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Case Study Josephine Miller

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Case Study Josephine Miller
Case Study: Josephine Miller
Sheridan College
Jonathan Louis
Betty Buder
October 8th, 2014

1. Four symptoms of anxiety/panic that Josephine is experiencing are, fear, urination, tremors and trouble concentrating. These symptoms are evident through the way Josephine is behaving at home and at the hospital. These four symptoms are usually found in people who are actually diagnosed with an anxiety disorder and panic attacks, cognate to Josephine.
The symptom fear is evident in Josephine’s story when it is stated that she stayed home for 4 straight weeks, missing 4 weeks of work because of her fear of communicating. Fear is one of the early symptoms of anxiety and can start very small as not feeling comfortable speaking on the phone or not wanting to speak with someone of authority. These small incidents can turn into something as extreme as Josephine’s, not willing to leave your own home for extended periods of time.
Unusual urination is also a symptom of anxiety that not too many people know about. The average person would not recognize this as an actual symptom, but it is. In Josephine’s case, her husband found her sitting on the floor in the corner of their bedroom covered in urine. This may have been going on for weeks and she was able to hide it until the husband found her in that state. “There are two types of anxiety urination. There is instant urination that generally occurs during moments of complete terror, and there is frequent urination, which is the sensation of needing to urinate often without necessarily drinking excess water/liquid”. Out of these two types of anxiety urination, Josephine has instant urination because she was caught in the moment of fear in her room covered in urine.
Another symptom Josephine has is tremors. When she was admitted to the hospital, she was panicky and fearful while her hands were continuously moving. There are many types of tremors but the one Josephine specifically had was muscle tension. “Anxiety and

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