Sue is a 22-year-old female who resides in Vancouver, BC. She is a university student. She resides with her parent, and older brother who is mentally challenged, and a little sister who will be completing high school this year. She came in for counselling with her friend Roberta because she feels stressed about what is happening to her and her exams. Roberta insisted Sue goes to therapy even though Sue was hesitant, so Sue could get a letter to explain to her professors about her stress. Sue reported feeling hesitant, in a daze, and having significant stress. From her information and solution-focused questions, a solution-focused treatment plan is created. As well, the therapist’s goals, ethical concerns and challenges are also discussed. Keywords: Post traumatic Stress, Post traumatic stress disorder, car accident
Case Analysis of Sue with Treatment
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It is unclear if she has been to counselling before. Sue lives with her parents, a brother who is mentally disabled, and a little sister that will be completing high school. She is the middle child in her family. Sue commutes to school and back by car. Her daily routine revolves around her attending school, going out, and keeping up with her classes. Her main support system is her friend Roberta. However, she belongs to many cultural groups such as her family, friends, being a student at her current university, and being a student in general. These groups are another source of support. Sue mentioned about her history of stress in high school and little appetite. There was no medical or psychiatric history mention about her eating habits and overall
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,
In addition to CBT and Group I would utilize exposure therapy with Karen, which would allow her to have less fear of her memory of the car accident by repeatedly speaking about her trauma (Zoellner, Feeny, Bittinger, Bedard-Gilligan, Slagle, Post, & Chen, 2011). Karen has learned to fear thoughts, feelings, and situations, as well as her close relationships that remind her of car accidents. I would help Karen talk about the trauma in hopes of helping her control her feelings and avoidance of the topic. Karen was very hesitant in discussing the car accident itself. She described it but did not seem to have the desire to discuss how the car accident made her feel; therefore, it would be critical to bring these feelings out of her and expose her to those feelings and emotions (Zoellner, et. al., 2011). Karen would learn to not be afraid of these feelings and memories from the car accident.
Her anxiety and depression interfere with her academic and interpersonal functions. She struggles to motivate herself to attend her classes. She is not coping well with her internal struggles. She is
The Smith family is an African American family currently residing in Bartlett, TN. The family owns a home in an established, middle class neighborhood. The Smith’s home is clean, updated and organized. John and Jane Smith, 48 and 45 respectively, live in the home with their 18 year old son, Junior. Both Mr. and Mrs. Smith are college graduates and have been financially preparing for their son’s matriculation to college. Mr. Smith was diagnosed with Amyotrophic Lateral Sclerosis (ALS) in the fall of 2015. Mr. Smith has recently been terminated from his job, leaving Mrs. Smith as the sole wage earner. Mrs. Smith is suffering from acute anxiety and is experiencing panic
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.
This paper explores post-traumatic stress and how it is seen as a disorder. Post-traumatic stress can manifest into post-traumatic stress disorder. According to Sareen (2014), Post-traumatic stress disorder is defined in the Diagnostic and Statistical Manual of Mental Disorders, or DSM-5 as having 4 core features that are as follows. First, the person must witness or experience a stressful event. Secondly, the person or persons would re-experience symptoms of the event that include nightmares and/or flashbacks. The person or persons would also have hyper arousal symptoms, such as concentrations problems, irritability, and sleep disturbance. The final core feature dictates
Post-traumatic disorder (PTSD) is one of the leading mental issues in the world right now. It includes introduction to injury including passing or the danger of death, genuine damage, or sexual brutality. Something is traumatic when it is exceptionally startling, overpowering and causes a considerable measure of pain. Injury is regularly sudden, and numerous individuals say that they felt feeble to stop or change the occasion. Traumatic occasions might incorporate wrongdoings, common fiascos, mishaps, war or strife, or different dangers to life. It could be an occasion or circumstance that one encounters or something that transpires, including friends and family. The post-traumatic stress is not subject to any definite experience a priori,
The client is a twenty-year-old Caucasian female, presenting for medical care one month after a serious automobile accident. She appeared well groomed with good eye contact. The client presented with a euthymic mood as evidenced by her calm voice, friendly nature, and straight posture. The client displayed coherent speech and a logical thought process. The client was oriented to people, the date, and the location. The client was screened for Post Traumatic Stress Disorder (PTSD) due to the severity of the automobile accident. The PTSD CheckList – Civilian Version (PCL-C) was conducted in a private office, which allowed for a quiet atmosphere.
The following essay is a case study of a client named John who is suffering from major depression and was sent to see me for treatment by his concerned wife. I will provide brief background information about John then further discuss interventions and strategies I believe can be applied in each session with my client in order to make John's life more manageable. In the essay, I will be writing as the therapist, and the sessions are based on a ten week period.
She also has a family history of depression. Her marriege is unhealthy and she reported that she thought of asking for a divorce. Furthermore, she was frightened of her father who had abusive tendencies towards
On a bright and crisp morning of March 25, 2015, I interviewed Joni Roche and learned what a typical day was like for this Professional Counselor. Mrs. Roche has owned her own practice for nearly eighteen years and has truly loved every single part of it. Mrs. Roche has received a Master of the Arts degree and is a Licensed Profession Counselor and a Nationally Credited Counselor. During my interview with Mrs. Roche, I truly learned so many things from different counseling techniques, what it is like to have a private practice and the good and bad things counseling comes with that people do not necessarily speak about.
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
There are several different assessments that can be used for victims of trauma to determine the level of stress and if a victim is suffering from Posttraumatic Stress Disorder. The best results will occur if the clinical work is directed at the symptoms expressed by the resulting trauma. When assessing the treatment plan, “the psychic injury caused by the event and its impact on the survivor’s normal life patterns and his or her worldview must be accounted for” (Everstine & Everstine, 2006, p.161). A person
The patients used it this design were outpatients referred in 1992 through 1995 by professionals, Victim Support, police, ambulance, fire services, and even the subjects themselves. The criteria that had to be met in order for the subjects to be used in this study were as followed: PTSD for 6 or more months; age of 16 to 65 years; and absence of melancholia or suicidal intent, organic brain disease, past or present psychosis, antidepressant drug (unless the patient had been receiving a stable dose for 3 or more months); and diazepam in a dose of 10 mg/d or more or equivalent, ingestion of 30 or more alcohol units a week, and past exposure or cognitive therapy for PTSD (Marks et al., 1998). The therapist used a procedure manual and 4 treatment manuals which covered each session in each treatment condition. The sessions were audiotaped and each individual session lasted either 90 minutes or 105 minutes in Exposure Combined with Cognitive Restructuring (EC) therapy.
I spent endless hours studying psychology books and learning about biochemistry. I discovered that the makeup of an individual was a result of a complex combination of one’s social environment and the composition of one’s brain. All of this self-taught knowledge now only distracted me from the disastrous circumstances around me gave me a clear picture of where my place was in the world; to pursue a career in Mental Health. As unfortunate as the circumstances were, this was the time in my life where I had the opportunity to communicate with families of ailing loved ones and the patients themselves. My passion for interacting and understanding stemmed from my early childhood exposures to people in these types of settings. Instead of isolating myself from the world, these observations didn’t diminish my dream of being a Mental Health Counselor but strengthened it. I instantly gravitated towards listening to other people 's problems and offered suggestions on how to deal. More importantly, I discovered the immense feeling of satisfaction garnered when I was able to support others in need. Considering the positive feedback I received, I was certain that being a Therapist of some kind was what I am suited to do with my life and that it is my calling. Whether it is close friends, family, or just peers, I am constantly willing to lend an ear, now and then. Even if I did not feel adequate proposing