Sharon, the medical social worker was meeting with Lydia, age 29, for a review of her diabetes management and diet concerns. Lydia rarely made eye contact and slouched in her chair. Sharon was directing the focus on Lydia’s food habits. Lydia responded by saying that it didn’t matter what she liked to eat, that her husband controlled what they purchased, what they ate and demanded that dinner be served at exactly 6:00 p.m. every night. She recounted an episode when the dinner was 5 minutes late and her husband threw the empty plates into the sink, breaking them and insisting that she clean the resulting mess or he would make her eat on the floor.
The social worker considered the possibility of:
A. Intellectual disability B. Avoidant personality disorder C. Psychological abuse D. Depression
The correct answer is "C". Concept : The symptoms of psychological abuse, like bullying, scapegoating or worse can be quite varied and hard to identify. Signs of fearfulness, passivity and acceptance of controlling and erratic or threatening behavior are possible indicators.