Critical Thinking Case Summary

A: Exposure to actual or threatened death, serious injury, or sexual violence in (one or more) of the following:
1: Directly experiencing the traumatic event(S)
4: Experiencing repeated or exposure to aversive details of the traumatic event(S)
B: Presence of one (or more) of the following intrusion symptoms associated with the traumatic event(S), beginning after the traumatic event(S) occurred:
1: Recurrent, involuntary, and intrusive distressing memories of the traumatic event(s)
3: Dissociative reactions in which individuals feels or acts as if the traumatic events were recurring
C: Persistent avoidance of stimuli associated with the traumatic event(S) occurred, as evidenced by one or both of the following:
1: Avoidance of or efforts to avoid distressing memories,

medication, alcohol) or another medical condition
A: As evidenced by: Client decided to seek treatment at the VA hospital. Client’s mother noted that he began to experience depression, insomnia, and flashbacks of his wartime experience
1: Supported by: “he has been very depressed ever since he returned from the war. The client reported that during his tour he killed a civilian, “for the fun of it.”
4: Supported by: “He became preoccupied with watching TV news stories about this event.”
B: Supported by:” Client’s mother noted that he been very depressed ever since he returned from the war 1: Supported by: “The memory of the incident continues to haunt him, and he is racked with guilt.”
3: Supported by: “when he had flashbacks while out in the backyard: as a plan flew overhead, flying somewhat lower than usual, the client threw himself to the ground seeking covers, thinking it was an attacking