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Week 10 Discussion
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Week 10 Discussion
Question 1
Whereas obsessive-compulsive behaviors are used in the diagnosis of obsessive-compulsive disorder, a mental abnormality, not all obsessive-compulsive behavior is abnormal. Obsessive-compulsive behaviors become regarded abnormal and meet the diagnosis criteria for obsessive-compulsive disorder if they persist for more than an hour, bother the victim a lot, and get in the way of his life (Wells, 2013). If the behaviors do not meet the three conditions, then they are not considered abnormal, and they are experienced by approximately 94% of the human population. Examples of normal obsessive-compulsive behaviors include double checking things, repeating some words, arranging things just for the sake, praying excessively, and accumulating junk material such as food containers and old newspaper.
Question 2
The DSM, a clinical reference for diagnosis classified Generalized Anxiety Disorder and Obsessive Compulsive Disorder as anxiety disorder until 2013 when the fifth edition of this reference separated the two with GAD remaining in the section of anxiety disorders and OCD moving to a new section named Obsessive-Compulsive and Related Conditions (Wells, 2013). The two conditions differ in both behavior and thought patterns.
Behavior Differences
“Whereas people with GAD worry a lot, they do not cope with this anxiety through engagement in compulsive, ritualistic behaviors (Wells, 2013).” “People with OCD conversely deal with their anxiety by typically engaging in compulsive, ritualistic behaviors (Wells, 2013).

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” These behaviors are premised on a belief that they might prevent the occurrence of a feared outcome.
Thought Pattern Differences
The concerns that cause worry in people with GAD are real-life concerns. The topics are usually appropriate to cause worry in one’s life except that people with GAD worry about them in excessive degrees (Wells, 2013). On the contrary, people with OCD worry about unrealistic concerns, some of which may be laced with magical qualities (Wells, 2013).
Question 3
Post-traumatic stress disorder is a mental disorder that is marked by the failure of a person to recover after he/she witnesses or experiences a terrifying event (Barnhill, 2013). The person, therefore, experiences uncontrollable thoughts or anxiety about the event. Acute Stress Disorder refers to the mental illness symptoms which one develops within a month after he/she is exposed to a traumatic stressor (Barnhill, 2013). The symptoms of these two conditions are the same. The major difference between the disorders is thus the time frame of the symptoms. When they last for less than a month, then the person is said to have suffered an acute stress disorder. When they last for more than a month, then the condition is PTSD.
Question 4
A person is said to have Body Dysmorphic Disorder if he/she is preoccupied with slight or non-existent physical appearance defects with the result that he/she believes that he/she looks abnormal when in reality there is nothing wrong with him/her (Barnhill, 2013). Even though this condition is common, it is largely under-recognized. Its key clinical features include impaired functioning, distress, and suicidal ideation.
Question 5
Even without looking at the diagnosis and discussion of case 7.4, my diagnostic impression of Eric Reynolds was that he has a Post-traumatic stress disorder. Reynolds’ former occupation informed my diagnostic impression of his case. Being a Vietnamese war veteran, Mr. Reynolds must have experienced a lot of traumatizing events in the battlefield, the memories of which were presented in his symptoms. I also ruled out the possibility of acute stress disorder since his symptoms have persisted for decades. My diagnostic impression of the case was the same as the diagnosis presented in the book.

References
Barnhill, J. W. (Ed.). (2013). DSM-5® Clinical Cases. American Psychiatric Pub.
Wells, A. (2013). Cognitive therapy of anxiety disorders: A practice manual and conceptual guide. John Wiley & Sons.

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