Christopher Kyle is a 38 year old, Caucasian, U.S. Navy veteran who was self referred for a psychological evaluation to determine his current cognitive and emotional status. Christopher has an extensive history serving in the U.S. military. Despite having a good support system, he continues to have issues with reintegration. Christopher reports that his behavior lately is interfering with his life and becoming a burden to his family. The contributing factors include symptoms of acute stress disorder, dysphoria, dissociation and irritability. He also reports that he has had exposure to traumatic events throughout his life. During his time in the military, he has witnessed various casualties in combat. Christopher …show more content…
Medical and Psychological History
Medical history: Christopher reports that he has high blood pressure --170/110.
Prognosis. Despite his experiences during the military and upbringing, Christopher has a good support system. With the appropriate intervention there should be a good recovery within some months from the commencement of treatment.
Psychological history: Deferred (See Head Injuries/Trauma/Violence).
Family of Origin
Christopher was the first of two boys born to Deby Lynn and Wayne Kenneth Kyle, a Sunday school teacher and deacon. Christopher’s younger brother is named Jeff Kyle, who later joined the U.S. Navy.
Social Problems
Christopher reports that he enjoys the comradery of other service members, however notices that being around his immediate family and civilian friends is difficult. The most notable social problem Christopher experiences is isolation; he goes to the bars alone or separates himself from the family. He denies having other social problems.
Primary Caregivers
Wife, Taya Kyle
Attachment …show more content…
He reports that it’s difficult for him to relate with civilians, he feels as though they don’t understand his moral injury. He also finds comradery when he is around his SEAL team. Moreover, when Christopher is in distressed, on occasion, he goes to the local bars. This is his way of coping with guilt and stress.
Medication Use
Information not provided
Head Injuries and Impact on Behavior
Christopher reports that he was exposed to IED explosions during combat. He denies being evaluated for TBI despite his encounters with IEDs. Christopher’s dissociative behaviors are contingent with his head injuries. He has problems concentrating, and reasoning.
Trauma/Violence and Impact on Behaviors
Christopher experienced acute trauma as an adolescent, he reports killing animals with a rifle at 8-years-old. Concurrently, he witnessed multiple casualties and experienced threating encounters in Iraq. As a result, Christopher experiences auditory hallucinations and distortions from the trauma he endured. His thought content is centered on the situation and paranoid. A referral for psychotherapy would benefit the veteran.
Childhood Abuse Christopher denies experiencing any childhood abuse.
Neglect
Christopher denies experiencing neglect as a