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AZA4420 Adult Psychopathology

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AZA4420 Adult Psychopathology

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AZA4420 Adult Psychopathology

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Course Code: AZA4420
University: Monash University is not sponsored or endorsed by this college or university

Country: Australia

What’s the Patient Psychological Mechanisms?

The report focuses on the analysis, diagnosis and recommendation of treatment of a patient. The report focuses on the use of the Cognitive Behavior Theory (CBT) for the case study and recommendations of treatment of the given patient. The CBT is based on the concept of working together of cognition (the thoughts), emotions (the feelings) and behavior (the actions) (Kendall & Hollon, 2013). In the given case how these three determinants and their study shows the mental health of the patient. In the study, the past of the subject along with the social environment and the emotional balance help in the diagnosis. The resulting treatment method helps in treating his issues using the therapies of CBT.
The analysis of the patient’s history shows many impressionable events, which must have a great impact on the psyche of the patient. The constant imagination of the death of his father and the marriage of his mother to another man must have greatly affected him. The imagination of beaten up by his stepfather, the inability of his mother to protect him affected him negatively and affected his behavior of self-preservation and it further aggravates his negative thoughts. The constant failing of his own marriage is because of the imaginary troubles he has faced, he over dramatizes the situations he has faced. The effect of the medicine on his sexual prowess has further aggravated his depression making him more upset about his condition and harming his relation with his wife. The failure of his marriages he has faced is affected by the constant fear ingrained in him. The subject has the habit of blaming the situation he is facing as the divine wrath. This ideology makes him powerless to face situations and find a solution to them.  The idea of the divine wrath can be related to the patient’s strict religious beliefs and a habit of self-blaming (Park & Slattery, 2013). This habit can be related to his imagination of being powerless in the hands of his father and therefore blaming himself for whatever issues he was facing.
Based on the history and the current emotional status of the patient, there may be different results of the analysis of the patient. The patient’s constant overflow of emotion and imagining scenarios can be a result of depression (Alpert& Fava, 2014). Depression makes him think he is incapable of taking actions and have conclusive decision-making capabilities. The patient evidently also suffers from depression because of the traumatic and negative impact of the life he imagines he has faced resulting in feeling unimportant (Gilbert, 2016). The depression can be the reason of all the negative thoughts and his emotional reasoning of feeling unimportant in the social circle stemming out of the failed relationships and the emotional misbalance arising out of them. All the effects of human faults and his own drawbacks are put on divine justice to avoid taking any action about them. The issues faced by him are a complex of emotion and behavior which is a resultant of a number experiences he has faced through his life.
There are different types of treatments in the Cognitive Behavior Therapy (CBT) for the various issues faced by the patient. Aaron T. Beck initially developed the CBT for treatment of eating disorders (Boland, Tansey & Brooks, 2015). There should be mix of individual and social approach to treat the issues of this patient.
Cognitive reconstructing can treat the depression faced by the patient. The cognitive reconstructing of the emotions helps in the treatment of depression. The self-help technique is used in this type of treatment (Cuijpers, et al., 2013). To treat the depression of this patient the process of automatic thought record can be used (Neimeyer & Feixas, 2016). In this technique, the patient has to write or record his taught along with the chain of reactions and their results. The context of thought, the chain of the thought and the result of the thought is recorded for the self-evaluation of importance and validity of the thought. This helps the patient in constructing his behavior to focus on constructive thought processes thus helping in depression. It also helps the psychiatrist in analyzing and understanding the thinking mechanism of the patient. The constant record of the patients thought process would help in counseling the patient for the various emotional fluctuations he is facing. A plan can be made for the patient for doing his regular tasks so that he finds pleasure in them and it helps in his depression.  The process can be done in different parts by the patient

Cause: The patient records the cause of the unpleasant emotion felt by the patient, the reason that initiated the thought process.
Automatic thoughts: The causal thoughts gave birth to which automatic thoughts and how real the automatic thoughts seem.
Emotions: The emotions felt as the effect of the automatic thoughts are recorded. The intensity of the emotions is also recorded so the patient can see it later.
Adaptive Response: this analyses the thought processes that led to the complex behavior. A set of questions to be answered to reason the thought process and the percentage of each response.
Outcome: This evaluates in percentage the belief of the patient on the adaptive response he gave. It also records the present emotions and their intensities. It helps in the evaluation of the success or failure of the process by the psychiatric help he is taking.

The process of Pleasant Activity Scheduling can also be used, which a process to schedule a series of activities which the patient can look forward to (Orgeta, Brede & Livingston, 2017). These can include simple activities, which help the patient feel pleasure like watching movies, or going on a trip. The pleasures felt by the patent will help them neutralize depressing emotions.
Therefore, in this report the case of the patient has shown a number of psychological issues arising out of his life experiences. The detailed analysis of his past and his present symptoms show a number of different issues including depression. The traditional treatments of the issues according to CBT have been recommended. The use of these methods will help in the patient’s psychological development
Alpert, J. E., & Fava, M. (2014). Handbook of chronic depression: Diagnosis and therapeutic management (Vol. 25). CRC Press.
Boland, E. A., Tansey, T. N., & Brooks, J. (2015). Cognitive behavioral therapy. Counseling theories and techniques for rehabilitation and mental health professionals, 90.
Cuijpers, P., Berking, M., Andersson, G., Quigley, L., Kleiboer, A., & Dobson, K. S. (2013). A meta-analysis of cognitive-behavioural therapy for adult depression, alone and in comparison with other treatments. The Canadian Journal of Psychiatry, 58(7), 376-385.
Gilbert, P. (2016). Depression: The evolution of powerlessness. Routledge.
Kendall, P. C., & Hollon, S. D. (Eds.). (2013). Cognitive-behavioral interventions: Theory, research, and procedures (Vol. 21). Academic Press.
Neimeyer, R. A., & Feixas, G. (2016). The Role of Homework and Skill Acquisition in the Outcome of Group Cognitive Therapy for Depression–Republished Article. Behavior therapy, 47(5), 747-754.
Orgeta, V., Brede, J., & Livingston, G. (2017). Behavioural activation for depression in older people: systematic review and meta-analysis. The British Journal of Psychiatry, bjp-bp.
Park, C. L., & Slattery, J. M. (2013). Religion, spirituality, and mental health.

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