The primary diagnosis for Amanda Anderson is separation anxiety disorder (SAD) with a co-morbidity of school phobia. Separation anxiety disorder is commonly the precursor to school phobia, which is “one of the two most common anxiety disorders to occur during childhood, and is found in about 4% to 10% of all children” (Mash & Wolfe, 2010, p. 198). Amanda is a seven-year-old girl and her anxiety significantly affects her social life. Based on the case study, Amanda’s father informs the therapist that Amanda is extremely dependent on her mother and she is unenthusiastic when separated from her mother. Amanda was sitting on her mother’s lap when the therapist walked in the room to take Amanda in her office for an interview (Morgan, 1999, p. 1).
According to the DSM-IV-TR, family factors such as over controlling parents are onsets to anxiety disorders (American Psychiatric Association, 2000). For instance, “while other children live in the neighborhood, Amanda is not allowed to play with them. According to Amanda, “Mommy says, “You can’t be too careful” (Morgan, 1999, p. 1). In addition, Amanda states that her parents do not allow her to watch television or listen to recent music. She is only familiar with music from the 1980s like Huey Lewis. Mrs. Anderson emphasized, “We don’t allow any of that modern music in the house” (Morgan, 1999, p. 2).
Furthermore, Amanda suffers from school anxiety and frequently has symptoms such as feeling sick and vomiting before or during school. When the therapist inquiries about school, Amanda become nervous, irritant, and fidget around in her chair. Amanda explains that she likes her teachers; however, she did not like attending school. Children at her school tease her about her appearance and “she reported that no one else liked her because she threw up on the school bus” (Morgan, 1999, p. 2). In the course of the interview, Amanda becomes uncomfortable and requests to see her mother. Once both parents join the interview, Amanda sits back in her mother’s lap. Additionally, the DSM-IV-TR supports that Amanda’s diagnosis is separation anxiety with a co-morbidity of school phobia: symptoms of separation anxiety disorder are age-inappropriate children demonstrating anxiety when being away from their home and displaying an insecure attachment to their parents (Mash & Wolfe, 2010, p. 199).
According to the DSM-IV-TR, the following diagnoses are pertinent for Amanda Anderson: Axis I: Amanda’s diagnoses are separation anxiety disorder with a co-morbidity of school phobia. Axis II: Not applicable, Amanda is not applicable for a diagnosis of neither a personality disorder nor an intellectual disability: “despite these problems, Amanda appeared to be performing well academically, earning all B’s on her first report card” (Morgan, 1999). Axis III: Amanda does not have any known medical conditions. Axis IV: Amanda suffers from several stressors. To being with, Amanda stated that she often feels secluded...