TTLV: Psychological intervention for a case of generalized anxiety disorder

1. Student's full name:Tran Van Minh2. Gender:Male

3. Date of birth: 19/02/1990

4. Place of birth:Quang Tho - Vu Quang - Ha Tinh

5. Decision to recognize student number:3058/2018/QD-XHNV-DT, dated October 24, 2018 of the President of the University of Social Sciences and Humanities, Vietnam National University, Hanoi.

6. Changes in the training process:Are not

7. Thesis topic name:Psychological intervention for a case of generalized anxiety disorder

8. Major:Clinical psychologyCode:8310401.02

9. Scientific guidance officer: Assoc.Prof.Dr. Tran Thu Huong

10. Summary of the results of the thesis:

Generalized anxiety disorder is a common type of anxiety disorder, characterized by persistent, diffuse, and diffuse worries that are not localized to a particular event or circumstance in the immediate environment or are related to past events that are no longer relevant, and that change in course but tend to be chronic. Symptoms of excessive anxiety are always associated with physical symptoms such as muscle tension, irritability, difficulty falling asleep, and restlessness. The patient cannot control these worries, reducing the ability to work, live, and perform other functions.

Generalized anxiety disorder is a common mental disorder. A study in Vietnam showed that the rate of people suffering from it in 1 year is from 3% to 8%, the rate of occurrence throughout life is from 5% to 8% in the population and generalized anxiety accounts for up to 25% of people who have to go to the doctor due to anxiety disorders (Bui Quang Huy, 2017).

Generalized anxiety disorder is also accompanied by symptoms of many other mental disorders such as depression, bipolar disorder, social phobia, specific phobia, panic disorder, substance abuse disorder... The high incidence, combined with the disruptions caused by anxiety disorders in general and generalized anxiety disorder in particular in life, makes it a burden for patients, families and the whole society.

Psychological therapy for generalized anxiety disorder is based on understanding the formation process, development mechanism and factors that maintain generalized anxiety disorder; thereby, solving the root problems of avoidance behavior, distorted cognition, and anxious emotions.

In this thesis, through psychological assessment, students found that the client's disorder manifestations were typical and prominent according to the criteria for generalized anxiety disorder of ICD-10. In addition, the results of the EPI, DASS, PSQI tests contributed to the survey and identification of prominent disorder problems and accompanying problems of anxiety disorders: common manifestations/symptoms of depression, accompanying stress, but still based on the main anxiety background; unstable introverted neurotic phenotype; insomnia at the beginning of sleep. Through clinical questioning, students also grasped notable issues about the genetic factors of anxious personality, psychological trauma, as well as the influence of the environment on the formation, onset and maintenance of anxiety manifestations in clients.

The thesis applied the cognitive-behavioral therapy approach with the focus on relaxation training, changing false beliefs, activating behaviors to face and overcome anxiety, along with the flexible application of some appropriate techniques from other approaches such as psychoanalysis and humanism. After the intervention, the client's generalized anxiety disorder problem was well resolved.

11. Practical application:

With the results obtained from the theoretical and practical research process on a clinical case, the thesis presented an overview of a clinical case related to generalized anxiety disorder and the psychological intervention process for a client with generalized anxiety disorder.

A thorough psychological assessment drew a vivid picture of the client’s problems. Psychological intervention focused on cognitive-behavioral therapy techniques, combined with some psychoanalytic and humanistic techniques, helped to comprehensively resolve the client’s problems.

This is a concise case study that illustrates many of the psychotherapeutic approaches and reflects many of the health issues facing young people today.

Finally, the intervention process and results of the thesis contribute to affirming the suitability and feasibility of psychological intervention for psychogenic disorders in general and generalized anxiety disorder in particular.

12. Further research directions:Are not

13. Published works related to the thesis:

1. Tran Van Minh, Nguyen Thi Minh Hang, Tran Thu Huong (2020). Psychological assessment of a young man with generalized anxiety disorder,Mental health in modern society, Hanoi: National University Publishing House (English: Psychological assessment for a young adult with GAD, in press).

INFORMATION OF MASTER'S THESIS

1.Full name: Tran Van Minh2. Sex: Male

3. Date of birth: 19^thFebruary 1990

4.Place of birth: Quang Tho – Vu Quang – Ha Tinh

5. Decision of student recognition No:3058/2018/QD-XHNV-DT of the Principal of University of Social Sciences and Humanities - Vietnam National University, Hanoi.

6. Changes in training course:None

7.Official thesis title:Psychological intervention for generalized anxiety disorder

8. Major: Clinical psychologyCode:8310401.02

9. Supervisors: Assoc. Prof. Dr. Tran Thu Huong

10. Summary of theses results:

Generalized anxiety disorder is a common form of anxiety disorder, characterized by persistent, diffuse, scattered, or unreserved anxiety in a particular surrounding or related event. Relevant to past events is no longer current, progress to change but tends to be chronic. Symptoms of excessive anxiety are always associated with physical symptoms such as muscle tension, irritability, difficulty falling asleep, and restlessness. These concerns cannot be controlled by the patient, reducing working capacity, living, and other functions.

Generalized anxiety disorder is a common mental disorder. A study in Vietnam shows that the rate of people infected in 1 year from 3% to 8%, lifetime rate from 5% to 8% in the population and widespread anxiety accounts for 25% of the population. have to seek medical attention due to anxiety disorders (Bui Quang Huy, 2017).

Disseminated anxiety disorder is also accompanied by many other mental disorders such as depression, bipolar emotional disorder, social phobia, specific phobia, panic disorder, and substance addiction disorder... The high incidence, plus the breakdowns caused by anxiety disorders in general and generalized anxiety disorder in particular in life, makes it a burden for the patient, family and society as a whole.

Psychotherapy for generalized anxiety disorder is based on understanding the developmental processes, mechanisms of development, and the factors that maintain diffuse anxiety disorder; From there, solve the root problems of avoidance behavior, misperceptions, feelings of anxiety.

In this thesis, through psychological assessment, participants found that the client's disturbing manifestations were typical and distinguished by ICD-10's criteria for general anxiety disorder. In addition, the results of the EPI, DASS, and PSQI tests contribute to the investigation and identification of prominent disorders and associated problems of anxiety disorders: common symptoms/symptoms of depression, accompanying stress, however, is still based on predominant anxiety; unstable introverted nerve phenotype; insomnia early sleep. Through clinical questioning, participants also grasp notable issues about genetic factors of anxiety personality, psychological trauma, as well as the impact of the environment on the formation and initiation and maintaining symptoms of anxiety in the client.

The thesis has applied the cognitive-behavioral therapy approach with focus on relaxation practice, changing false beliefs, activating opposite behavior and overcoming anxiety, along with flexible application of appropriate specs of other approaches like distraction and humanity. After the intervention, the client's diffuse anxiety disorder was well resolved.

11. Practical applicability:

With the results obtained from the process of theoretical and practical research on a clinical case, the thesis presents an overview of one case related to general anxiety disorder and psychological intervention for clients with diffuse anxiety disorder.

A careful psychological assessment has drawn a vivid picture of the client's problem. The implementation of psychological intervention centered by cognitive-behavioral therapies, combining a number of psychoanalysis and humanistic techniques has helped to comprehensively solve client problems.

This is a condensed case study that illustrates many things from psychotherapy approaches and reflects many of today's young people's health problems.

Finally, the intervention process and the results of the thesis contribute to affirm the suitability and usability of psychological intervention for the mental disorders in general and generalized anxiety disorder in particular.

12. Further research directions, if any: None

13. Thesis-related publications:

1. Tran Van Minh, Nguyen Thi Minh Hang, Tran Thu Huong (2020). Psychological assessment for a young adult with GAD,Psychological health in modern society, Hanoi: Hanoi National University Publishing House (in press).