Write 7 page essay on the topic Misery.The personality disorder can be rooted from traumatic childhood experiences, family instability, and maladaptive role models. In Annie’s case, very little is known about her upbringing and family dynamic, therefore, it cannot be determined what could have set the stage for her behaviors. Annie needs to be incarcerated immediately and under 24-hour supervision in order to prevent her from killing herself or someone else. Under a psychiatrist’s care, she needs to be put on antipsychotic medication and perhaps mood stabilizers. Her medications need to be closely monitored in order to stabilize her and prevent her from not taking them. The best therapeutic approach for Annie would be a cognitive-behavioral approach to help her manage her anger and control her impulses. Since Annie is intellectually capable, a psychodynamic therapy can also be useful in understanding why she engages in hurting others and helping her face reality by giving up her maladaptive habitual defense mechanisms. Prognosis: Very Poor Due to the severity of her symptoms, the only hope would be to maintain her from being a danger to herself and others. Treatment should mostly be focused on stabilization her. Treatment of Schizoaffective Disorder, Bipolar type entails the use of psychotherapeutic interventions. however, extreme cases might require complementary psychopharmacological intervention. Cognitive Behavioral Therapy proves to be the most efficient form of psychotherapeutic intervention for individuals diagnosed with the disorder.