Anxiety Disorders Case Study

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Currently, Ryan lives with his mother and grandmother. Ryan’s grandmother remains his custodial guardian due to his mother’s history and inability to independently care for herself and Ryan. For the past two years, Ryan’s mother has managed to stay away from the use of illegal drugs and alcohol. She has also separated herself from potentially risky environments and individuals. Ryan’s mother and grandmother stated they are working together to care for him and have mutually made an effort to address concerning behaviors at home. Ryan continues to worry about the presence of his mother and becomes anxious when she leaves. He questions when and if she will return which often leaves him physically distraught
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He has learned to withhold coping with his feelings until he is in his safe place such as his home. The abandonment that Ryan experienced in his early stage of development greatly affected his sense of security and protection as described in Maslow’s Hierarchy of Needs (Ashford, 2013). The psychological need for safety, trust, and stability has attributed to a high sense of anxiety, stress and fear of abandonment from his mother as well as mistrust about her intentions of returning. He is insecure and aware about his trouble forming relationships with other peers. The combination of his anxiety disorder diagnosis and low-self esteem issues, could interfere with Ryan’s academic progression and success if these barriers are not strengthened (Ashford, 2013). Lastly, Ryan continues to struggle with communicating effectively when upset or emotionally overwhelmed. He imitates the behaviors of his grandmother and mother by yelling and shutting down during overstimulating situations. Therefore, observational learning has affected Ryan’s behavior as it occurs when a person observes another’s actions and the reinforcements that the person receives (Ashford, 2013). This is supported by Bandura’s Social Cognitive Theory that refers to the environmental factors that affect a person’s behavior. The environment, people and behaviors influence one another and should

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