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Ptsd Case Study

Decent Essays

1. Using the diagnostic algorithm discussed in class as a guide, explain how you would arrive at a diagnosis of PTSD based on the clinical data in the case example. Be sure to justify the ways in which the client meets all of the diagnostic criteria for PTSD and provide information about how you would go about elaborating on your diagnosis according to this model.
a. Traumatic Stressor: Yes, Mark has been exposed to multiple traumatic events over the course of his life (i.e., his father’s death, physical and verbal abuse from his mother, sustaining shrapnel wounds in Panama, experiencing friendly fire with his friend Roger, experiencing multiple IED explosions, including one that caused him to lose consciousness for 2 minutes, and the marketplace …show more content…

Excessive and linked to the event: yes, Mark lashes out with verbal aggression towards people who he thinks do not understand or care about what he has been through. In addition, his exaggerated startle response appears to be to stimuli that remind him of IED or other explosions. Finally, his nightmares are about the marketplace incident and his other traumatic events he experienced. They are excessive because most people likely will not understand what he has been through because they have not experienced what he has. In addition, it appears that he experiences an exaggerated startle response to stimuli that he will hear on a daily basis. Finally, his sleep disturbance is excessive because he is avoiding his nightmares, thus attempting to avoid sleep altogether.
f. Significant distress or impairment: Yes, Mark is experiencing issues with his wife, issues with his sleep schedule, and significant cognitive distortions. Therefore, since returning from Iraq he has experienced significant distress and impairment in his social, personal, and occupational functioning.
g. Symptom duration for greater than one month: Since the case example does not indicate what the current date is, then it is impossible to know if the symptoms have been present for over one month. All we know is that he has been experiencing symptoms since he returned from Iraq
h. Diagnose PTSD: Depending on how long the symptoms have been present, PTSD should be diagnosed if they have been present for over one month, but, if it has been less than one month, then Acute stress disorder should be

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