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Cognitive behavioral therapy (CBT) for PTSD
Intervention of ptsd in veterans
Intervention of ptsd in veterans
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Recommended: Cognitive behavioral therapy (CBT) for PTSD
Introduction of Client William “Billy” Bonnie is a 39 year old, Caucasian male, married with one son, age 16. He has recently retired from the US Air Force, after serving twenty years on active-duty. The client states he was diagnosed with Post-Traumatic Stress Disorder (PTSD) following a combat deployment to Iraq in 2004, where he was a military working dog handler attached to a US Marine infantry unit. He had been receiving counselling and medication treatment since that time from the US Air Force. He has filed for Department of Veteran’s Affairs (VA) disability compensation and is awaiting their decision on disability benefits. Having retired from the US Air Force this past month, he has no immediate plans for pursuing work or relocating to another part of the country. Client states, “I just want to relax for a while before going back to the grind.” Billy does not claim any specific religious denomination; however, he identifies as a Christian. Reason for Referral/Presenting Problem Billy voluntarily self-referred himself to our agency in order to continue his therapy sessions and the treatment of his major depressive disorder, a common latent factor of PTSD (Contractor et al., 2014). He had been in one-on-one therapy, as his schedule permitted, for the last nine years with various military mental health specialists. Billy stated that various methods, to include Cognitive Behavior Therapy and Exposure Therapy, had been used during past sessions. He adamantly expressed his dislike for Exposure Therapy, as he believes it caused more problems than it addressed, by bringing up traumatic events and bad memories associated with them. Summary of Presenting Problem Billy states that following his return from a combat de... ... middle of paper ... ...rum: Mid-South Sociological Association, 32(2), 157-177. Cingolani, J. (1984). Social Conflict Perspective on Work with Involuntary Clients. National Association of Social Workers, 442. Contractor, A. A., Durham, T. A., Brennan, J. A., Armour, C., Wutrick, H. R., Frueh, B. C., & Elhai, J. D. (2014). DSM-5 PTSD's Symptom Dimensions and Relations with Major Depression's Symptom Dimensions in a Primary Care Sample. Psychiatry Research, 215, 146-153. Hutchison, E. D. (2011). Dimensions of Human Behavior: Person and Environment (4th ed.). Thousand Oaks, CA: Sage. Livneh, G., & Parker, R. M. (2005). Psychological Adaptation to Disability. Rehabilitation Counseling Bulletin, 49(1), 17-28. Lundstrom, L. G. (2008). Further Arguments in Support of a Social Humanistic Perspective in Physiotherapy Versus the Biomedical Model. Physiotherapy Theory and Practice, 24(6), 393-396.
PBS’ Frontline film “The Wounded Platoon” reviews the effects the Iraq war has had on soldiers as they return home and transition back into civilian life, focusing particularly on the rise in post-traumatic stress disorder (PTSD) among American military members from Fort Carson Army base (Edge, 2010). Incidents of PTSD have risen dramatically in the military since the beginning of the Iraq war and military mental health policies and treatment procedures have adapted to manage this increase (Edge, 2010). In “The Wounded Platoon,” many military personnel discuss how PTSD, and other mental health struggles, have been inadequately treated (if at all) by military mental health services. Reasons and Perdue’s definition of a social problem allows us to see inadequate treatment of PTSD among returning United States military members as a social problem because it is a condition affecting a significant number of people in undesirable ways that can be remedied through collective action (Reasons & Perdue, 1981).
Zastrow, C., & Kirst-Ashman, K. K. (2007). Understanding human behavior and the social environment. Australia; U.S.A.: Thomson Brooks/Cole.
Johnson, M. M. & Rhodes, R. (2010). Human behavior and the larger social environment: A new synthesis (2nd ed.). Boston: Pearson.
Antwone Fisher presents characteristics consistent with Posttraumatic Stress Disorder (American Psychiatric Association, 2013, p. 271). The American Psychiatric Association described the characteristics of Posttraumatic Stress Disorder, or PTSD, as “the development of characteristic symptoms following exposure to one or more traumatic events” (American Psychiatric Association, 2013, p. 271). The American Psychological Association (2013) outlines the criterion for diagnosis outlined in eight diagnostic criterion sublevels (American Psychiatric Association, 2013, pp. 271-272). Criterion A is measured by “exposure to actual or threatened” serious trauma or injury based upon one or more factors (American Psychiatric Association, 2013, p.
Handon, R. M. (2014, December). Client Relationships and Ethical Boundaries for Social Workers in Child Welfare. The New Social Worker, (winter), 1-6.
Posttraumatic Stress Disorder is defined by our book, Abnormal Psychology, as “an extreme response to a severe stressor, including increased anxiety, avoidance of stimuli associated with the trauma, and symptoms of increased arousal.” In the diagnosis of PTSD, a person must have experienced an serious trauma; including “actual or threatened death, serious injury, or sexual violation.” In the DSM-5, symptoms for PTSD are grouped in four categories. First being intrusively reexperiencing the traumatic event. The person may have recurring memories of the event and may be intensely upset by reminders of the event. Secondly, avoidance of stimuli associated with the event, either internally or externally. Third, signs of mood and cognitive change after the trauma. This includes blaming the self or others for the event and feeling detached from others. The last category is symptoms of increased arousal and reactivity. The person may experience self-destructive behavior and sleep disturbance. The person must have 1 symptom from the first category, 1 from the second, at least 2 from the third, and at least 2 from the fourth. The symptoms began or worsened after the trauma(s) and continued for at least one
The current criteria for assessment of PTSD is only suitable if criterion A is met. Every symptom must be bound to the traumatic event through temporal and/or contextual evidence. The DSM-5 stipulates that to qualify, the symptoms must begin (criterion B or C) or worsen (symptom D and E) after the traumatic event. Even though symptoms must be linked to a traumatic event, this linking does not imply causality or etiology (Pai, 2017, p.4). The changes made with the DSM-5 included increasing the number of symptom groups from three to four and the number of symptoms from 17 to 20. The symptom groups are intrusion, avoidance, negative alterations in cognition and mood, and alterations in arousal and
Isabel says, “If Dr. Nelson is right and he’s suffering from delayed shock surely new surroundings and new interests will cure him, and when he’s got his balance again he’ll come back to Chicago and go into business like everybody else” (48-49). Isabel’s statement though lacks understanding of what kinds of treatments are beneficial for treating PTSD. New surroundings and new interests won’t help treat PTSD because people who suffer from PTSD “tend to avoid places, people, or other things that remind them of the event” (Edwards). In order to understand what helps treat PTSD, we must come to understand that PTSD can never be fully cured. According to ptsd.about.com, “Treatments for PTSD will never take away the fact that a traumatic event occurred. Treatments for PTSD cannot erase your memory of those events,” (Tull) and, “That said, it is important to remember that symptoms of PTSD can come back again” (Tull). Even though it cannot be cured, it can be treated effectively with treatment. According to mayoclinc.org, “The primary treatment is psychotherapy, but often includes medication” (None). With the help of psychotherapy and medication, people who suffer from PTSD can begin to regain their life from anxiety and
A survey of OEF/OIF Veterans identified major rates of post-traumatic stress disorder (PTSD), depression, alcohol-related problems, social and family problems, and suicidal behavior. However the most alarming statistic is not about deployment rates or rates of diagnoses, the most alarming fact is that fewer than 10% of those diagnosed with PTSD or depression have received the recommended the mental health treatment upon re-integration into society. The dropout rate at the Veterans Association (VA) PTSD clinics is distressingly high as well when looking into VA records it was found that 68% of OEF/OIF Veterans dropped out of their prescribed counseling and programs prior to completion (Garcia et al., 2014). Because most of these men were deployed mul...
Hutchison, E. D. (2017). Essentials of human behavior: integrating person, environment, and the life course. Los Angeles:
...son, E. D. (2008). Dimensions of Human Behaviour: Person and Environment. Thousand Oaks, CA: Sage.
The diagnosis of Post –Traumatic Stress Disorder (PTSD) involves clusters of symptoms. They include persistent re-experiencing of the trauma, avoidance of traumatic reminders/ general numbing of emotional responsiveness, and hyper-arousal (American Psychiatric Association, 2000). In order for the possible diagnosis of PTSD the individual needs to have exposed to a
This essay will identify key issues facing the client system and will demonstrate an intervention plan. Followed by defining the purpose of social work and the identification of the AASW Code of Ethics, in regards to the case study. Lastly, key bodies of knowledge will be identified and applied to the case study.
Zastrow, C., & Kirst-Ashman, K. K. (2013). Understanding human behavior and the social environment. Australia: Brooks/Cole, Cengage Learning.
The field of physical therapy has been largely influenced by social civil occurrences. A large impact on this field is credited to the various wars throughout the United States history, allowing for the advancement maturation of this young field. Wartime conflicts placed a demand for healing of injured soldiers, the field of physical therapy providing the supply. This field has adapted throughout the years, a resiliency that has earned respect in the health care realm (Echternach, J. L. (2003). Foundational interventions of physical therapy such as therapeutic exercise, mobility training, range of motion, and more owe their roots to physical therapy in the military. The proven success of these therapies emerged during periods of war, and carried