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The family is embarrassed when the subject goes out because of her antics, but gets frustrated remaining in the same house with her. The mother is torn between what she knows is right for her daughter and what will make her daughter happy. As previously mentioned, the two did not get along well in the daughter's childhood years. In addition to the subject, her mother felt the strain of this relationship bitterly. She still deals with the trauma it caused her. This lack of a relationship between the two women, and the presence of a father who, when rarely in the home, took the position of a strict disciplinarian lead to a stunted development for the subject. Although the abnormal behavior did not begin until after the accident, teachers recall mild paranoid behavior and odd actions toward her mother as early as high school's sophomore year.
Typical Day for the Subject
The subject usually begins her day with a fight. In order to get along with her, her mother's boyfriend makes the subject breakfast every morning, and every morning the subject levies a rant including cursing at the boyfriend. When the dreaded event occurs, and her mother comes downstairs,...
This frustrates and angers the boyfriend, who leaves the house early for work each day. With the boyfriend gone the subject returns to a degree of normalcy until the mother prepares to leave for her daily volunteer work. At this point, the subject cries and clings to her mother. Just before the mother leaves, a direct service professional comes in to take care of the daughter. The subject works all day with the direct service professional in pursuing everyday activities in addition to learning about personal distance. Finally, the mother and boyfriend return, insisting that the subject go to sleep, which she usually does, so they do not have to deal with her.
Multi-Axial Assessment
Axis I: Major anxiety disorder
Axis I: Major post-traumatic stress disorder
Axis II: dependent personality disorder
Axis III: Injuries sustained from fall during first anxiety episode
Axis IV: Recent car crash involving mother; dissent in the home between mother and boyfriend
Axis V: 80
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