Jason Vaughan Jason Vaughan is a 20-year-old college sophomore. Jason presents with feelings of his thoughts not being his own or his mind being blank. He admits that he feels like a “disconnected robot” and feels detached from his own body, stating that sometimes he cannot tell if he is alive or dead. He experiences feelings of having “no self” and due to this, he is constantly afraid. This is impacting his social life and his grades. These symptoms appear to begin after a month long period of depression over a break up with his girlfriend. Jason has a history of panic attacks and feelings of detachment, which occurred around the same time that his mother was hospitalized for her own psychiatric problems. These same symptoms occurred surrounding his parents’ divorce and the leaving of his father. His mother is diagnosed with paranoid schizophrenia.
Phase 1 Stabilization. Following phase one of the case conceptualization model, we would need to stabilize Jason’s home situation, being that mom has paranoid schizophrenia and Jason has spent much of his life taking care of her. Along with, we would need to stabilize Jason’s attachment issues with his bonded network. Jason shows severe anxiety when those in his bonded network leave. Jason’s symptoms of depersonalization and derealization need stabilized, as does his sense of independence or
…show more content…
Professionals will need to address Jason’s social engagement with others, as well as his reactions to lack of attachment. Jason will also need professional help working on body-mind connections, positive affirmations, and problem solving. Professionals could also help Jason meet others that experience similar stress responses so that he can normalize his symptoms and deal with the fear response in a more positive manner. Jason can also undergo cognitive behavioral therapy (CBT) and eye movement desensitization and reprocessing (EMDR), with body mind exercises like body tapping to help ground
In her younger years, she often felt panic, frightening and terrified about her mother’s and stepfather’s behavior (Comer, pg.47). She has repeatedly “felt the walls closing in on her” as well (Comer, pg.45). Jennifer also had behavioral symptoms which are actions. She often stayed in her house and in her bed or bedroom. When interacting with her mother, she forced herself to smile and pretend to be happy.
William Harrar went into private practice in 1991 and continues to maintain a private practice. He provides professional consultations to other therapists and consults at local psychiatric units as well. He also provides psychotherapy to individuals, couples, and families. Dr. Harrar’s emphasis is brief treatments, especially treatments utilizing EMDR. His expertise in EMDR has afforded him as an approved consultant and certified therapist with the Eye Movement Desensitization and Reprocessing International Association (EMDRIA). Dr. Harrar also facilitates at national EMDR Institute trainings.
I hypothesize when utilizing reexperiencing with Jason it would benefit him regarding being able to fully assess the traumatic event he experiences while in combat. I would hypothesize Jason never fully assessed his feelings regarding the situation because during the event he was in combat which is a highly stressful situation. Being in combat would not have provided him with the opportunity to process what he just experienced.
Earley highlights this with his son as he leaves the hospital system and is processed through the judicial system. The next responsibility is to understand where we are in a system and where we need to go. The book portrayed Mike, Earley’s son, could not be hospitalized unless he voluntarily committed himself or verbalized harm towards himself or others. It was clear to Earley, who knew his son’s baseline, was deescalating further into psychosis. The situation explains how we can get assistance for clients who may not be able to make adequate decisions in a psychotic episode. Lastly, the clinician should develop a strategic plan of how to achieve the desired results, and the key participants involved. Earley researched the systems involved for over a year before he concluded writing a book would reach the vast of persons involved. He interviewed and studied the systems involved to strategically plan how he could assist his son.
Since entering into the program, Chris has been open about his anxiety and has been willing to work on his symptoms. Chris requested additional homework outside of group therapy to work on his symptoms of anxiety. Chris completed 3 Rational Emotive Behavior Therapy workbooks titled Anxiety & Worry, Grief, and Self-Esteem. Chris has self-reported that he is improving on managing his symptoms and is learning his triggers. Additionally, Chris have developed insight and developed effective coping skills to manage his symptoms.
In the case of Conrad Jarrett I would envision utilizing two frontline treatment options in order to reduce the client’s symptoms of Posttraumatic Stress Disorder (PTSD). Bryant (2008) designed a treatment protocol that combines the use of cognitive restructuring and exposure therapy. Utilizing both of these therapies within structured individual sessions would allow a reduction in negative cognitions (e.g., feelings of guilt and shame) should these feelings intensify during exposure. My concern stems from the patient’s previous attempt at suicide and my desire to provide Conrad with some tools to combat his negative thoughts increasing the likelihood that he will remain unharmed and in therapy through the duration of treatment.
The practice that assist a therapist in determining a client diagnosis and the proper treatment plan that would resolve the issue surrounding the clinet’s diagnosis is Case Conceptualization and Treatment Planning. The clinet’s treatment plan must be appropriate and relational and this will alow any type of medication and adaptions to be adjusted if needed so that modifications and adaptations can be adjusted as needed (Altman, Briggs, Frankel, Gensler, and Pantone, 2002). The ultimate goal of case conceptualization and treatment planning is to discover complete findings in relation to the client. One approach is Existential Therapy. The human
It is normal, following a traumatic experience, for a person to feel disconnected, anxious, sad and frightened. However, if the distress does not fade and the individual feels stuck with a continuous sense of danger as well as hurting memories, then that person might in fact be suffering from Post-Traumatic Stress Disorder (PTSD). PSTD could develop after a traumatic incident which threatens one’s safety or makes one to feel helpless (Dalgleish, 2010). Coping with traumatic events could be very difficult, but confronting one’s feelings and seeking professional assistance is usually the only way to properly treat PSTD. Many kids and adolescents worldwide experience events that are traumatizing. If exposure to trauma is not treated, it could lead to various mental health problems. Researchers have reported a connection between traumatization and increases in mood and anxiety disorders, but the most frequently reported symptoms of psychological distress are post-traumatic stress symptoms (Cohen, Mannarino & Iyengar, 2011).
Law enforcement interactions with the mentally ill community are increasing, due to a number of factors such as cuts on long-term psychiatric beds, improvements in treatments and the philosophy of integration (Adelman, 2003). Which leads to mentally ill people living in the community, which leads to increase crisis and police interaction because of insufficient funding. Existing community-based crisis response services are not well unified and are limited, especially in rural areas. General hospital-based emergency services can also be difficult to access because of bed reductions, and only offer treatment to those only that are seriously ill (e.g. be actively delusional or suicidal). As Eric Macnaughton states in his study BC Early
Ryan has been diagnosed with schizophrenia paranoia. He hears voices of violence and criticism of his enjoyment. When the voices told his to harm his mother and his brother he lost contact with them and was hospitalized. He is aware of his symptoms and knows when he is in need of professional. He seems to be aware that the voices come from his diagnosis, however he still chooses to listen to them because of their earnest persistence. He does a pretty good job of recognizing and somewhat resolving his symptoms he could never be fully independent without the proper treatment. He can care for himself but requires constant reminders and promoting to engage in his self-caring routines. However, with proper treatment
For one, participation in a mental health court is voluntary. The patient must consent to be in the program, which involves services of counseling, treatment plans for medications, and housing voucher programs (King County TV, 2010). These resources are directly linked to the client’s treatment. In addition, the same prosecutor and defense team handle all the cases and are very familiar with the client. A victim’s advocator, mental health monitor, social worker, and probation officer work collaboratively with the client as well (King County TV, 2010). With the high standards of treatment quality, mental health courts work to address the problem and look at the individual holistically. Outcomes of the treatment include patient stability and safer
As social workers, it is important to study the entire aspect of the individual. We must examine the individual past and see if their condition is trauma-related. It is the job of the social worker to identify the issue, in this case it would be a person who suffers from a mental illness and is placed in isolation when in jail or person and find the best solution for that issue. The solution to the issue may not be what’s written in a handbook or what we were thought, but sometimes we must find alternate resolutions. While we may not have the answers to combat the issue; if as social workers we could find the root cause of the issue that may help in the intervention process.
Making it difficult for patients to receive adequate health care for their psychological issues. From a nursing standpoint, this book was interesting and informative. It demonstrated that the legal and psychological health care systems need to be fixed. At the end of the story, Pete concluded that mental illness is a disease that his son must endure for the rest of his life. However, he will be there to help his son, and will never abandon Mike (Earley page 361).
When developing a treatment plan for any complex case, it is critical to consider any factors that contribute to the client’s situation. One must generate a plan of action that will support the client appropriately and yet not be overwhelming. It often takes a long time for a client to come to terms that they need help. For many, seeking mental health services can be both a daunting and intimidating laden with feelings of failure and disappointment.
London will be treated using the Cognitive Behavioral approach as it is recommended for children by the American Academy of Child & Adolescent Psychiatry (Freeman et al., 2007). Heavy emphasis will be placed on the inclusion of London’s mother and grandmother in and out of therapy sessions. Over the course of treatment, London will engage in relaxation techniques, rational emotive therapy, and exposure and ritual prevention therapy.