Lee's Trauma Case Study

On Wednesday, September 7, 2016 at about 1541 hours while represent at Brooklyn Special Victim Unit, located at 653 Grand Ave, Brooklyn, Sgt. Smolarsky, SVU and I interviewed Ms. Ryan-Mary Roberts. The following is a detail description of what transpired;

The client name is Johnny. He is an eight-year-old, low SES African American male. He identified himself as Black. He lives with a seven-year-old stepbrother and mother in an independent home in inner city of Milwaukee. The client was referred to intensive outpatient unit by his mother due to suicidal / homicidal ideations (almost daily), impulsive / disruptive behaviors and mood instability both at home and school. Mother was also worried about his sexualized behaviors towards brother, cousin and peers. The client’s behavioral and emotional problems started at the age of four. He has multiple inpatient admissions over the past three years (Mom believes at least five admissions). The client had a multiple trauma history including sexual and

What is the impact of historical trauma on a particular client population? How can Trauma Informed principals be used to reduce the impact of historical trauma on specific clients?

Rob lives in Barrow on his own, Robs usual daily routine is getting up and dressed and going for his daily paper he then nips to the betting office, Rob then goes to his local pub Wetherspoons for a big breakfast. Rob likes to sit and read his paper and do his crosswords. He will usually stay and have his lunch there as well. Rob will then head home and have a afternoon nap before going back out and catching up with his friends in bars close by. Rob is keen to return home, but was recently admitted to FGH with a perforated leg ulcer which required surgery, this has impacted on Robs mobility and he will need some time to get back to he routine again once back home.

The client’s recent sexual assault experience leading up to her STI diagnosis may be linked to Sylvie’s depression and anxiety. The instability and lack of support from Sylvie’s friends and family, including her lack of concentration or engagement in school activities, may also be contributing towards her recent anxiety and depressive symptoms. The assault left her with feelings of shame, guilt, and worthlessness as it did not go in line with her belief that women cannot assault other women. She disclosed her illness to her older brother, and discredited her sexual experience saying that “it had to be consensual, as women cannot sexually assault other women”. This may have been an added stress given that her brother did not acknowledge or validate

Considering the issues mentioned in criteria 1, the examinations might be Physical Examination, laboratory tests, ECG, CVP, x ray, CT, US.

Commonality is defined as the state of sharing features or attributes. In chapter 11 of Trauma and Recovery, it discusses the stages of recovery related to trauma. In part 2 of the book, Dr. Herman

The plight has been ignored, and this is detrimental to their normal lives. Some of them have families, and they cannot adequately concentrate on their normal lives because of the trauma. The first responders are open to constant scenarios involving intense stress, and therefore, most of them suffer emotional and mental stress. The overall effect is that if the problem is left unattended to they eventually suffer from psychological trauma. Psychological trauma impairs the capacity of the responders to function in the society and handles the future emergency situations correctly. Therefore, it is imperative that the first responders are accorded the proper techniques to mitigate the effects of the trauma they encounter in their services. Therefore,

Data collection this this article took place in the Department of Psychiatry, University Clinical Center Tuzla and in the large classrooms of a military camp in Tuzla with the written permission of the Defense Ministry of Armed Forces Bosnia and Herzegovina (Hasanović, & Pajević, 2015, p. 13). Even though it would be difficult to collect the exact sample to replicate this study, inferences could be made to sampling participants outside of Bosnia and Herzegovina. Therefore, 120 veterans will be needed for the sample, consisting of 2 groups of 60 participants each. Group one will consist of individuals with PTSD, which are not active military members. Excluding factors used will be; the existence of psychotic co-morbidity, the presence of physical

My early experiences with microaggressions caused me to have improper reactions of calling people out on their statement, which usually came out with the same surprising response. I feel that most people who use microaggressions are unaware that they engage in racial communications that are negative or derogatory insults to people of color. Microaggressions are the current forms of discrimination that are more subtle than direct, and I’m stunned that only when I called people out on their words were they unconsciously discriminating. While these early instances of microaggression were unconscious, I feel the more conscious forms, like microinsults, are more inappropriate and discriminating.

When I decided to take the trauma course, I was hesitant at first to take it. I did not know what to expect nor felt I would be prepare listen to stories about traumatic occurrences, despite of the number of years I have worked in the field of community mental health. Therefore, now that we are in week eight, I am delighted to have taken this course. The impression I had at first, has changed my insight concerning what is trauma, as for many years, I did not understand why a person in many instances, could not process their trauma. In a quote by Chang stated, “The greater the doubt, the greater the awakening; the smaller the doubt, the smaller the awakening. No doubt, no awakening” (Van Der Kolk, 2014, p. 22). The goes in congruence with my understanding on trauma and how it has changed during this course. As a result, I feel I am awakening when acquiring more about trauma.

I am in year 33 of treating people who suffer the effects of trauma. In the beginning, I was terrified as I sat across from these survivors who put their hope and trust in me to help them navigate through the dark tunnel of traumatic stress. I was afraid that I would not be able to help them, or worse, that I would cause them harm. As a result of this fear, I became a very cautious therapist. With my anxious and overly cautious approach, I can see clearly now how I was actually causing harm and thwarting treatment—although I would have vehemently argued this 20 years ago. My anxiety had its upside though, as it compelled me to accrue more and more training. By the mid-90s, I had become trained in every known treatment, the whole “alphabet soup” of protocols, which had shown efficacy and/or effectiveness in treating traumatic stress.

I think that I would mostly be effected by crisis or trauma occurring to populations that cannot engage in self-defense or those who have limited protections. When I refer to these populations, I am referring to children, older folk, and those that have physical disabilities. During our last presentation, I was very upset just listening to the work that was involved in interviewing a child that has experienced trauma. I felt like I could not stand listening to the horrific stories of abuse. I feel that my heart is just not strong enough for that. I have nieces and nephews, and listening to information makes it a very real thing that they could be in danger. This information made me aware that we are not always safe, especially for those who have minimal protections. This Breaks down the illusion of safety, and comfort in safety.

As an individual who is going to be a mental health professional, it is important to be aware of any biases I may have with regards to trauma survivors. In Trauma and Recovery, Judith Herman mentions that "chronically traumatized people suffer in silence; but if they complain at all, their complaints are not well understood" (119). To add, in Chapter 3 of Principles of Trauma Therapy, John N. Briere and Catherine Scott note that survivors are hesitant to discuss any details of their trauma history "due to embarrassment, a desire to avoid reactivating traumatic memories, or the clinician's own avoidance of such information [emphasis my own]" (52). What I noticed in both of these texts is that it is the counselor's duty to be as empathetic and

Thompson and colleagues (2009): Physical and sexual abuse was moderately positively correlated with positive symptom severity (especially grandiosity) among ethnic minority participants (N=17), while general trauma was positively correlated with affective symptoms among Caucasian participants (N=13).