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
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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
Ryan is a 27 year old male, normally an outgoing and fun-loving guy has become detached and emotionally flat due to the horrendous incident of his fiancé. His fiancé, a beautiful woman whom he has been dating for the past 4 year, was knocked down by a drunk driver 3 months ago right before his eyes. Ryan has withdrawn himself from playing his guitar, going out with his friends and all other activities he once used to enjoy. He still vividly remembers the horrific event of his fiancé’s death and how helpless he was when she died in his arms. Ryan is suffering from nightmares involving the scenarios of the incident, along with sleep disturbance. He has been traumatised by the death of his fiancé and often finds himself reliving the whole incident. He finds it difficult to visit the location of the accident and therefore has avoided the entire area of town. As a result, he had to quit his job as the location of the incident and his workplace are in the same area of town. Ryan is showing sadness and depressive symptoms since the traumatic event, which according to Bowlby (1980) is a normal response to any unfortunate situations or in the loss of a loved one. Dependent upon Ryan 's symptoms, it is reasonable to say that he meets the DSM-V criteria for posttraumatic disorder (PTSD; APA, 2013). As the incident took place 3 months ago, Ryan is currently on the threshold between acute and chronic phases of PTSD, the DSM-V criteria
The client is a twenty-year-old Caucasian female, presenting for medical care one month after a serious automobile accident. She appeared well groomed with good eye contact. The client presented with a euthymic mood as evidenced by her calm voice, friendly nature, and straight posture. The client displayed coherent speech and a logical thought process. The client was oriented to people, the date, and the location. The client was screened for Post Traumatic Stress Disorder (PTSD) due to the severity of the automobile accident. The PTSD CheckList – Civilian Version (PCL-C) was conducted in a private office, which allowed for a quiet atmosphere.
The DSM 4 requires that certain criteria be met for a person to be diagnosed with PTSD.
Post-traumatic stress disorder, better known as PTSD, is steadily becoming a more relevant topic of conversation in our society today. Recently this disorder has received a lot of attention due to the conflicts our military personnel are currently engaged in around the world. Another event that brought PTSD to forefront were the tragedies of 9/11. PTSD is one of the rare disorders that are a direct result of an outside traumatic event. Make no mistake about it, PTSD might be a relatively newly diagnosed disorder, but it has been around for many years. Our military servicemen had reported these conditions for many years before, now we finally have a It is an unfortunate truth that many people in our society are involved in traumatic
If you examine the first of the DSM-IV criterion (for PTSD), it states that the person's
Posttraumatic stress order, also known as PTSD or Posttraumatic syndrome, is a mental disease that affects individuals who have been exposed to different types of trauma. At least 8 million Americans will experience PTSD in their lives, and unfortunately more women will be exposed to the disease than men. Throughout this paper, although technically it is not a “disease” per se, I will sometimes refer to it as such because if PTSD is not treated properly, it can have the power to take over the body and more importantly, the mind. Unfortunate as it may be, there are more times than none where PTSD can result in suicide. According to U.S. department of veteran affairs, it has been an ongoing debate as to whether or not individuals with PTSD have
Josh experienced the death of his finance and is traumatized by the traumatic event of her death, as he witnessed her being killed on the road by a drunk driver as she was walking to meet Josh. Josh seems to be experiencing post traumatic stress disorder as he is described to be reliving the events of her death that occurred three months ago. The current time frame of the event correlates with the specifying time to meet the diagnosis for posttraumatic stress disorder (PTSD). The case study describes Josh as frequently reliving the entire incident vividly, and having behaviors of irritability, being increasingly withdrawn, jumpy, and detached and emotionally unstable. Josh’s experiences all correspond with the diagnosis of PTSD in regards to the experienced nightmares, perceived fear of places related to the traumatic event, and avoidance of places such as work that ignited memories of the trauma.
The American Psychiatric Association (2013) diagnostic criteria to identify the trigger to PTSD are exposure to actual or threatened death, serious injury or sexual violation. The exposure must result from one or more of the following scenarios, in which the individual directly experiences the traumatic event; witnesses the traumatic event in person; learns that the traumatic event occurred to a close family member or close friend with the actual or threatened death being either violent or accidents
When humans undergo traumatic events that threaten their safety and wellbeing, they may become vulnerable to nightmares, fear, excessive anxiety, depression, and trembling. Post Traumatic Stress Disorder (PTSD) is a psychological illness that results from the occurrence of a “terribly frightening, life-threatening, or otherwise unsafe experience” (Posttraumatic Stress Disorder (PTSD), 2012). This condition often leads to unbearable stress and anxiety. PTSD is significantly prevalent as indicated by data from the National Co-morbidity Survey which shows that at a particular time in their lives, 7.8% of 5, 877 adults in America suffered from PTSD (Andrew & Bisson, 2009). In the general population, the lifetime prevalence is estimated at 8%,
Post-traumatic stress disorder (PTSD) is a relatively new diagnosis that was associated with survivors of war when it was first introduced. Its diagnosis was met largely with skepticism and dismissal by the public of the validity of the illness. PTSD was only widely accepted when it was included as a diagnosis in 1980 in the third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III) of the American Psychiatric Association. PTSD is a complex mental disorder that develops in response to exposure to a severe traumatic event that stems a cluster of symptoms. Being afflicted with the disorder is debilitating, disrupting an individual’s ability to function and perform the most basic tasks.
Mental disorders and conditions are becoming more and more common every day. According to the severity of the condition, it may become a burden on loved ones and family members in regards to coping. The mental condition I have chosen to discuss is (PTSD) Post-Traumatic Stress Disorder. (Include scholarly definition). Most instances when people think of PTSD, their minds usually tend to jump to a war veteran automatically. However, PTSD can affect individuals who have been raped/ sexually assaulted, sudden death, serious accident, or any traumatic or life-threatening event. Some public financing resources that are available to individuals with this particular mental condition are VA care, personal insurance, Medicaid and Medicare and in some cases SSI.
During the 1980’s an anxiety disorder known as PTSD, or Post-Traumatic Stress Disorder, was recognized when one experienced something horrific and then began to re-experience the traumatic event (Bobo, Warner, and Warner 799). Post-Traumatic Stress Disorder can not be cured, only treated. PTSD was originally brought into perspective when combat Veterans could no longer face their experiences on the battlefield. As years went on, victims of rape, assault, or witnesses of a traumatic event were also diagnosed with PTSD. Although society knows the name of this disorder, PTSD is often underrecognized and under-treated (Bobo, Warner, and Warner 797). Many know that it is an anxiety disorder, but few understand the risks that come along with it.
Diagnostic criteria for PTSD includes a history of exposure to a traumatic event that meets specific stipulations and symptoms from each of the four symptom clusters included in the DSM-5: intrusion, avoidance, negative alterations in cognition and mood, and alterations in arousal and activity. The sixth criterion concerns duration of symptoms; the seventh assesses functioning; and, the eighth criterion clarifies symptoms as not attributable to a substance or co-occurring medical condition.
The major ethical issue is Ford and Firestone’s negligence of the technical problems. They knew that something was wrong yet they did not do anything about it and therefore ignored their consumers’ safety and health. They used a utilitarian decision model where they were looking to accomplish the greatest good for the greatest number. Another major dilemma is that Firestone did not report deaths and injuries to the government and they were very reluctant to recall their defective tires even though it was clear that they were a danger to the consumers. In addition to this, Ford failed to
Stein, Dan J., Seedat, Soraya, Iversen, Amy, and Wesley, Simona, (2007), Post-traumatic stress disorder: medicine and politics, 369: 139 44