Based on the provided information, Julie is suffering from a severe case of Obsessive Compulsive Disorder. Most people better know this as OCD, a rather common disorder that leads to a dysfunctional life among people. This conclusion was brought by evidence of several symptoms of OCD. These symptoms include anxiety, fear, and compulsive thoughts regarding her symptoms and rituals. Based upon the information the patient provided, it could be that the death of her grandma seeded a growing fear or paranoia of death within Julie during her childhood. The patient seems to be of a kind and considerate nature, which only makes her fears and paranoia worse. She appears to be making her paranoia worse by concerning over fictitious threats to another's
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Using the psychodynamic approach, Julie's OCD could be used to explain her apologetic behavior. This could because her Id impulses are most likely telling her to inappropriately look at people or judge the fact that she could be in danger of a kidnapping. In response the Ego will then try to counter the Id by preforming her long elaborate prayer. Based on the Behavioral approach, Julie must feel that the only way to prevent her fictitious situations would be to do her nightly prayers until she gets them right. By following through her prayers repeatedly Julie can overcome her anxiety and fear for a limited time, until she feels insecure again and has to repeat the process. According to the Cognitive approach for OCD, the thoughts keep reoccurring because Julie is unable to build up her self worth. When Julie starts thinking she is doing something unsatisfactory, the first thing she does is to blame herself. Finally there is the Biological model, which states that OCD can be inherited. In this case, Julie may have inherited her OCD from her grandfather who had paranoia and a tendency to repeatedly wash his hands. Personally, I would say the Julie's OCD is mainly being effected by Behavioral approach and the Biological approach. Behaviorally, the environment is against Julie, she is in an unfamiliar environment after moving to New York City and those around her encouraged her
Using the psychodynamic approach, Julie's OCD could be used to explain her apologetic behavior. This could because her Id impulses are most likely telling her to inappropriately look at people or judge the fact that she could be in danger of a kidnapping. In response the Ego will then try to counter the Id by preforming her long elaborate prayer. Based on the Behavioral approach, Julie must feel that the only way to prevent her fictitious situations would be to do her nightly prayers until she gets them right. By following through her prayers repeatedly Julie can overcome her anxiety and fear for a limited time, until she feels insecure again and has to repeat the process. According to the Cognitive approach for OCD, the thoughts keep reoccurring because Julie is unable to build up her self worth. When Julie starts thinking she is doing something unsatisfactory, the first thing she does is to blame herself. Finally there is the Biological model, which states that OCD can be inherited. In this case, Julie may have inherited her OCD from her grandfather who had paranoia and a tendency to repeatedly wash his hands. Personally, I would say the Julie's OCD is mainly being effected by Behavioral approach and the Biological approach. Behaviorally, the environment is against Julie, she is in an unfamiliar environment after moving to New York City and those around her encouraged her