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DrCatPerson483
Write diagnosis and differential diagnosis for Vada Sultenfuss from…
Write diagnosis and differential diagnosis for Vada Sultenfuss from My Girl using Psychoanalytic theory (movie)
Diagnosis: illness anxiety disorder (care seeking) 300.7 (F45.21) in DSM-V TR
differential diagnosis: Factitious Disorder Imposed on Self (F68.10)
notes:
“While the concern may be derived from a non pathological physical sign or sensation, the individual’s distress emanates not primarily from the physical complaint itself but rather from his or her anxiety about the meaning, significance, or cause of the complaint” : the meaning of death? Scared of all the dead in the basement so “wants to join em”? Guilt for mom’s death? Wants attention from dad?
“The preoccupation with the idea that one is sick is accompanied by substantial anxiety about health and disease (Criterion C).”: checking Thomas’ head for him having an illness, best friend is allergic to everything
“Their concerns about undiagnosed disease do not respond to appropriate medical reassurance, negative diagnostic tests, or benign course. The physician’s attempts at reassurance and symptom palliation generally do not alleviate the individual’s concerns and may heighten them.” : doesn’t believe her dr is capable
“Illness becomes a central feature of the individual’s identity and self-image, a frequent topic of social discourse, and a characteristic response to stressful life events.” : when she didn’t get attention she would exhibit symptoms like laying on the ground pretending to not be able to move? convo with uncle about dad loving shelly, she went to the doc the following the
Individuals with the disorder often examine themselves repeatedly (e.g., examining one’s throat in the mirror) (Criterion D)
Associated features
They generally have elevated rates of utilization of medical and mental health services compared with the general population
obtain repeatedly negative diagnostic test results
generally dissatisfied with their medical care and find it unhelpful, often feeling they are not being taken seriously by physicians
Prognosis/risk
Illness anxiety disorder may sometimes be precipitated by a major life stress or a serious but ultimately benign threat to the individual’s health. A history of childhood abuse or of a serious childhood illness, serious illness in a parent, or death of an ill parent during childhood may predispose to development of the disorder in adulthood(Alberts et al. 2014; Alberts et al. 2016; Noyes et al. 2002; Weck et al. 2014a).
Image transcription text
People in her life: Harry – Father Thomas -Best Friend Shelly – Friend/Father’s Fiance Grandmoo –
Grandmother Mr. – Teacher Arthur – Dad’s co-worker Phil – Uncle Case Summary Vada Sultanfuss is a 11 year
old girl who lives in a small town in Pennsylvania. Vada lives with her father, Harry, who is a successf…
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