Vicki Sayers Case Summary

Vicki Sayers was referred to me today because she was recently the victim of a rape. The client is a 31 year old Caucasian female born on November 22, 1979, in New York. The client gives an account of her own history and appears to be a reliable source. The client states she was assaulted four times by the same perpetrator over the last fifteen years. The first rape occurred in 1995 when she was 16 years old. The client was working as a candy stripper at a hospital, and while she was leaving for the day, she was grabbed from behind and pulled into a storage room and raped. The perpetrator took her drivers permit and told her that if she told anyone he would kill her parents. She states that she was so frightened that she never told anyone. During her sophomore year at Hudson University in 1998, the client was raped

The client meets criteria A (1, 4) (Exposure to actual or threatened death, serious injury, or sexual violence), because she was both the direct victim of sexual assault and was raped repeatedly over a fifteen year timespan. The client also exhibits the following intrusion symptoms in Criteria B: Recurrent, involuntary memories of the event. The client stated she had thoughts of the rapist when looking at fiancé. In Criteria C, she avoids external reminders such as working away from home because it reminds her of her vulnerability and the first rape. The client also meets Criteria D (5-7). She has markedly diminished interest or participation in significant activities, a strong detachment from others, and the persistent inability to experience positive emotions, which is demonstrated by her reclusiveness and her break up from Scott. In Criteria E, the client is at a constant state of hypervigilance, and exhibits extreme anxiety when leaving her home. Furthermore, the client states she is not able to