Please complete the following in it’s entirety. There are 2 discussions on this post. For the treatment plan please be thorough. Must include specific medications and dosing as well as therapies, if any.
1. Mrs. T. is a 62-year-old woman who immigrated from Taiwan with her husband to rejoin their son who moved to the United States for a job eight years ago. Mrs. T. had a difficult time adjusting to life in a new country but was very happy to be reunited with her son and his wife, who are expecting a baby. Mrs. T. only speaks Mandarin and she moved to a neighborhood with a high concentration of Chinese speaking immigrants, which was helpful in acclimating.
About six months after moving, Mr. T. unexpectedly passed away. Her son’s job transferred him to a city two hours away and very soon after, he and his wife had their baby. Mrs. T. loves the new baby very much, but she feels they have no room in their new life for her. She doesn’t want to move from the neighborhood where she can speak her native language, and she is feeling very sad and alone.
Mrs. T. says she doesn’t feel like doing much of anything and says nothing brings her happiness anymore. She hasn’t been sleeping well and says she spends most of the day in bed watching Chinese television. She is not eating much and has lost about 10 lbs.
Her son rearranged the furniture in her home to improve the feng shui. He would like her to see an acupuncturist and a Chinese herbal medicine specialist in her neighborhood to restore balance to her body.
Use the biopsychosocial formulation grid system below to formulate your diagnosis and develop a comprehensive treatment plan for the case scenario.
What is your diagnosis? Do you agree with the son’s plan as part of her treatment plan? What is your treatment plan?
2. James is 61-year-old divorced male who has suffered from symptoms of anxiety for years. He will wake up feeling great, and then without provocation, he develops a sense of panic. He says his heart races, and he feels nauseated, dizzy, and feels certain he is dying. His daughter is an FNP, and James calls her almost daily, convinced he is having a heart attack. He has undergone extensive physical exams and evaluations, but all tests have been normal. He is in excellent health and takes no medications.
James is a high school history teacher and has always enjoyed his job. He is very active and enjoys coaching the school’s debate team but hasn’t dated since his divorce five years ago. He is also very close with his children and grandchildren. His family history reveals his mother had generalized anxiety and his father died in a car accident at his age. He does not want to start taking medication but is open to therapy.
Please address the following:
How does humanistic therapy, Gestalt therapy, and classical Freudian psychodynamic psychotherapy differ? Which would you recommend for James and why? Include one specific technique from the type of therapy you selected.
