Thyroid Case Study
Thyroid Case Study
January241,959(50yearsold)
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Conceptualizationofthecaseofetiologicaflactors
dhoyirthetofDniunyfcts
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Evau laotinocfurrenctognvtieandbehavoiraplaterns
Psycholgcdim alenosinevaulaoctsr:gonietmi, oitndaersntil,xeyit,
on.isdepr
Longtu idn iaevlau laotinocfognotinandbehavoirs
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n ecnane tni m a c ine igyH
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si thatm tanertonitm acodietonitdiani(srdeorsdipelsofm tanertThe
mi.ymagnerdonalientaxelronenotcalehnitaa)pesctrlnui
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Obstacleintervention
Themedicaclonditonandadverseefectsofmedicationareoneofthemainobstaclesin
ortcafhrenaow
tmstaentrthetotnecdahrelaitniiofkcalTheon.ivnetrentihetofngdiolunT fhe
ne txe ehT . tna t rom pi
on.ivenrtntihetountgyircarnieaclobtsanedutticontsoalti
o;n)isdeprm
d(l10iyesm corvD eom iH
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TheclienhtascompletedtheprocessandresignedfromherformerworkplaceS.heobtaineda
p.oesuhethwtihreogteteblipsosaosnsahdesibaltsebedhosulodabrlam sdihetorf tcarocnT the
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Dategenerale:Numele:SE . ;D
. atanasteri:18ianuarie1974(36ani)Adresa:Sibiu;
nurse
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TheclienptresentedtothepsychologisntApr2il010ontheirowninitativeO . nthedateofthefirs.t
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tomeasurethefrequencyareaofnegativeemotionsandfeelings,regardlessoftheaspect
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ih laicos dna lanosreP
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ypencosvriole,.prehinst
e.atcornceitenttat
Conceptualizationofthecaseofetiologicaflactors
on;iudnyfctT sdhoyir
.senptarhwtponhisR atel
Evaulaoitnocfurencotgnvitieandbehavoiarslpecst
Ohntevauloaitnopfsycholgcdim
alenosincos:gonietm
i, oithndersoatil,ughst
on.isdepryetanxive,oim nauegtdat
m2esacsnaetlaY sitS RtQ i3ba-–li
ul2es.nS
T
CognitveSchemeName
AbandonIn/satybil(A i B)
Deficiency/Shame(DS)
anei lA/noi talos i laicoS
Level
Scor
10
Raised
16
catdierFtoar
10
catdierFtoar
1
Raised
12
catdierFtoar
13
catdierFtoar
Psychoolgciaslesmenostpfaeitnw sthtiyrodiysfuncoitn
sV
t(akisrom
H
intrP
yecotP
ros)/eainrlpaieolntytV inulaberi
M E)(
Esec(FA)
Calm i nigpersonargilhstD
/ omniance(Lackosfefl-conrtoalnd
neiplcisdi-fels
Subujgaet
Sacfi ricuidesnie(SS)
ytilbairuindselaSoic
5
noi t ibihni lanoi tm oE
Pe(UP
redpi)s
Scoortatl
Clienteleareadeepdysfunctionaplrofileasacognitveschemar,egisteringlevel
i rojma eht ( owt -yt rof
Todiagnosehypothyroidismbeforestartingmedicationtreatment.
t depleh sah noi tnevretni (
yteixna , ) leveLrw eol–02=erocQ sTA(
m
w
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re tni l ac igolohcysp
mi rof eton a s i s ihT
Evaulaoitnohtfoelngutidnioaclfognvitieandbehavoiral
Theclienm t anifestsaconflicatthepsychologicaleve(lmanifestedineveryadolescent)between
m hiow dstraonitdam riofngsilefhetnadorbhveaiochllas'hretafhet
l letni eht gni redi snoC
eblabenotllwiyourayeshit ,how rve,tesnebshaoirnaecsThe
butpoce,suw
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ot lai tnesse s i t I
Povistieaspecostceifln-retaolitnshpimanagement
Intelectuaclapacitys,upporotfthespouser,ecognitonofthefacthathereisaproblem
laicpesuiulorutjaalonasrpeaeraticiolsisangurisatafecafetpoainu-aierac
egagt rM o krW o
Clienm t anifestsymptomsofanxietydueto(probably)thyroiddisorders
nterpaciohlclanaofdlhicaofsntdecentaheteblisposfi
erofeb rem bun eht etaulave(
ytinesnti ofera207),K lnadelonH l(olnisedperym som
feptocrshet
.lacniiulbcs
InetrvenoitnPalnLosIitfues
c.paniotngeadilysm lyonalm etoipnAcasgxoyileatcu
esitviiactyldaihw teierferntihattonsieactralboehranvdieiV ategt
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vomeupfnchirdsaem
ptvoalefC ieotgni
ng.siblisandsenptarhw ticticolnfponhsiR atel
Therapeucsitopes
y;etanxiofevllhR eteduce
6
on.sieactronitortsdiveinegathR eteduce
15
catdierFtoar
1
Raised
15
catdierFtoar
18
Lift
17
Raised
14
catdierFtoar
20
Elevated
59
catdierFtoar
45
catdierFtoar
18
catdierFtoar
18
Uplift
39
Raised
370
Palnnnightneitrvenoitn
ehcs era snoi tnevretnI
squehnicetngiurtucrtserveitognicndaogyym olstpaveisseprdey-tenxia
onixatlernadnghitaebrorfqusehcnit olrocnt)posenrom uadetngtadeuicr(
zt luhcSgniniar t cinegotua(
decnavda desu srehtorb
o.nsisesngniraelm ew
retotngidurecaploktonivnetrentiThe
udsetittahcmesve,isetocgnhietdeutavelaw
rnm
gisw
anecw
tA
ro.kes
hum tbshet
obstacleinintervention
7
Thelackofknowledgefromthebeginningaboutheconditonofthyroiddysfunctionprolongedtheperiodof.
lacogioliom
teseofonitacifindteindaonsiutncf laorvhbiaendaveitogcniofonitualvae
.ogyym
olstpaveisseprde-ousnxia
Cusotmeervouloitnrtacknigresustl
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heS
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l -ytionaliatrA riBS:s
mdiBunreapiA
sntdoarD.
A deaT
scr.seQ
vl
ResustY l SQ-S3–casereevaulaoitn2
Namingcognitveschemes
AbandonIn/satyb(A
iliB)
Non-believer/Abuse(MA)
Emoitndalepvriaoitn(ED)
Deficiency/Shame(DS)
nei lA/noi talos i laicoS
Dependence/Incompetence(DI)
V
(ksom
H
inrP
yecotP
rzpoesd)/ainrlpaielnotacfehetniytV inulaberi
ME)(
Esec(FA)
Calm i nigpersonargilhstD
/ omniance(ETL
)ackosfefl-conrtol
neiplcisdi-fels
Subujgaet
Sacfioralod(SS)
N
(P
y)tvim
isP
SsvaU
i(A
/N
i/gS
etaovp)lrorNf/ndesebalruindselaSoic
noi t ibihni lanoi tm oE
Pe(UP
redpi)s
ScorToatl
Level
MediumMediumMediumMediumLow/mediumMediumMedium
Lowmedium/lowmedium
Medium
Decreased
LowLow
Raised
8
Medium/high
Raised
Medium/high
Clienstabiltyonoptimaelmotionaclontroalndbehaviorinstressfuslituations
on?sicotndvieiatlsegilhw ntgidealghotw
iyorunrioncoalim seopfroatm
nitscatunyA
iouer.onaliseopfr
m erynartediheothurghtm e,cosiuretfiolm rafvediderencsexipoernictadicohoal
,ylnatcifgniim siovdeprhsam m hreywtopihoinsitalerThe.tiw doerfahvaeIm o-etew oytur
onsivnetrentocm inym
iattunisotngnaiplnadocm nw yim
keltacuni
m.taentrtngouindresH ie.C soB urelrenetcdezilaipcesanibodyhet ofonitacifoxidte
on.siunfctdhoyirtngniaidutes
2
score
5
7
12
5
10
7
6
6
7
14
1
6
9
25
18
10
7
18
181