As the session went on with Kat and Jeanette M.Stumbo Zaimes, Jeanette explains how Kat’s first words were a long anxiety filled account of how she thought she was going to get a vaginal yeast infection because of a recent bowel movement she had and how it was going to ruin her weekend with her spouse, as Jeanette states Kat was seriously convinced that there was a fecal contamination. In Kat’s past psychiatric history it explained that Kat had been seen in the resident outpatient clinic since July of 1984 Kat had various complaints of depression and anxiety she was then placed on phenelzine and responded well. As a few more sessions went on, Kat explained that she’s been recently having some mild arguments with her spouse furthermore it became clear that her arguments with her spouse were focused on the annoyance with her need to constantly repeat things. This was what she always referred to as “talking too much”. More as the session went on it was observed that Kat’s anxiety, neediness and many poor boundaries arose over issues of misplacing things in her purse and insurance forms that were incorrectly filled out. Even when I tried to help her, Jeanette explained that she had difficulty because of Kat’s need to repeat the instructions to her over and over again then Kat kept excessively re-checking the forms against the receipts because she was convinced that they were incorrect. In the following weeks sessions focused on educating the patient about OCD. Her dose of fluoxetine was increased to 40mg a day but discontinued because Kat explained she was having severe restlessness nights and insomnia she continued to take 20mg of fluoxetine a day. Finally the diagnosis of borderline personality disorder was clear. Starting another medication in addition to fluoxetine
As the session went on with Kat and Jeanette M.Stumbo Zaimes, Jeanette explains how Kat’s first words were a long anxiety filled account of how she thought she was going to get a vaginal yeast infection because of a recent bowel movement she had and how it was going to ruin her weekend with her spouse, as Jeanette states Kat was seriously convinced that there was a fecal contamination. In Kat’s past psychiatric history it explained that Kat had been seen in the resident outpatient clinic since July of 1984 Kat had various complaints of depression and anxiety she was then placed on phenelzine and responded well. As a few more sessions went on, Kat explained that she’s been recently having some mild arguments with her spouse furthermore it became clear that her arguments with her spouse were focused on the annoyance with her need to constantly repeat things. This was what she always referred to as “talking too much”. More as the session went on it was observed that Kat’s anxiety, neediness and many poor boundaries arose over issues of misplacing things in her purse and insurance forms that were incorrectly filled out. Even when I tried to help her, Jeanette explained that she had difficulty because of Kat’s need to repeat the instructions to her over and over again then Kat kept excessively re-checking the forms against the receipts because she was convinced that they were incorrect. In the following weeks sessions focused on educating the patient about OCD. Her dose of fluoxetine was increased to 40mg a day but discontinued because Kat explained she was having severe restlessness nights and insomnia she continued to take 20mg of fluoxetine a day. Finally the diagnosis of borderline personality disorder was clear. Starting another medication in addition to fluoxetine