Topic > Case Study: Emotionally Focused Therapy - 1277

Case Study: Anxiety Turned into AngerWhen anger has no outlet, it can have long-lasting and harmful effects on the person experiencing the emotion. In this case study, we will examine a young woman who is beginning to explore the role of anger in her life and how it might be addressed in couples therapy through the use of assessment tools and emotionally focused therapy. Case Study Emily R., 28, entered therapy in November 2013 with anxiety issues. At the time of our first session she had been married for four years and had a two-year-old daughter. Her anxiety was focused on the pregnancy of her second child, which was early in the second trimester. Specifically, she suffered from significant anxiety regarding the possibility of miscarriage. She had one miscarriage before her first pregnancy and two between her first and second pregnancies. As we explored the presenting problem, Emily described a history of anxiety. He experienced severe separation anxiety during his childhood, especially from his mother, and suffered from generalized anxiety throughout his school years. Emily's anxiety had been treated with cognitive behavioral therapy, medication, and enrollment in a private high school that had a therapy component as part of their curriculum. When she entered college, she found her anxiety more manageable, but it came back full force with this second pregnancy. She currently works as a contract manager at her husband's partially owned company. She notes that her work is the only place where she feels completely safe and does not experience anxiety. In her description of her family of origin, Emily noted several elements that may have contributed...... middle of paper.... ...and that her anxiety masked anger, this assessment was helpful in uncovering the role of anger in his life. The assessment showed significant scores in nearly all anger style categories. Overall, Emily scored 3/9 for the covert anger category, which includes anger avoidance (⅓), “subtle” anger (⅔), and 0/3 for paranoia. It scored 4/12 in the explosive anger category, with subcategory scores of ⅓ in sudden anger, 3/3 in shame-based anger, and 0/3 in both deliberate and excitatory anger. The area of ​​greatest concern is the chronic anger category, in which Emily scored 9/12, with 3/3 in both habitual anger and resentment/hatred, ⅔ in moral anger, and ⅓ in paranoia.Works CitedRevised Dyadic Adjustment Scale . (2014, March). Retrieved from http://www.coloradoeft.com/wp-content/uploads/2014/03/Revised-Dyadic-Adjustment-Scale-RDAS-1.pdf