6640 week 5 response 2

Standard 3 “Outcomes Identification” (pages 48-49)
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

Chapter 13, “Stabilization for Trauma and Dissociation” (pp. 469–508)
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC:

Required Media
Laureate Education (Producer). (2012a). Academic year in residence: Thompson family case study [Multimedia file]. Baltimore, MD: Author.

Ochberg, F. (2012). Psychotherapy for chronic PTSD [Video file]. Mill Valley, CA: Psychotherapy.net

Optional Resources
Substance Abuse and Mental Health Services Administration. (2012). Behavioral health issues among Afghanistan and Iraq U.S. war veterans. In Brief, 7(1), 1–7. Retrieved from http://store.samhsa.gov/shin/content//SMA12-4670/SMA12-4670.pdf

Substance Abuse and Mental Health Services Administration. (2014). SAMHSA’s concept of trauma and guidance for a trauma-informed approach. Rockville, MD: Author. Retrieved from http://store.samhsa.gov/shin/content//SMA14-4884/SMA14-4884.pdf

Wolpe, J. (n.d.). Joseph Wolpe on systematic desensitization [Video file]. Mill Valley, CA: Psychotherapy.net.

Bruce, T., & Jongsma, A. (2010b). Evidence-based treatment planning for post-traumatic stress disorder [Video file]. Mill Valley, CA: Psychotherapy.net.

Wilson, R. (2012). Exposure therapy for phobias [Video file]. Mill Valley, CA: Psychotherapy
Katelyn Donahue
Week 5 Initial Post
COLLAPSE

Week 5 Discussion

This week’s discussion post focuses on the client William Thompson a 38-year old African American male with a diagnosis of posttraumatic stress disorder (PTSD) who has recently moved in with his older brother due to difficult times (Laureate Education, 2012a). Per his chart, the client has a military background and is a veteran of the Iraq war (Laureate Education, 2012a). William was unable to pay his mortgage and became homeless due to “alcohol and PTSD concerns” although it is not clear what these concerns entail (Laureate Education, 2012a).

During his interview, William presented with poor eye contact and appeared to have difficulty concentrating on the introduction. He talked about his family but seemed somewhat detached from the situation. William did not mention his wife in the interview nor anything positive. Given William’s military background, it is likely he either directly experienced or witnessed trauma, which is a necessary component to the diagnosis of PTSD (American Psychiatric Association, 2013). Symptoms potentially exhibited that align with the PTSD criteria include negative emotional state, feelings of detachment or estrangement from others and inability to experience positive emptions (American Psychiatric Association, 2013). More information from William would be necessary before giving a definitive diagnosis.

First line treatment approaches for William include cognitive behavioral therapy (CBT) and eye movement desensitization reprocessing (EMDR) which have both been shown to significantly improve symptoms of PTSD (Wheeler, 2014). Expected outcomes for treatment include decreasing severity of the symptoms William is experiencing, preventing comorbid conditions related to trauma and establishing a safety plan thus reducing potential for suicide and other safety concerns (Wheeler, 2014). Without more information related to William’s symptoms, I would likely hold off from prescribing medication at this time.

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders

(5thed.). Washington, DC: Author.

Laureate Education (Producer). (2012a). Academic year in residence: Thompson family case

study [Multimedia file]. Baltimore, MD: Author

Wheeler, K. (Ed). 2014). Psychotherapy for the advanced practice nurse: A how-to guide for

evidence-based practice (2nded.). New York, NY: Springer Publishing Company.