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Mitra's Sexual Encounter Analysis

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Presenting Issues and Concerns Mitra states that since the rape incident she does not sleep well at night. She describes feeling like she is being gagged or chocked in some manner when she begins to drift into slumber. She states that when she does fall asleep she wakes up sweating usually following a dream that she was tied down or that she is in “concrete” and can’t move even though she wants to run. Additionally, she avoids leaving her home and is unsure of her plans for the baby’s future. She reports experiencing feelings of shame for her sexual encounter, regardless of the encounter being forced upon her, and the resulting pregnancy. As a result of this shame and her cultural beliefs, she has withdrawn from school, avoids leaving the
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