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Criterion A Case Summary

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This case pertains to a 27-year-old male named Josh of undisclosed ethnicity who just three months ago witnessed a horrific, senseless accident which resulted in the death of his fiancée. He is suffering from a tragic, irreplaceable loss and is displaying symptoms of posttraumatic stress disorder (PTSD).
Diagnosis
PTSD criteria A and B. Josh meets all of the criteria for PTSD as outlined in the DSM-V (American Psychiatric Association, 2013, pp. 272-272). Criterion A refers to exposure to a traumatic event. Josh meets criteria A1, A2, and A3 (only one of four is required to meet criterion A) because he both witnessed firsthand the car accident that claimed the life of his fiancée, and she died tragically in his arms. Josh meets criterion B1 of the disorder because of his vivid, recurring, involuntary, and deeply distressing …show more content…

The components that make up the details which led to Josh’s heartbreaking loss were not just unnecessary and tragic individually, they were also just…wrong. First, his fiancée lost her life as a direct result of the accident. Secondly, her civil right of safety was violated when she was hit by a car in a crosswalk where pedestrians have the right of way on red. Thirdly, the driver of the car who hit her did so because he or she ran the red light at the intersection–a total disregard for the well-being of the pedestrians in that crosswalk. Next, the driver of the car was drunk–entirely irresponsible and inconsiderate of the safety of anyone else on the road. Also, Josh worked adjacent to the scene of the accident. Although he tried to continue to go to work, he could no longer bear the vivid memories that came with the scenery. Because of the accident, then, Josh also lost his job. The overall unjustness of the tragedy and its consequences, therefore, should be considered during treatment planning and while evaluating Josh’s

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