History and observations- this patient had major traumatic experiences while she was a teenager, her uncle raped her and her family never believed her about such claims. Her family decided to stop talking to her because they thought that she was not a “good person”; therefore, she started abusing drugs and hanging out with people who did not have her best interest, so she ended up in jail with a misdemeanor. However, whenever she met her husband, she was sure to start a fresh beginning, but something was always “bothering” her. She has been struggling with significant feelings of worthlessness and shame due to her past experiences and the inability to have a relationship with her family.
For the past few years, the patient has felt unusually
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If the patient does have a religious background, provide a list of churches in the local area and online resources. From a cultural standpoint, it is imperative to assess the client’s cultural heritage, as this may provide other important beliefs besides religion that provide strength and inspiration. Emotionally, the patient is struggling internally over past issues, so the patient would greatly benefit from continuously talking with a counselor and working through some of the issues that may be present. Physically, the patient is functioning at an appropriate level, but may benefit from joining a gym or becoming more active. This could help the patient become more physically fit and at the same time take her mind off of some of the issues that are constantly running through her …show more content…
Some of the factors that come with this diagnosis are fearfulness around loud noises or hyper-vigilance to ordinary situations. Since the patient has these tendencies, spiritualism could help alleviate some of these reactions. Going to a church and speaking with a priest or minister could be of value to the patient because talking about the events that caused the PTSD could help in the recovery process. Culturally speaking, the special population in this particular case is minimal. While the patient does require some special assistance, such as counseling and cultural guidance from within her community, she has not displayed signs of needing items such as a wheel chair or special transportation. Emotionally speaking the patient has stated that a family member sexually assaulted her when she was young, which in turn most likely lead to her PTSD diagnosis. The traumatic events in her life up to this point and the lack of empathy from her family have lead to a devastating and lasting emotional state. The patient would greatly benefit emotionally from counseling and church/community involvement. She also could benefit by joining a support group for sexually assaulted victims and talking to others that this may have happened too. The After Silence organization offers support groups, message boards, and chat rooms where many individuals like my patient gathered together
My preferred theoretical orientation is Cognitive Behavioral Therapy (CBT). The main assumption of CBT is that events and situations in life do not cause emotional problems (e.g., guilt or depression); rather problems are due to irrational beliefs and perceptions about the situations (Corey, 2009). The goals of CBT focus on correcting the client’s automatic and self-defeating thoughts, which should ultimately help them to develop a more adaptive philosophy of life (Corey, 2009). I like that this approach focuses on challenging and changing the client’s cognitive distortions, core beliefs, automatic thoughts, and schemas. Another positive aspect is that this approach focuses on the cognitive triad,
Presenting for treatment is a 39 year old single, Caucasian female born in Montreal, Canada. The client identifies as heterosexual with no children and no current intimate relationship. The client was recently released from a psychiatric residential treatment in the U.S. and referred for ongoing outpatient treatment by her doctor at the hospital. The client has a history of suicidal ideation, with her last attempt leading to her hospitalization. The client reported that both her parents died in a car accident when she was an infant. The client stated that she has a twin brother whom she did not meet until much later in life. The client reported being raised in a hyper-religious school in Quebec and it was there, the client stated,
1. Client demonstrates excessive and sometimes unrealistic worry that has been occurring more days than not for past seven months. Client has been affected by physical issues due to anxiety; such as, nausea, diarrhea, lack of sleep and trouble falling asleep, excessive crying, discourse at home, and hypervigilance.
Identify the Problem: April S is a 30 year old, divorced Afro-American female with one child seeking help to deal with feelings of suicide and depression. Client reports crying daily for the six months, difficulty focusing at work, inability to doing house chores (laundry, cleaning), isolating from family and friends, weight loss of 30 lbs. in the past two weeks without dieting,
This assessment help formulate proper treatment options for counseling or pharmaceutical treatment. Some medications may have side effects that may cause severe problems in other areas of the body; therefore, the patient/victim must seek primary health care from their selective medical doctor. Memories of traumatic events can prominent several negative behaviors; therefore, victims and witnesses require much more support from these elements: therapy, medication, family/social support, and physician care will bring the patient back to normalcy. Ecclesiastes 4-9 (ESV), “Two are better than one, because they have a good reward for their
All of the treatments that Tom has participated in are considered evidence-based therapies (Friedman, 2015). Of the therapies listed above Tom believes that all have assisted him in his recovery but believes the most beneficial is constructive group therapy with people who have a common bond (NRA, 2012). Additionally, Tom has tried a few nontraditional therapies like acupuncture. While looking at the amount of exposure to life threatening events I would have tried harder to intervene earlier. Something as simple as utilizing a variation of the critical incident stress debriefing process could have made a difference in the severity and onset of PTSD. Moreover, I would recommend that Tom participate in couple’s therapy and ultimately encourage his wife to participate in the partner-assisted therapy techniques earlier (Friedman,
All of these symptoms have to occur for greater than a month, impair daily function and not be the result of the use of medication. The purpose of this paper is to provide a history of this condition, its causes, currently accepted treatment options and a possible means of prevention. It will also explore how the Christian perspective can be used in treatment of PTSD.
The client is a young, White-American, Christian, male. He most likely come from lower middle class (currently unemployed and used to work in a local furniture store). He is a single man, but his sexual orientation, romantic and sexual relationships are not mentioned in the report. Considering his particular cultural elements, he is in advantageous situation in some part such as, ethnicity, sex, religion and age. Thus, he is not likely to feel “extra” oppression due to his metal health and alcohol use problems. However, his comes from low SES and has a mental disability (therefore, he become eligible to Medicare), these probably negatively influence his mental health progression. For example, he is not able to access his former psychiatrist due to his current insurance. When it comes to his spirituality, even though his father is a religious man, the client does not seem to be interested in spiritual issues. However, his father’s strong spirituality would be beneficial for both. Since, the client’s father, as a main social support source, his mental and physical health is also vital for Tom. In fact, his father plays a critical role in Tom’s life.
JD is a 30-year-old male diagnosed with post-traumatic stress disorder (PTSD). He was involved in active combat during his 10 year career with the military and he is haunted by incidents that replay in his mind. He finds that scenes from battle run through his mind and disrupt his day-to-day functioning. He finds himself avoiding socializing with his military buddies, as this frequently triggers his PTSD. JD has been on several antidepressants with limited success and is not currently taking any medications. He is feeling hopeless and he has gone to see his psychiatrist for help. His
Gary and Lolly Beikirch had some very recommendations to counselors who are engaging with PTSD sufferers of trauma. Lolly suggests, above everything else, always counsel people trusting in the Lord and allowing Him to direct their paths (Proverbs 3:5-6). The Lord is really the ONLY One who can instruct us on how He wants to bring healing to someone, so counselors must lean upon God guidance and direction even if it does not makes sense to our human understanding at times. Gary recommended to counselors to remember that God can heal despite of the biology, therapy, etc. He IS The Healer. Gary affirmed the devastating impact that PTSD can have on behaviors and psychologically but that must always be looked at through the “lenses” of the
Terri a 44 year-old African American female present to outpatient counseling for severe anxiety and depression. The client identified current relationship problems with her boyfriend and multiple lapses while in recovery as stressors. Terri began recovery several months prior to seeking additional counseling. She also received services from a substance abuse counselor but wanted a separate counselor for possible couples counseling.
Christians called to a higher standard and must live the Christian values as we should and know how; none of us is perfect but only trying to perfect the walk that the Lord has commanded us to do.
There are many mental health professionals that can help assist those who suffer from PTSD. Isolation often occurs to patients with PTSD, the feeling that other people do not quite understand. Along with the isolation is a feeling that others have not experience it and do not know what it is about. There are pharmaceutical treatments that may be necessary in the earlier stages to help with anxiety, if a person laps into shock too long then sometimes medication is indicated. Psychotherapy is the most common recovery tool. An experienced and understanding therapist can provide being a witness, being with the patient as their reliving their trauma in the safety of a therapists office. Peoples bodies and brains are often very sensitive to being damaged. To repair the trauma patients need to relive the traumatic experience. Patients need to relive it with someone who can hear it and that will be there for them on an emotional level. The purpose of going to therapy is to keep telling the traumatic story over and over again until one day that story does not have the power that the victimizer had in creating the fear
For each of the areas of occupation, can you provide examples of appropriate performance-based intervention activities for a client who has a mental illness?
The information outlined below was obtained during an interview with Mrs. Reed, a separate interview with her husband, and previous medical records. Mrs. Reed is a 27-year old, right-handed female with a previous diagnosis of Posttraumatic Stress Disorder obtained in 2013. The triggering event that led to the diagnosis was a strangulation attempt by a previous partner. Additionally, Mrs. Reed grew up in a home with family violence. The patient reports difficulty sleeping, high levels of anxiety, and problems with memory and concentration. Her husband reports that there will be days on end in which his wife is unable to function and complete her daily tasks. Her husband additionally disclosed that his wife is having trouble at work pertaining