Jenuria Mangie (not his real name) is an adult male, born to Amerasian-African-American parents who came to the US as immigrants in the 1930s. He grew up in a relatively middle class neighborhood as his father was well connected with an influential person in the government. Popularly called Jenur to his friends and family, this man is seen as having a dynamic and charismatic personality, the reason that he had been doing well in the field of business and marketing. He was able to raise two daughters who are both now in their teen years.
His wife is also in the marketing area as a consumer behavior specialist and equally receiving a well-paying job. Jenur’s problems were actually more real as he approached middle age. He remembered very well that he had gone through similar situations but it was not even remotely considered outstanding then or as frightening as they are now. He has episodes of panic; intense fear with waves of sensations of being unable to control what was happening, being sick and gasping for air, as well as the feeling of dread that he would collapse.
It has become paralyzing to him especially that he leads a very intense and busy life at work and at home. He remembered this was aggravated when he was abroad and that he had several bouts as well of asthma, which made him so insecure about his physical condition. Upon initial consultation, the client unveiled the source of concerns. Apparently he has an Axis I disorder with the primary symptoms and problems indicated under the cluster of Anxiety Disorders.
He has definitely experienced Panic episodes and with what he related, what kept coming up were symptoms that can easily be connected to this specific disorder. The problem is not very simple as there is comorbidity with an Axis II diagnosis under the obsessive-compulsive personality disorder criteria. Jenur’s experience with Asthma did not lessen his doubts or his concerns with his physical condition; however, what doubled his worries were these repeated episodes of panic during both daytime and nighttime whenever he would leave home.
This kind of pattern evidently started to curtail his activities especially his important commitments (wikipedia. org; Nevid, Rathus and Greene, 2008). What made this a difficult case at the outset is that an underlying problem involves his personality as he appears to possess an obsessive-compulsive personality disorder. He appears to his loved ones as an exacting person. He does crack jokes on a regular basis which has helped tide him over those intense moments several times but he is starting to look into himself and what type of person he really is.
His wife related that he cannot be at peace with himself and with others if he cannot express fully what his demands are and what he thinks the other person must do. And he does that over and over again. He is so exacting that his daughter seems to think at times at he is not satisfied with her performance and not content with having a daughter like he has (Nevid, Rathus and Greene, 2008). He started to see his doctor because he was experiencing severe stomach spasms as well.
When the doctor listened to his list of complaints, he recommended he see a psychologist immediately. Meantime, he gave him Iterax to make him sleep and lessen the panic episodes. His wife said that he cannot be dependent on a drug and must look at his problems in the inorganic point of view. The sessions with the client were fruitful, as his self-awareness has greatly increased. He agrees that his “standards” kept him from enjoying a pain-free, worry-free life. Actually, he did not realize that his anxiety disorder were long with him since childhood.
It was not something very significant to him then as he was avoiding anything that lessens his sense of invincibility. The traits emanate from early adolescent period as well, when becoming a control freak was something he was so proud of (Nevid, Rathus and Greene, 2008). Interventions We went through the diagnosis bit by bit. The therapeutic option I discussed with him was CBT-Cognitive Behavioral Therapy. Learning approach or behavioral perspective sees the disorder as derivative from the acquisition of behaviors from conditioning and observing others (Nevid, Rathus and Greene, 2008).
Cognitive approaches however, sees it differently in that it takes into consideration patterns of thinking such as the role of belief system, set of expectancies, and attitudes as critical to the development and the recovery as well of the patient or client (Nevid, Rathus and Greene, 2008). Reference: 1. Nevid, Jeffrey, Spencer Rathus, & Beverly Greene (2008). Abnormal Psychology in a Changing World. Pearson Prentice Hall. 2. wikipedia. org