Roux and Vorster..
mr P had bilateral surgery and subsequently fitted with prosthesis.. he contracted something and has had constant headaches, he fractured his nose and forehead in a boating accident..
Mr p has many features of anxiety, it has a genetic pre disposition. his family members have it do. he is anxious to perform excellently and appear normal he is unwilling to appear without his prosthesis, only removes them for bed.. he has a feeling of inadequacy.. he conceals them as much as possible.
by concealing his disability this makes him less able to access his vulberability. his sexual activities were affected by this disability. he would feel anxious about his appearances as a professional athlete.
ROUX. DID THE increasing stress accelerate the anxiety>
vOS.. yes.. he would have to prepare longer and longer for each event.
Mr p relates that while he was training he was lonely. he followed SA news closely and ws worried about his sister.. he has two relationships. as one is increasingly anxious, one feels ore and more unsafe.. increased levels, and his perception of danger. when placed in a situation where one IS in danger. his anxiety would increase.
while in SA he increasingly became insecure, and frightened, he moved into a gated community. he described himself as hyper vigilan. ( sure sure , Oscar) .. Hypervigilance is being continually looking and increasing worred about being attacked and burgled. he always tried to invite friends to come over. he didn't want to be alone. he didn't share his private feelings with those friends, over all. he is a lonely and private person. he doesn't drink alchohol. he doesn't take drugs,
in this occasion he said, he was scared, he was distressed , crying and retching, he said he had no intention of shooting Miss Steen kamp, in my opinion his emotions were genuine. particularly the retching...
mr P showed a pallor while retching, he sweated, that is why I believe his distress is genuine.
mr P presented as well groomed and well spoken and polite man. he had a tremor.. he had no formal thought disorder, he gave a very detailed account of the event, his affect was flat. very few expression s on his face. this I associate with depression.
Mr p is on treatment for depression. he has no cognitive difficulties, no intellectual incapacity. depression can have an effect on memory and concentration, I didn't find that effect during the consultations..
mr p was asked to remove his prostheses he was embararassed but did it, he had poor mobility with out them. I think. they go hand in hand, his physical disability makes him more anxious. and he wants to conceal both the disability and the anxiety.
he was increasingly sweating and with pallor during the consultations.
his generalized anxiety> ?
he has a specified and a general anxiety disorder. a pervasive one a depressive disorder, secondary to the incident. he has become depressed since the shooting.
mr p has a long history of generalized anxiety disorder . it has increased, exponentially. going back to his operation as a baby.. his distress at his parents divorce ,.. his mothers anxiety. she was afraid of intruders. frequently called people to investigate imaginary sounds. her death increased his emotional distress and anxiety.
mr ps training regime helped in this. but the stress of it also diminished his capacities. he has a anxiety about crime in South Africa. not the general anxiety of the population of South Africa.. she is going very very fast, very fast. concerning the incident with Mr Batchelor. this compounded his anxiety.. exposed to a threat, he is more inclined to retaliate with e fight response, rather than flight..
( she doesn't mention the other two. . Freeze and Fawn. )