Case Study Of Conrad's Mental Behavior

Presenting Problem: Conrad is an eighteen year old, upper class, heterosexual, White, male. Conrad has been experiencing several cognitive symptoms including night terrors, intrusive memories, dissociation, poor emotion regulation, an inability to concentrate, distorted blame of self and severe guilt. His behavioral symptoms include avoidance of brother-related friendships, outbursts of anger and diminished participation in activities that were once pleasurable. Onset occurred in reaction to the death of the client’s older brother when he drowned during a sailing accident. The duration of the symptoms has been one year and three months.
Personal Status: Historically Conrad is the younger of two children, but the death of his brother has left

There is no clinical evidence of psychomotor disturbance. At times he struggled to maintain adequate eye contact. Although he was apprehensive to speak at first his speech was coherent, spontaneous, appropriate with normal rate, volume and rhythm. He described his mood as “overwhelmed.” Objectively, his mood was a combination of sullen and angry. His affect is full range, appropriate, with spontaneous emotional reactivity. There were no clinical features of psychotic illness. His behavior is appropriate for a frustrated teenage male. His memory for recent and remote events is intact. He is well oriented to place, time and person. His concentration and attention were both adequate but he did disassociate at times. Additionally, he was preoccupied with the event and its ramifications. He was able to add and subtract figures without difficulty. His general level of intelligence and fund of general knowledge appears to be above average. His level of personal hygiene is adequate. He was able to communicate clearly and he was able to achieve goal directed ideas without difficulty. He denied any current suicidal or homicidal ideation. Client disclosed ideations of hopelessness, shame and guilt. I was able to maintain adequate rapport with him throughout the interview and he was able to follow directions. He denied any auditory or visual hallucinations. Client denied having “real time” flashbacks of the traumatic event. However, he disclosed unwelcome and intrusive memories of the event that occur sporadically outside of therapy. The client has poor insight into the nature of his