Bob Smith Case Summary

Integration of Findings Bob Smith is a 54-year-old man who tends to have interpersonal relationships problems in his personal and professional life. As a teen, Mr. Smith was several physical altercations in school, at a young age he began abusing alcohol which resulted in truancy and ultimately dropping out of school. Mr. Smith’s behavior as a teen coincides with oppositional defiance disorder and conduct disorder. As evident, by his substance abuse, violation of social norms and failure to follow directives of authority figures. At age 17, Mr. Smith went through a traumatic experienced. As he witnessed his best friend drown in front of him. Mr. Smith blames himself for the ordeal as he was not physically strong enough to pull his friend

Smith consistently battled with major depression after his discharge from the military. Still Mr. Smith did not seek professional help, in turn increased his depressive state. Mr. Smith attempted suicide by carbon monoxide poisoning. However, this was interrupted by his next-door neighbor. Bob continues to battle with alcohol and major depression. Though, he continues to refuse professional intervention. Regarding diagnosis, during his teen Mr. Smith had oppositional defiance and conduct disorder, this eventually evolved to antisocial personality disorder after Mr. Smith reached age 18. Mr. Smith was also experiencing post-traumatic stress disorder due the traumatic experience he experienced at age 17. After military discharge Mr. Smith suffered from antisocial personality disorder and had a major depressive disorder due to the untreated PTSD and lack of hope of his future. It is my opinion with a reasonable degree of professional certainty that Mr. Smith’s major depressive disorder and PTSD were caused by the traumatic experience of his friend’s death. There is no sign of preexisting anxiety and or depressive disorders, and I find no alternative hypotheses to account to explain otherwise. Mr. Smith can greatly improve with the treatment and professional assistance. It is possible that Mr. Smith may permanent exhibit mild episodes of depression and anxiety as a direct result of his traumatic

CBT therapy is often the main treatment modality used in PTSD patients.
Recommendations for Company
- The company must accommodate Mr. Smith in his treatment goals such as; provide financial assistance to provide services, provide Mr. Smith with paid- time off to get his affairs in order without placing a financial burden, leading to more stress. Provide a mentor to assist Mr. Smith to ensure he is fulfilling his obligations to the company and hold himself accountable.
- Provide Mr. Smith with assignments/tasks that is to have him distracted. Providing Mr. Smith with distractions and keeping him busy will limit the amount of time he must be self-reflecting and concentrating on his frustrations. This could include other placement such as an alternative department, temporary transfer and other assignments.
- Mediation compliance and structure is positive contribution to supporting him. Continue to support Mr. Smith with his compliance of his medication and he does have an outside support system. Providing a company support system can go a long way in improving the