unresponsive to other people’s feelings and exhibits stereotypical patterns of behavior.

43. Arjun , after a stressful incident at workplace , boarded a train and landed in an unknown
city and started calling himself as Vishnu. Nobody in the new city knew anything about him.
One day on waking up from sleep, he started asking people around as to who they
were and how he reached that place.
A. Identify the disorder and explain.
B. Explain the other disorders in the same category.
C. What could be the cause of this disorder?- explain with reference to the psychological
model of disorders.

44. Amulya is a 5 year old girl who is admitted into a pre-school. On the first day of her school
Amulya’s mother was present in the school to make her comfortable with the school set up.
Amulya played games well and was very happy in the presence of her mother. On the second
day when Amulya's mother was about to leave , Amulya threw tantrums. After this show clings
to her mother’s shadow
A. Identify the disorder that Amulya is suffering from.