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Post Traumatic Stress Disorder Case Study

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Josh appears to have Post Traumatic Stress Disorder (PTSD). According to Grubaugh (2014), PTSD is a psychiatric disorder resulting from a life- threatening event and requires a history of exposure to a traumatic event (Criterian A) that results in a minimum threshold of symptoms across four clusters: intrusion, avoidance, negative alterations in cognitions and mood, and alterations in arousal and reactivity (criterion B through E). Josh appears to have PTSD because he experienced a traumatic event of watching his fiancée being hit and killed by a drunk driver, he shows signs of the following symptoms, intrusion, avoidance, negative alterations. Josh appears to show symptoms of intrusion by having nightly traumatic nightmares, about that accident. Josh also is exhibiting symptoms of avoidance by not working out, playing guitar, and …show more content…

It was also reported that Josh completely ignores the part of town that the accident occurred and quit his job because he could not bear going to work as it was in the same part of town. It was indicated that Josh once enjoyed these activates. It was also indicated that Josh has become detached and is emotionally flat. Josh is exhibiting a signs of negative alterations in cogitation and mood by his flat affect. He is also exhibiting signs of sleep difficulties with his daily nightmares about the incident which could be a sign of alterations in arousal and reactivity symptoms. According to the Grubaugh (2014), in addition to the inclusion of specifiers for depersonalization and decrealization , the DSM-5 provides greater specification regarding what events constitute a traumatic event (i.e., what events constitute a criterion A event) ; and excludes the need for an individual to have experienced intense fear, helplessness, or horror at the time of the trauma due to its lack of predictive

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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,

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He exudes the symptoms of Post Traumatic Stress Disorder (PTSD), such as nightmares, guilt, flashbacks, self-destructive behavior, and agitation. “He could feel it inside his skull- the tension of little threads being pulled and how it was with tangled throughs tied together, and as he tried to pill them part and rewind them into their place, they snagged and tangled

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However, he wasn’t worried, Lee 2 because he knew what getting kicked out was like, and wasn’t scared of getting kicked out. He has struggled in school, and he doesn’t know what he wants to do with his life. Holden’s brain often goes everywhere, even when he’s talking to others, and he can’t focus on one topic at a time. He always gets flashbacks when someone starts talking to him. (Literature Review) PTSD, short for Post Traumatic Stress Disorder, is a disorder where someone has difficulty living a normal life after a traumatic event.

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So it appears that he fits the criteria of symptoms of PTSD, however some of these can be considered a stretch as it is unclear as to whether or not these truly have impact on him or if he is just recounting facts he’s learned. Psychiatry.org describes depersonalization/derealization disorders and their symptoms as experiences of unreality or detachment from one’s mind, self or body. People may feel as if they are

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In the mental health profession, the variability of symptoms has an impact on misdiagnosing clients, that can’t be overlooked. An example of how the variability of symptoms can lead to misdiagnosis is with the diagnosis of post-traumatic stress disorder (PTSD) after a traumatic brain injury. For example, memory gaps resulting from coma and post traumatic amnesia have the same characteristics Personality change, including impulsiveness, reduced insight, rigid thinking, reduced motivation, and impaired learning and concentration resulting from traumatic brain injury, may also cause some complaints to be mislabeled as a PTSD symptom (Sumpter, & Mcmillan, 2005). However, how a person processes information from life’s circumstances also varies.

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He shows signs of survivor's guilt along with Post-Traumatic Stress Disorder (PTSD). Survivor’s guilt (survivor syndrome) is a mental condition that occurs when a person believes they have done something wrong by surviving a traumatic event when others did not. The experience and manifestation of survivor's guilt will depend on an individual's psychological profile. When the Diagnostic and Statistical Manual of Mental Disorders IV (DSM-IV) was published, survivor’s guilt was removed as a recognized specific diagnosis and redefined as a significant symptom of post-traumatic stress disorder. Conrad shows signs of PTSD, as listed in DSM V, like direct exposure to the traumatic event, persistent nightmares and flashbacks of the event, loss of appetite, inability to concentrate in class, disinterest in regular activities, and a feeling of isolation (American Psychiatric Association,

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