The Application Of Cognitive Behavioral Therapy With A Homeless Veteran

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The Application of Cognitive Behavioral Therapy with a Homeless Veteran John is a 40-year-old Caucasian man who lives on the outskirts of town with a friend. He is a veteran, medically retiring from the National Guard after a traumatic injury received in combat. He has one son, Mike, who is studying at college some 200 miles away. Mike started this course a year ago. John is currently between homes and is getting assistance through the VA HUD/VASH housing program. He has always taken pride in his independence and work ethic, but lately has lost interest in this and feels it is too difficult for him because his son has left for college and his wife left them about a year after his return from Iraq. He has found it difficult to find…show more content…
He has also noticed a significant change in his sleep so that when he goes to bed he tosses and turns for at least an hour before falling to sleep. He then sleeps fitfully, waking up in the early hours of the morning on several occasions to go to the toilet before waking at around 7:00 a.m. When he wakes he is unable to get back to sleep and feels stressed and tense. He has begun to turn on the television so he can watch or listen to something, hoping to go back to sleep. Compensating for his problems of sleeplessness, he tends to sleep in during the day and not get up before noon. He also naps in the early evening and drinks more alcohol at night to help him relax. He has developed a taste for bourbon and what started out as a single shot has now grown to a pint and a fifth of whiskey. He has convinced himself that it helps him relax and sleep at night. However, he continues to feel tired. Previously he enjoyed running in the local park and swimming at the gym or in the nearby lake. However, he is finding this to be more and more difficult to do. His reduced activity strengthens his belief that he has become fat and lazy. Presenting Complaint At initial assessment, John complained of a 4-year history of depressive symptoms. These included low mood, fatigue, impaired

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