Crisis Intervention Model: Presenting Case Study: Jane Doe

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Presenting Case - Jane Doe

Jane Doe is a 15 year old, repeating 9th grade high school student. She lives with her biological mother, twin brother and step-father. Jane’s family has a history of heart disease and heart-attacks. Jane’s family is financially stable; she has many friends, enjoys soccer, and likes to spend time with her family. Jane’s twin brother is a 10th grade student and attends the same high school as Jane.
Jane parent’s divorced when she was 8, due to her father being violent in the home. Examples of his behavior include shooting and killing a dog and choking a 14 year old male neighbor. Within the home, Jane’s father only became violent with her mother but, Jane and her brother were exposed to extreme violence. Her
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Jane was diagnosed with Attentional Deficit/Hyperactivity Disorder (ADHD), but refuses to take her medication because she says it makes her feel funny. Jane also lacks self-confidence and has little interest in school. Jane is failing the majority of her classes and is in jeopardy of being retained again this year. Furthermore, Jane has not received any therapy associated with these traumas.
Theory 1 – Crisis Intervention Theory
The crisis intervention model focuses on alleviating stressors and symptoms, but improving the client’s quality of life by restoring a person’s equilibrium and biopychosocial functioning. (Miley, O’Melia & DuBois, 2013) Although the crisis in Jane’s life occurred in the past, it appears to be affecting her on a daily basis since her depression causes her not to attend school consistently.
According to this theory, Jane’s thought process could be that she is not worthy of success or love due to loved ones leaving her. Often, teens do not understand the symptoms of depression, and therefore this could lead to a lack of reasoning or decision making (Mental Health America, 2014). The trauma could also be causing her to believe she cannot be successful in school due to lack of self-confidence. Jane could also be experiencing flash-blacks of the trauma she experienced which could be contributing to her current
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Some of these include denial, low self-esteem, self-blame, rejection, and sadness due to the loss of loved ones, hopelessness, guilt, fatigue, or even anger (Mental Health America, 2014). Her guilt and self-blame can be attributed to the death of her grandmother. Jane could also be experiencing betrayal trauma from her father’s abusive nature, and his abandonment of her at a young age (Freyd, 2008). She could be feeling that she failed her grandmother, and therefore, she deserves to fail in school. If she is experiencing flash-backs, this could be causing panic attacks which can lead to the lack of concentration with school (Tull, 2014). Panic attacks could cause increased heart rate, dizziness, headaches, fatigue or the physical feeling similar to a heart-attack (Tull,

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