Jeremy is a 30 year old married real estate broker who introduces himself as “I’m Jeremy and I’m having a nervous breakdown.” “I’ve always been a big worrier, but this is totally out of control.” Jeremy insists that his wife is in on the interview because he is falling apart and can’t think straight. His wife reports that Jeremy is always keyed up and acts as if driven by a motor. He complains that he has chronic diarrhea, a chronically upset stomach, and can’t concentrate at work. At work, he misses important details, his mind is elsewhere, starts projects and doesn’t finish, misses’ appointments, and fails to return calls. He is constantly losing things and becomes very angry at others when this happens.
Jeremy grew up “as a caboose child” as the son of older parents in an affluent, privileged, and steeped in southern tradition, family. His father and grandfather attended a Northeastern Ivy League school, and Jeremy felt compelled to continue the tradition, but was an average student with average ability. He became a “legacy admission” who felt tremendous pressure to achieve and he began obsessing about grades, the right social activities, and at times would become overwhelmed and literally paralyzed, to the point of inaction. “Somehow I got through, but college took a toll on me.”
Once he married “the right girl” and moved back home to be employed in his parents’ real estate firm, the pressure and worry lifted. Things were fine until two years ago when his father was caught in a long-term affair and was divorced by Jeremy’s mother. The business, which Jeremy was running by this time almost went bankrupt in the divorce. While the company is back on its feet, Jeremy has been unable to suppress his nervousness and worry. He lies awake at night worrying about how he would support himself if the company goes “belly-up.” He is obsessed about the fact that his daughter, who has significant medical issues, might not be able to get health insurance if the company goes broke and he has to take another job. He acknowledges that he comes home at night and “has a couple of beers to take the edge off,” but does not feel he has a problem with alcohol. His wife agrees with this assessment.
DSM 5 I have chosen is Anixiety
identify the common forms of treatment for this individual outlining both the pros and cons of each treatment.
a minimum of three sources; one of which should be the DSM-5. Please make sure the sources are from within the past 10 years
