Psychological Trauma and Andrea Essay examples

756 Words Mar 2nd, 2015 4 Pages
Diagnosis of "Andrea C.: Experiencing Violence in the Workplace"
Jean Berry
Walden University

Diagnosis of "Andrea C.: Experiencing Violence in the Workplace"
Being able to form a diagnosis properly for a client is a process that is wide-ranging and broad. The Diagnostic and Statistical Manual of Mental Disorders (DSM) (American Psychiatric Association [APA], 2013) supports recommendations and standards for identifying a diagnosis for a client. The procedure of diagnosing is more than skimming for symptoms in the DSM; one must assess, interview and identify issues, as well as refer to the DSM for a diagnosis.
Case Study: Andrea C
Andrea C. a company manager, is forty-nine and divorced. The location of the building where she
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Andreas experience was directly related to her own personal involvement with a traumatic event.
Andrea experiences intrusion symptoms; these symptoms arrive suddenly and occur when memories of the previous traumatic event plague your life (APA, 2013). Andrea expresses that she has a solid fear of returning to work (Butcher et al. 2013). Andrea’s opposition to return to work can be considered a “persistent avoidance of stimuli” (APA, 2013, p. 271). Andrea is feeling hopeless, guilty and withdrawn (Butcher et al. 2013) showing that Andrea is having “negative alterations in cognitions” (APA, 2013, p. 271). Andrea is also exhibiting hypersensitivity towards undertakings and activities stating that they are debilitating. Andrea also speaks of memory problems.
Somatoform are physical symptoms triggered through psychological factors (Hansell & Damour, 2008). Consider “somatic presentations can be viewed as expressions of personal suffering inserted in a cultural and social context” (APA, 2013, p. 310). Andrea expresses somatic symptom disorder through multiple symptoms. Andrea’s physical grievances are excessive, suggesting her need for attention. She states that she is in a tremendous amount of pain and easily agitated and hostile if others do not take her
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