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Post-Traumatic Stress Disorder Case Study Essay

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The purpose of this paper is to present the information necessary to conceptualize a client case study on an individual who has been suffering from the anxiety condition of Post-Traumatic Stress Disorder (PTSD). The client that is the subject of this case study is fictional in nature although the indicators that the client displays are those that are associated with the condition of PTSD.
Review of Research Issue The earlier research conducted was concerned with the efficacy of treatment of anxiety disorders in adults. Cognitive Behavioral Therapy (CBT) was identified as an effective treatment for these types of mental disorders. Anxiety disorders are one of the most prevalent mental health disorders experienced by Americans today. It …show more content…

During the client assessment additional information, such as the problem antecedents, problem consequences, secondary gains, previous actions and coping skills to cope with the problem along with the client’s perception of the problem were also looked at. The problem antecedent was identified as the act of being held up at gunpoint for a robbery while stationed in Virginia, not far from her home. Now, when the client feels out of control or emotionally or physically threatened, the problem manifests itself with either anxiety or PTSD attacks. Due to this the problem consequences are that the client often has absences from work due to her PTSD and anxiety attacks. No secondary gains were identified associated with this client’s problem. In an attempt to address the problem, the client has sought out the care of various mental health professionals, to include seeing both a psychologist and psychiatrist and has, as a result, been place on medication. The client has also been had a period of admission to a psychiatric hospital in an attempt to bring her anxiety attacks under control. In specific regards to her alcoholism, the client has also previously been admitted to an in-patient rehabilitation program for six weeks and did in the past, although not currently, attend regular Alcoholics Anonymous (AA)

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Some red flags the client presented is being hostile towards others, client is also verbally abusive and will refuse to address her problems. The improvement for quality of care for this client is getting the right and continuous treatment that will help her stay on the right track. To improve the clients overall health and the continuum of care, the client would need to obtain a hobby or engage in an activity that will fulfill her needs, with the purpose of maintaining the client busy and

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Phase One (Sessions 1 through 3) • The session 1 and 2 consists of the assessment of the client’s clinical problems and background information. Questions relate to her clinical problems, including (a) the nature of her problems (depression and difficulty with making decisions), (b) reason of seeking psychotherapy, and (c) previous attempts to deal with the problems. For the background information, the client’s histories are assessed in the areas of intimate/family relationship, educational/vocational activities, past history of psychological treatment, and physical condition. Session 3 primarily consists on the further functional assessment around her coping skills (e.g., avoidance) in the areas of interpersonal relationships. Phase Two

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On Tuesday October 27, Dr. Brittany Hall gave a talk on PTSD affecting military veteran and active duty soldiers. During active duty soldiers are exposed to a lot of unforeseen events. Veterans and active duty soldiers are serving to protect the country from allies, and place there lives on the line everyday for citizens to continue to have freedom. The aftermath of returning from combat is the devastating blow for a lot of soldiers. Soldiers returning home from combat are not being able to separate civilian world from warzone usually struggle form PTSD.

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PTSD or post-traumatic stress disorder occurs when a person has been through either emotional or physical trauma. Veterans often times develop PTSD due to the physical and emotional trauma that comes along with being in a war. Symptoms of this disorder can include; “depression, worry, intense guilt and feeling emotionally numb. People with PTSD also display impulsive or self-destructive behavior and changed beliefs or changed personality traits” (WebMD). Lastly, AboutHealth.com states that people with PTSD are also very likely to partake in substance abuse in order to numb out their internal turmoil.

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Co-occurring disorders are common with most client cases that are presenting with a substance use disorder. Rosa is presenting with a history of several suicide attempts, alcohol use disorder, Post traumatic Stress Disorder (PTSD), and Borderline Personality Disorder (BPD). The client’s most severe symptoms are anger, fear, and shame. It is these symptoms that are complicating her life, causing distress, and self harming behaviors. Additionally, her treatment history is limited since she does not finish her therapy sessions.

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A second form of perception that lots of PTSD patients have is the perception of oneself as defective and intolerable. Another major point that was talked about in this article was the symptom of avoidance. Avoidance is seen happening in large quantities in PTSD patients, which leads to a PTSD patient inviting self-punishment, which prevents connection to family members. Avoidance leads also leads to emotional numbing, disassociations, suicide, and compulsive behaviors. Another correlation that was found was that there is a positive correlation between self-blame and suicide.

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Post-traumatic stress disorder is very common in those who have been in difficult situations. It sis a disorder that “develops in some people who have experienced [a] shocking, scary or dangerous events” (www.himb.hih.gov). In “The Glass Castle,” by Jeannette Walls, it appeared that Rex showed symptoms of PTSD, which resulted in hyperarousal, alcoholism, bipolar disorders. These symptoms explain why Rex did the things he did, and why he acted out so often. PTSD has many different symptoms, but there are various options to cure it.

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Both of these readings highlight the best practices to use when working with those who have experience trauma, but in different populations. The first article by Bath looks at the idea of the three pillars: safety, connection, and managing emotions. The second is more of a research study examining individuals in homeless shelters, which is trauma in and of itself, and often have other psychological problems, as well. When working with any population that has experienced significant traumatic events, or any population for that matter, Trauma-Informed Care should be implemented in order to ensure all individuals are comfortable and receptive to assistance. One of the main similarities between the suggested responses to these demographics is the emphasis on establishing safety.

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