A clinical social worker is having difficulty assessing a client's disorder. Symptoms include compulsions, phobias, anxiety, depression, mood swings, and a sense of detachment from their surroundings. All of these are fairly common problems, so the social worker looks back into the patient's childhood. There she finds a history of sexual abuse by a guardian, though the client seems to have limited memory of the event. This helps the social worker diagnose which disorder?
- Post-traumatic stress disorder
- Dissociative disorder
- Bipolar disorder
- None of the above
Answer(s): B
Explanation:
The client's history of sexual abuse along with symptoms such as compulsions, phobias, anxiety, depression, and mood swings are indicative of dissociative disorder. Dissociative disorder is alsoknown as multiple personality disorder originating from a childhood trauma. Repeat abuse may cause an inability to recall information. Different identities form in an attempt to put these thoughts in their right place. While the dissociative disorder is in response to a childhood trauma, it does not fit the symptoms of post-traumatic stress disorder, which would include "reliving" the event and flashbacks, avoidance, survivor's guilt, and/or severe irritability
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