Case History: Kristina
Personal Details:
• Name: Kristina
• Age: 32 years
• Nationality: Russian
• Occupation: Working at the Russian Embassy in India (for the
past 3 years)
Chief/ Presenting Complaints:
• Increasing anxiety and panic attacks over the past 2 years,
with worsening symptoms in the last 3 months
• Interpersonal issues with a romantic partner
• Low self-worth, emotional dysregulation, and fear of
abandonment
History of Present Illness (HOPI):
• Kristina was emotionally stable until she entered a relationship
2 years ago with a fellow Russian man.
• Initially, the relationship was romantic and emotionally
fulfilling.
• Gradually, the partner began giving her the cold shoulder,
became emotionally unavailable, and would ghost her for days.
• His repeated excuses of being “busy” led Kristina to start
chasing him, feel left out, and question her self-worth.
• She began experiencing intense anxiety, panic attacks, and
emotional turmoil.
, Family /Past History:
• Kristina comes from a dysfunctional family.
• Her parents separated during her early years.
• She was raised by her mother, who later remarried.
• Her mother was the breadwinner; the father stayed at home.
• Kristina observed that women had to work, and she
internalized this as a life expectation.
• She lacked nurturance from her biological father, resulting in
unmet emotional needs.
• She holds a core belief: “I wish my father had been
emotionally available and nurturing.”
Relationship History:
• This is Kristina’s second relationship.
• The first relationship was also toxic.
• In the current relationship, the partner:
• Made false promises
• Ghosted and returned multiple times
• Was emotionally inconsistent
Psychological Dynamics:
• Attachment Style: Anxious-preoccupied
• Core Beliefs:
• “I’m not good enough.”
• “I will be abandoned.”
• “I must earn love to deserve it.”
• Fears:
Personal Details:
• Name: Kristina
• Age: 32 years
• Nationality: Russian
• Occupation: Working at the Russian Embassy in India (for the
past 3 years)
Chief/ Presenting Complaints:
• Increasing anxiety and panic attacks over the past 2 years,
with worsening symptoms in the last 3 months
• Interpersonal issues with a romantic partner
• Low self-worth, emotional dysregulation, and fear of
abandonment
History of Present Illness (HOPI):
• Kristina was emotionally stable until she entered a relationship
2 years ago with a fellow Russian man.
• Initially, the relationship was romantic and emotionally
fulfilling.
• Gradually, the partner began giving her the cold shoulder,
became emotionally unavailable, and would ghost her for days.
• His repeated excuses of being “busy” led Kristina to start
chasing him, feel left out, and question her self-worth.
• She began experiencing intense anxiety, panic attacks, and
emotional turmoil.
, Family /Past History:
• Kristina comes from a dysfunctional family.
• Her parents separated during her early years.
• She was raised by her mother, who later remarried.
• Her mother was the breadwinner; the father stayed at home.
• Kristina observed that women had to work, and she
internalized this as a life expectation.
• She lacked nurturance from her biological father, resulting in
unmet emotional needs.
• She holds a core belief: “I wish my father had been
emotionally available and nurturing.”
Relationship History:
• This is Kristina’s second relationship.
• The first relationship was also toxic.
• In the current relationship, the partner:
• Made false promises
• Ghosted and returned multiple times
• Was emotionally inconsistent
Psychological Dynamics:
• Attachment Style: Anxious-preoccupied
• Core Beliefs:
• “I’m not good enough.”
• “I will be abandoned.”
• “I must earn love to deserve it.”
• Fears:
