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Case study for ptsd
Abstract about PTSD
Cognitive behavioral therapy (CBT) for PTSD
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For Charlie, there would be a combination of psychoeducation, cognitive therapy, and exposure therapy to try to help him with his PTSD. The purpose of using psychoeducation is to teach Charlie, and his family members, more about the mental disorder that is affecting him (Abramowitz, 2018). It will help Charlie learn that the symptoms he is experiencing are common for the type of traumas he experienced (Abramowitz, 2018). In addition, it will both Charlie and his parents learn more about the possible treatment options and the role each person has to play to better improve Charlie’s condition (Abramowitz, 2018). Cognitive therapy would be helpful for Charlie to teach him about the how a person’s thoughts and beliefs can affect their moods and …show more content…
Prolonged exposure therapy can encompass imaginal, interoceptive, and in vivo exposure therapy (Tull, 2017). Charlie, and the mental professional, will work together to establish a narrative of the traumatic experience he lived (Tull, 2017). Charlie will be exposed, little by little at a time, to the memories or situations he is afraid of and that he tends to avoid (Tull, 2017). Charlie will do this by discussing the specifics of the trauma and the situations he has been avoiding (Tull, 2017). This will be the imaginal exposure therapy …show more content…
This does not mean that his symptoms will be completely eliminated. The degree to which Charlie improves is subjective and based on a variety of factors (like the type and amount of social support he has and his self-efficacy and self-strength). Prolonged exposure therapy trials have demonstrated to lessen anxiety and improve global functioning (Eftekhari, Stines, & Zoellner, 2006). Based on various studies, prolonged exposure has also demonstrated clinically significant reductions in self-blame and negative cognitions about one’s self (Eftekhari, Stines, & Zoellner, 2006). Therefore, Charlie’s symptoms can able to diminish to the point where his will be able to have better attitudes, improved functionality, more control of his life and increased involvement in situations that normally he would try to avoid (Chivers-Wilson,
Robinett, Jane. "The Narrative Shape of Traumatic Experience." Literature & Medicine 26, no. 2 (Fall2007 2007): 290-311.
After weeks of testing Charlie is selected and has the procedure performed. There are no noticeable changes immediately, however after some time Charlie begins to have flashbacks and mixed emotions of his childhood for example, Charlie’s first flashback begins with him standing in front of the bakery as a child and it goes blurry and cuts out. (2) As Charlies intellect increases so does his perception of the world around him and the way people act toward him. Charlie finally begins to realize guilt and shame along with all other natural human
PTSD is a battle for everyone who is diagnosed and for the people close to them. The only way to fight and win a battle is to understand what one is fighting. One must understand PTSD if he or she hopes to be cured of it. According to the help guide, “A positive way to cope with PTSD is to learn about trauma and PTSD”(Smith and Segal). When a person knows what is going on in his or her body, it could give them better control over their condition. One the many symptoms of PTSD is the feeling of helplessness, yet, knowing the symptoms might give someone a better sense of understanding. Being in the driver’s seat of the disorder, can help recognize and avoid triggers. Triggers could be a smell, an image, a sound, or anything that could cause an individual to have a flashback of the intimidating event. Furthermore, knowing symptoms of PTSD could, as well, help one in recovering from the syndrome. For instance, a person could be getting wor...
...ype of treatment available for post-traumatic stress disorder patients is psychotherapies. There are various types of psychotherapy that psychologist can use such as exposure therapy, psychoeducation or mindfulness training. In exposure therapy, the patient is recreating the traumatic event help get rid of the fear relating to the event. For example, James Francis Ryan could be put through a session where there was simulation of explosives going off or even airplane engine noises. Research by F.R. Schneier et al., 2012, found that antidepressant medication taken alongside exposure therapy was found to be more effective in treating the post-traumatic stress disorder (Sue, Sue, Sue, and Sue, 2014, p.127). Psychoeducation is also used with exposure therapy because it educates the patient with information about their disorder in order to understand it and cope with it.
Ellis, B. H., Fogler, J., Hansen, S., Forbes, P., Navalta, C. P., & Saxe, G. (2012). Trauma systems therapy: 15-month outcomes and the importance of effecting environmental change. Psychological Trauma: Theory, Research, Practice, and Policy, 4(6), 624-630. doi:10.1037/a0025192
Before the operation, he exhibited some clear strengths such as determination, a positive attitude, friendly with people and some weaknesses such as education and inability to understand the adult world. After the operation, he begun to change in numerous ways. Charlie started out as being not really intelligent. Being around with “smart” people made him want to change and became “intelligent” just like his “friends.” I think its all crazy. If you can get smart when your sleeping why do people go to school. That thing I don't think will work. I use to watch the late show and the late late show on TV all the time and it never made me smart (Keyes 118). This part of the book led Charlie’s flashbacks takes place of how he was raised or nurtured through his childhood, Of how he wanted to try to become smart. However Dr. Strauss believes that his sleep would help Charlie be able to learn. However in his nature, his disability cannot help him at all, doesn’t matter how much he tries to watch TV and tries to go to sleep, I wouldn’t allow him to learn anything at all. The nurture of this is having the doctor recommend Charlie to do this. His disability also not just affects him but his family as well. His disability kind of makes his sister miserable as well, jealous over how the parents focus on Charlie due to his disability, despite the successes the sister achieves in school. Thus Charlie’s nature towards others has a negative effect which is towards his sister. Charlie was raised by his parents but through a condition that would then follow him probably for the rest of his life as well as being mainly raised through this experiment, which possibly wouldn’t help him at all in the near
...Therapy approach in counseling Chris was asked precise questions; which lead to externalizing the problems. During the questioning Chris is able to identify his problems that relate to his behavior. Chris explores his behaviors, his life, relationships their effects, their meanings, and the context in which they are formed (Murdock
Vicarious trauma focuses on the cognitive schemas or core beliefs of the therapist and the way in which these may change as a result of empathic engagement with the client and exposure to the traumatic imagery presented by clients. This may cause a disruption in the therapist 's view
Before the operation Charlie was unaware of the way he was being treated or of how others viewed his disability throughout his whole life, but by the end of his progress reports he understands the way life is. The gift of intelligence was given to him, however this gift he was given was drawn away from him just as quickly. Many bad things occur to Charlie after the operation, but the war between his emotions and his mind stood above the rest of
“Cognitive-behavioral therapy (CBT), specifically exposure therapy, has garnered a great deal of empirical support in the literature for the treatment of anxiety disorders” (Gerardi et al., 2010). Exposure therapy is an established PTSD treatment (Chambless & Ollendick, 2001) and so is a benchmark for comparing other therapies (Taylor et al, 2003). “Exposure therapy typically involves the patient repeatedly confronting the feared stimulus in a graded manner, either in imagination or in vivo. Emotional processing is an essential component of exposure therapy” (Gerardi et al., 2010). “Exposure therapy in the virtual environment allows the participant to experience a sense of presence in an immersive, computer-generated, three-dimensional, interactive environment that minimizes avoidance behavior and facilitates emotional involvement” (Gerardi et al., 2010). This therapy has been thought to be more effective because it better accesses people’s emotions to their traumatic event. EMDR is where the participant was asked to recall the memory and its associated and then lateral sets of eye movements were induced by the therapist moving her finger across the participant's field of vision (Taylor et al., 2003).
Post-Traumatic Stress Disorder, also known as PTSD, is an anxiety disorder that can develop after a traumatic event (Riley). A more in depth definition of the disorder is given by Doctor’s Nancy Piotrowski and Lillian Range, “A maladaptive condition resulting from exposure to events beyond the realm of normal human experience and characterized by persistent difficulties involving emotional numbing, intense fear, helplessness, horror, re-experiencing of trauma, avoidance, and arousal.” People who suffer from this disease have been a part of or seen an upsetting event that haunts them after the event, and sometimes the rest of their lives. There are nicknames for this disorder such as “shell shock”, “combat neurosis”, and “battle fatigue” (Piotrowski and Range). “Battle fatigue” and “combat neurosis” refer to soldiers who have been overseas and seen disturbing scenes that cause them anxiety they will continue to have when they remember their time spent in war. It is common for a lot of soldiers to be diagnosed with PTSD when returning from battle. Throughout the history of wars American soldiers have been involved in, each war had a different nickname for what is now PTSD (Pitman et al. 769). At first, PTSD was recognized and diagnosed as a personality disorder until after the Vietnam Veterans brought more attention to the disorder, and in 1980 it became a recognized anxiety disorder (Piotrowski and Range). There is not one lone cause of PTSD, and symptoms can vary from hallucinations to detachment of friends and family, making a diagnosis more difficult than normal. To treat and in hopes to prevent those who have this disorder, the doctor may suggest different types of therapy and also prescribe medication to help subside the sympt...
There are many different causes of PTSD such as sexual abuse, sudden death of a loved one, and war. Trauma affects people in different ways, some can develop it from watching a fellow soldier being killed, and some can develop it from losing their jobs or a divorce. Being diagnosed with PTSD is a difficult process because there are many other psychological disorders whose symptoms can overlap and are very similar. An important fact to remember is that PTSD doesn’t just affect the person suffering; it can also have secondhand effects on their spouses, children, parents, friends, co-workers, and other loved ones. Although there is no direct cure, there are many treatment and alternative treatment options to assist them in moving forward after a trauma.
Cognitive behavioral therapy earliest inventors were behaviorist, such as Skinner, Watson, and Pavlov. They’re the ones who led to the advancement for behavioral treatment of mental disorders. Behavioral modification is a technique that uses positive and negative reinforcements to change a particular behavior and reaction to a stimulus. Behavioral therapist only focused on an individual’s behavior not their thoughts. During this era, psychologists applied B.F. Skinner’s radical behaviorism to clinical work. Much of these studies focused on chronic psychiatric disorders, such as autism and psychotic behavior. His methods also focus...
In the movie it is not specifies what type of internalizing disorder Charlie had. A possible diagnosis Charlie could have been classified with is Post traumatic Stress disorder because of the trauma he felt after he was molested by his aunt. He feels guilty because of the death of his aunt, since she dies on Charlie’s birthday when she was going out to buy his birthday and Christmas present. Charlie always kept as a secret what his aunt Helen did to him, his parents find later when Charlie is already receiving treatment. Sometimes we can infer that Charlie doesn’t blame his aunt for what happened, but there are times where he states that he was glad his aunt had died in that accident. Some of the symptoms of post traumatic stress disorder is
This approach draws on the importance of early experience and how people internalize events that happened in their youth. It draws on the idea that there is a conflict between events that happened in the past and what a person is trying to accomplish in the present. The therapist is very engaged and develops a close relationship to the client, in which the relationship helps model normative relationships that the client can use to generalize. The goal of this kind of treatment is to make the unconscious conscious to the client. The hallmark of psychodynamic psychotherapy is insight and working through, in which the client has deep and reflective epiphanies about themselves. Psychodynamic therapy has also shown to be effective in the treatment of individuals suffering from post-traumatic stress disorder. Schottenbauer, Glass, Arnkoff, and Gray (2008) explored the contributions of psychodynamic approach to therapy in individuals suffering from PTSD and trauma. Some of the many contributions psychodynamic treatments include addressing interpersonal issues that are a by-product of PTSD, and also addressing development. Aside of bringing unconscious thoughts forward, the therapist also watches for defense mechanisms that the client might use. These defense mechanisms are important to the therapist, because they provide insight to the person’s wishes, feelings, and impulses. A benefit to using psychodynamic treatment over other approaches is that it is better suited for handling complex cases of PTSD, as well as comorbid cases. In addition to that, because it focuses heavily on interpersonal relationships, it helps create a social support system for the client. Having social support may aid the client in recovering. In the case of Frida, a psychodynamic treatment approach would be effective. A psychodynamic therapist would establish a rapport with Frida before