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 number for student admission:Decision No. 3058/2018/QD-XHNV-DT, dated October 24, 2018, of the Rector of the University of Social Sciences and Humanities, Vietnam National University, Hanoi.

6. Changes in the training process:Are not

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

8. Major:Clinical psychologyCode:8310401.02

9. Scientific supervisorAssoc. Prof. Dr. Tran Thu Huong

10. Summary of the thesis results:

Generalized anxiety disorder (GAD) is a common form of anxiety disorder characterized by persistent, widespread, and scattered worries that are not focused on any particular event or circumstance in the surrounding environment or related to past events that are no longer relevant. These worries are variable but tend to be chronic. Excessive anxiety symptoms are always accompanied by physical symptoms such as muscle tension, irritability, difficulty sleeping, and restlessness. Patients are unable to control these worries, leading to reduced work capacity, daily activities, and other functions.

Generalized anxiety disorder is a common mental disorder. A study in Vietnam showed that the incidence rate within one year ranges from 3% to 8%, the lifetime incidence rate ranges from 5% to 8% of the population, and generalized anxiety disorder accounts for up to 25% of people seeking medical attention for anxiety disorders (Bui Quang Huy, 2017).

Generalized anxiety disorder is often accompanied by symptoms of many other mental disorders such as depression, bipolar disorder, social phobia, specific phobia, panic disorder, substance addiction disorder, etc. Its high prevalence, coupled with the disruptions caused by anxiety disorders in general and generalized anxiety disorder in particular, makes it a significant burden on patients, their families, and society as a whole.

Psychological therapy for generalized anxiety disorder is based on understanding the formation, development mechanisms, and maintenance factors of generalized anxiety disorder; thereby, addressing the root causes of avoidance behaviors, distorted perceptions, and anxious emotions.

In this thesis, through psychological assessment, the student found that the client's disordered manifestations were typical and prominent according to the ICD-10 criteria for generalized anxiety disorder. In addition, the results of the EPI, DASS, and PSQI tests contributed to the survey and identification of prominent disorder issues and associated problems of anxiety disorder: common manifestations/symptoms of depression, accompanying stress, but still based on a dominant anxiety background; unstable introverted neurotic phenotype; and insomnia. Through clinical interviews, the student also grasped noteworthy issues regarding the genetic factors of anxious personality, psychological trauma, and the influence of the environment on the formation, onset, and maintenance of anxiety manifestations in the client.

This thesis applied a cognitive-behavioral therapy approach focusing on relaxation exercises, changing false beliefs, activating behaviors to confront and overcome anxiety, along with the flexible application of appropriate techniques from other approaches such as psychoanalysis and humanism. Following the intervention, the client's generalized anxiety disorder was successfully resolved.

11. Practical applications:

Based on the results obtained from theoretical research and practical application of a clinical case, this thesis presents an overview of a clinical case involving generalized anxiety disorder and the psychological intervention process for a client with generalized anxiety disorder.

A thorough psychological assessment painted a vivid picture of the client's problems. Focused psychological intervention using cognitive-behavioral therapy techniques, combined with psychoanalytic and humanistic approaches, helped to comprehensively address the client's issues.

This is a concise case study that illustrates many aspects of psychotherapeutic approaches while also reflecting on several current youth health issues.

Finally, the intervention process and results of this thesis contribute to affirming the relevance and applicability of psychological intervention for psychoneurotic disorders in general and generalized anxiety disorder in particular.

12. Future 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 for a case of a young person with generalized anxiety disorder,Mental health in modern society, Hanoi: National University Publishing House (in press: Psychological assessment for a young adult with GAD).

INFORMATION OF MASTER'S THESIS

1.Full nameTran Van Minh2. SexMale

3. Date of birth: 19^thFebruary 1990

4.Place of birthQuang 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 the training course:None

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

8. WallClinical psychologyCode:8310401.02

9. SupervisorsAssoc. 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 sustain 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).