A Psychological Case Evaluation of Noah Pierce
Afaf Al-Ghamdi
PRESENTING PROBLEM
Noah reports he felt depression and Post-Traumatic Stress Disorder PTSD over the fatal killings he committed in Iraq that led him for a suicide to get rid of his self-agony, growing sense of isolation, and feeling the lack of morality.
Clinical Formulation
Noah Pierce suffered a psychological and moral injury due to feeling self-blame about involving in an unjustified war. Noah has experienced episodes of isolation, self-hatred, agony, despair, having continuous nightmares, sleeplessness, violence that have occurred unexpectedly and frequently during and after his deployment to Iraq. The most recent incident occurred at his home when he threw his sister, …show more content…
Noah was referred to a Cognitive Behavioral Therapy to address his PTSD. Noah is engaged in psychodynamic therapy to address his childhood, and war issues. While the prognosis for PTSD symptoms is effective, the prognosis is poor regarding his growing aggressive behavior. When Noah completes the CBT for the PTSD, treatment can shift to a focus on the aggressive behavior by increasing empathy and self-appreciation for his work in Iraq and reducing behaviors of isolation and depression.
Treatment Plan Traumatic and Stress Disorder
Goals
1. Reduce lingering stress and depression reactions
2. Gain perspective on coping skills, and painful experiences and reduce PTSD
3. Reduce worry and moral injury by constructive living
Objectives
1. Client will identify and monitor traumatic, depressed and stressed …show more content…
Client will learn to relax in response to mental blame and self-hate feelings.
6. Client will increase participation in exercise and healthy leisure activities.
Interventions
1. Client would arrange for psychiatric evaluation and consultation for psychotropic medication along with follow-up visits to monitor response and reaction to prescribed medication: Ambien.
2. Client would engage in 12-session cognitive-behavioral therapy for depression and PTSD– including:
Learning the model for understanding impotence a type of PTSD.
Monitoring depresseion attacks. Monitoring isolation and worry. Learning accurate information about PTSD. Learning relaxation techniques – and practicing breathing exercises.
Learning how to practice cognitive restructuring – identifying and changing automatic thoughts and nightmares that cause PTSD.
Client will participate in exposure exercises to identify feared sensations and to reduce fear of moral injury and self-blame.
Client will practice exposure to in vivo situations that let him speak up and encounter his own fears and depression
3. Client will schedule and participate in 2-week follow-up visits to maintain gains following completion of the 12-session CBT program and combating
Afaf Al-Ghamdi
PRESENTING PROBLEM
Noah reports he felt depression and Post-Traumatic Stress Disorder PTSD over the fatal killings he committed in Iraq that led him for a suicide to get rid of his self-agony, growing sense of isolation, and feeling the lack of morality.
Clinical Formulation
Noah Pierce suffered a psychological and moral injury due to feeling self-blame about involving in an unjustified war. Noah has experienced episodes of isolation, self-hatred, agony, despair, having continuous nightmares, sleeplessness, violence that have occurred unexpectedly and frequently during and after his deployment to Iraq. The most recent incident occurred at his home when he threw his sister, …show more content…
Noah was referred to a Cognitive Behavioral Therapy to address his PTSD. Noah is engaged in psychodynamic therapy to address his childhood, and war issues. While the prognosis for PTSD symptoms is effective, the prognosis is poor regarding his growing aggressive behavior. When Noah completes the CBT for the PTSD, treatment can shift to a focus on the aggressive behavior by increasing empathy and self-appreciation for his work in Iraq and reducing behaviors of isolation and depression.
Treatment Plan Traumatic and Stress Disorder
Goals
1. Reduce lingering stress and depression reactions
2. Gain perspective on coping skills, and painful experiences and reduce PTSD
3. Reduce worry and moral injury by constructive living
Objectives
1. Client will identify and monitor traumatic, depressed and stressed …show more content…
Client will learn to relax in response to mental blame and self-hate feelings.
6. Client will increase participation in exercise and healthy leisure activities.
Interventions
1. Client would arrange for psychiatric evaluation and consultation for psychotropic medication along with follow-up visits to monitor response and reaction to prescribed medication: Ambien.
2. Client would engage in 12-session cognitive-behavioral therapy for depression and PTSD– including:
Learning the model for understanding impotence a type of PTSD.
Monitoring depresseion attacks. Monitoring isolation and worry. Learning accurate information about PTSD. Learning relaxation techniques – and practicing breathing exercises.
Learning how to practice cognitive restructuring – identifying and changing automatic thoughts and nightmares that cause PTSD.
Client will participate in exposure exercises to identify feared sensations and to reduce fear of moral injury and self-blame.
Client will practice exposure to in vivo situations that let him speak up and encounter his own fears and depression
3. Client will schedule and participate in 2-week follow-up visits to maintain gains following completion of the 12-session CBT program and combating