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Introduction To Patient and Condition

Mental health nursing research case study

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Hasnain Khan
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7 views

Introduction To Patient and Condition

Mental health nursing research case study

Uploaded by

Hasnain Khan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Introduction to Patient and Condition

Ms. X, a 20-year-old MS student at a reputable institution in Karachi, Pakistan, is seeking help for her
mental health concerns. She comes from an upper-middle-class family and is the firstborn of two sisters.
Her father works abroad, and her mother is a homemaker. Ms. X's problems started when she moved to
Karachi for her studies. She was previously living abroad with her family but came to Pakistan for higher
education. She feels anxious, lonely, and fearful, and has difficulty sleeping and eating. She also
experiences crying spells, negative thinking, and guilt feelings. Sometimes, she becomes depressed and
has pain in her legs.

In her childhood, Ms. X experienced traumatic events that she hasn't shared with her mother. Her
parents' strained relationship and her father's criticism have contributed to her negative self-image.
Despite her good relationships with friends and academic success, Ms. X struggles with self-doubt and
fear. Ms. X underwent several psychological tests, including the intake card and Case History Sheet,
Bender Gestalt Test, Human Figure Drawing Test, Thematic Apperception Test, and Rorschach Inkblot
Test. The results show that her anxieties and depressive feelings come from both external sources and
internal conflicts. She has the potential to overcome her struggles with the right support and therapy.

Identified Negative Behaviours Related to Disorder


Ms. X's symptoms include:

 Anxiety symptoms (nervousness, irritability, palpitation, fearfulness)


 Depressive feelings (crying spells, negative thinking, guilt feelings, intra-aggression)
 Traumatic experiences (sexual) in childhood
 Poor relationships with parents (criticism from father, lack of emotional support from mother)
 Fear of future (especially regarding her male friend)
 Sexual desires contributing to guilt and sadness.

Qualifying the Patient for Suggested Therapy


Ms. X meets the criteria for relaxation therapy due to:

 Diagnosis of Anxiety Disorder Not Otherwise Specified (DSM-IV-TR, APA, 2000)


 Presence of depressive symptoms
 History of traumatic experiences
 Poor relationships with parents
 Fear of future and uncertainty
 Self-criticism and negative self-image
 Intellectual potential and meaningful relationships
 Ability to perceive things in a realistic and conventional way

Relaxation therapy* is recommended to help Ms. X manage her anxiety symptoms and improves her
overall mental health
Therapy Phases
 Initial Phase :
Obtaining necessary permissions, informed consent, and ensuring confidentiality
 Assessment Phase :
Conducting in-depth interviews, psychological evaluations, and
administering anxiety and depression scales
 Therapy Phase:
Facilitating emotional release, restructuring negative thoughts, and
implementing relaxation techniques (deep breathing, progressive muscle relaxation, recreational
activities, time management, and sleep management)
 Follow-up Phase :
Evaluating symptom improvement, conducting follow-up sessions, and
monitoring overall progress (8 months)

Therapy Outcomes
 Significant reduction in anxiety and depressive symptoms
 Improved sleep quality, concentration, and academic performance
 Decreased negative self-talk and feelings of inadequacy
 Enhanced positive self-image and engagement in constructive activities
 Improved relationships with family members
 Client reported noticeable improvement in therapy sessions and follow-up
 Pre-post comparisons of scores and subjective ratings revealed a clear association between
psychological interventions and symptom improvement

Physiological Considerations
 Relaxation techniques effectively managed sleep disturbances, nervousness, and impulsivity
 Client reported reduced tension and anxiety
 Relaxation therapy fostered a positive home environment

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