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Posted: July 17th, 2022
Assignment William Thompson Case Review on PTSD
William Thompson Case Review on PTSD
Introduction
Post-Traumatic stress disorder is a debilitating disorder that affects the somatic, cognitive, affective and behavioral aspects of a patent following exposure to psychological trauma (Pineles & Orr, 2018). The disease affects at least 6% of the United States population where patients are curbed with the challenge of normal functioning of their day-to-day lives.
Case Review
The patient William Thompson (WT) is a 38-year-old African-American male from Pasadena who’s medical and psychological history has coincided with the diagnosis of Post-Traumatic Stress Disorder (PTSD). Patient WT originally lived in New Jersey before he got drunk and disorderly to the extent of losing his house due to mortgage payment delay. He is currently working as a lawyer specializing in financial law and his job is in jeopardy owing to his alcohol disorder. The patient also has a positive history of exposure to traumatic events during his time in the Iraq war where he served as a captain. This may have resulted in various cognitive and behavioral changes to the patient owing to witnessing or being confronted by actual death or severe injurious threat (Rosen, 2019). He currently lives with his wife in his brother’s house in Pasadena as he recuperates.
PTSD is associated with a variety of risk factors which include past exposure to traumatic events (especially in early life), a history of substance abuse and inadequate coping mechanism research paper topics. These above symptoms are characteristic in-patient WT based on the DSM-5 and a diagnosis of PTSD is warranted. Other risk factors include a history of physical or sexual abuse, a positive family history of PTSD or any anxiety or depressive disorder in the family and a constantly elevated level of stressors in everyday life. Signs and symptoms of PTSD involve re-experiencing the traumatic events as flashbacks or nightmares, avoidance and numbing usually by picking up some form of substance abuse and by dissociating, an overall increase in anxiety and emotional arousal and in extreme cases, irritability, anger and suicidal tendencies may present.
Therapeutic Modalities
Multiple management options exist for patient WT. Trauma-focused cognitive behavioral therapy is among the initial therapeutic modalities that should be tried before pharmacological management (Gallagher, 2014). This therapeutic technique entails gradual and careful exposure of oneself to thoughts, feelings and situations that remind them of the traumatic event. Exposure therapy is coupled with cognitive restructuring therapy that purposes to replace dysfunctional thoughts with more realistic and appropriate ones. Family therapy is also a vital explorable management option especially since patient WT currently lives with his wife, brother, sister-n-law as well as his nieces and nephew. Family therapy enables one’s loved ones to understand and be empathetic about what one is going through as well as aid in recuperation (Cozza, 2016). Group psychotherapy can also be beneficial to the patient where one feels more confident and freer to share and confide in others that may be going through a similar experience.
Pharmacologic management can eventually be approached where the use of antidepressant medication such as Selective Serotonin Receptor inhibitors like Sertraline, fluoxetine. Anti-anxiety medication like Lorazepam can also be useful in instances of flashbacks and panic attacks triggered by these flashbacks.
Expected Outcomes
Following the above psychologic and pharmacological interventions, the patient is expected to learn about their disorder, PTSD, and its relation to their current situation. Following this realization, the patient should attempt to pursue therapeutic behaviors like avoidance of alcohol and drugs, spending time with positive people, confiding in a support group or people he/she trusts as well as practicing relaxation techniques.
References
Cozza, S. J. (2016). Family-Focused Interventions for PTSD. Oxford Medicine Online. doi:10.1093/med/9780190205959.003.0009
Gallagher, M. W. (2014). Treating PTSD with Cognitive-Behavioral Therapies. Cognitive Behaviour Therapy, 44(1), 86-86. doi:10.1080/16506073.2014.976254
Pineles, S. L., & Orr, S. P. (2018). The Psychophysiology of PTSD. Oxford Medicine Online. doi:10.1093/med/9780190259440.003.0022
Rosen, R. (2019). Exploring PTSD Risk Factors and Outcomes in Combat-exposed Veterans. Scientia. doi:10.33548/scientia321
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