Case # 2: John 45-year-old married Hispanic man Married, three sons…
Question Answered step-by-step Case # 2: John 45-year-old married Hispanic man Married, three sons… Case # 2:John45-year-old married Hispanic manMarried, three sonsHe is well educated and successful (he is a high school principal)He has been experiencing difficulties with panic attacks for the past 15 years.Despite a number of consultations with mental health professionals throughout the prior several years, his panic attacks had not decreased substantially. In fact, they had increased in frequency when he and his family moved to upstate New York so that he could begin work at a new school.John reports experiencing panic attack that a few months while he was driving with his family to a computer store.He states that not been aware of feeling anxious before the attack, although he recollected that he might have been “keyed up” over the kids making a lot of noise in the back seat.John states that the attack began right after he had quickly turned around to tell the kids to “settle down.”Immediately after he turned back to look at the road, John felt dizzy.As soon as he noticed this sensation, he experienced a rapid and intense surge of other sensations, including sweating, accelerated heart rate, hot flushes, trembling, and the feeling of depersonalization.John states that he has been even more hesitant about driving since then, particularly on the road where he had experienced the attack.The majority of his panic attacks had now become associated with specific situations.John reports that he still occasionally had panic attacks that came totally out of the blue.He notes that while he was having only a few attacks per month on average, he was experiencing a high level of anxiety every day, focused on the possibility that he might have another panic attack at any time.John has developed extensive apprehension or avoidance for a variety of situations. These include driving (particularly long distances or interstate driving), flying, riding in elevators, being in wide open spaces (e.g., empty parking lots), taking long walks alone, going to movie theaters, attending church, and being out of town.What is your diagnosis? Why? Why not something else? What treatments would you suggest? Why might they be effective? Why might they not be effective? Social Science Psychology PY 203 Share QuestionEmailCopy link Comments (0)
