Based on the symptoms you described, such as increased anxiety, social withdrawal, and visible self-harm in the form of small cuts on her arm, Cara may be experiencing a form of mental distress that could be associated with several possibilities, including depression, anxiety disorders, or non-suicidal self-injury (NSSI).
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Anxiety Disorders: Cara's anxiety in class and her avoidance of social invitations might suggest an anxiety disorder, such as Generalized Anxiety Disorder (GAD) or Social Anxiety Disorder. These disorders can lead to significant distress and impaired functioning in daily life, including difficulties in concentrating, fatigue, and avoidance of social situations.
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Depression: The social withdrawal and the presence of self-harm may also indicate depression. Individuals experiencing depression often feel overwhelming sadness, loss of interest in activities, and may engage in self-harm as a coping mechanism to deal with emotional pain.
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Non-Suicidal Self-Injury (NSSI): The cuts on her arm suggest that Cara may be engaging in self-harming behaviors as a way to cope with emotional distress. NSSI is often used as a method to express or alleviate emotional suffering rather than to seek attention or end one's life.
The presence of these symptoms can significantly affect Cara's daily functioning. She may experience difficulties with focus and engagement in academic activities, as anxiety can impair cognitive functioning. Additionally, her social withdrawal can lead to loneliness and further exacerbate her mental health issues. If left unaddressed, these challenges can create a cycle of worsening anxiety, depression, and self-harm, making it increasingly difficult for her to maintain relationships, perform well in school, and enjoy activities she once found pleasurable.
It's crucial that Cara receives support and possibly professional help to address her mental health challenges, whether it be through therapy, counseling, or support from friends like Shannon.
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