A Case Evaluation of Noah Pierce
Afaf Al-Ghamdi
PRESENTING PROBLEM
Noah reports he felt depression shame, regret, insomnia, guilt, and Post-Traumatic Stress Disorder PTSD over the fatal killings that he committed or witnessed 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 guilt, shame, insomnia, psychological and moral injury due to feeling regret about involving in an unjustified war. Noah has experienced episodes of isolation, self-hatred, agony, despair, having consistent nightmares, sleeplessness, violence that has occurred unexpectedly, and frequently during and after his deployment to Iraq.…