Age: 38YearsGender: Female
Marital Status: Divorced
Number of Children: 4 (Four)
Ages of Kids: 15, 12, 11, and 9
PATIENTS BACKGROUND INFORMATION
No experienced mental health disorders recorded to have manifested in the client's family. The patient has been attended to twice in the recent past with similar conditions of psychological trauma though no proper psychiatric treatments were offered. The reason is that the patient was diagnosed with no mental conditions that would trigger such kind of therapy the doctor otherwise prescribed anti-depressants for her emotional imbalance treatment. Information on her familys health record identifies both of her parents to be normal individuals. The children are mentally fit too. The ex-husband is mentally stable as well. Nevertheless, the patient has undergone family wrangles, particularly with the ex-husband. She is jilted from her family, and her ex-husband is responsible for their children. The others are taken into custody by her mother.
Records show that she has been working with an organization before the same institution ditched her. The main reason for getting ditched is her tendency to get to work late because of too much sleep. The divorce rather than work causes her much more psychological trauma the patient faces in her life.
Substance Abuse History
She denies any form of drug substances abuse both in the present and past. Records though place her to have been in the custody of such drugs as alcohol.
No records tie her with military activities or associations of that kind.
Records, though, provide situations of being jailed for possession of drug substances. The patient explains that the reason for ownership includes making a living out of the activity but not rather consuming the substances.
PATIENTS PRESENTING PROBLEM
The patient is majorly suffering from emotional trauma. She presents herself in the facility unkempt and shaggy. Her eyes appear puffy and a bit swollen. The client records being jilted from her working premises and also not being able to get any other job later after being fired from work. Another presented problem which is part of her health condition is the inability to take care of her children. After breaking up with her ex-husband, she reports having unceasing crying jigs which majorly contributes to the deterioration of her health. Because of the extremely stressful conditions presented by the patient, she does not feel any sense of security and therefore views herself as extraordinarily useless. The feeling makes her dangerous to herself. Some of the risk factors contributing to her conditions include being neglected by her immediate family, sexual uncertainties or possible verbal abuses and lastly, uncertain environment.
The conditions manifesting in the client leading to the conclusions stated earlier in this section include:
Terrible occurrences of mood swings
Consistent self-blame and subject to guilt
Feeling of absolute hopelessness and extreme sadness
Irresistible fear and state of anxiety
Feeling of being disconnected and general numbness
General fatigue and getting startled
A lot of muscle tension and aches
The inability to concentrate
Getting withdrawn from others
Post Traumatic Stress Disorder (PTSD) Therapy and Treatments
According to the underlying conditions, the patient is recommended to undergo a PTSD treatment. The main reason for choosing this treatment regime is to alleviate the manifesting situation of the post-traumatic stress disorder. Because the patient happens to be experiencing severe forms of anxiety disorders PTSD therapy is convenient. Cognitive Behavioral Therapy (CBD) will help in recognition of thought patterns of the patient and ascertain if the patterns of behavior of the patient are faulty and deserve addressing. Since the patient is recording an incorrect assessment of danger following her situations and passing self-threat, it is wise to induce CBT for PTSD instead of other methods of PTSD-like hypnosis and art therapy.
Consequently, other forms of mental illnesses like panic disorder and the bipolar disorder have the same recognizable conditions in almost all parts of the world. Culture, therefore, influences how a patient may describe his mental condition to a physician. The patient reports facing emotional symptoms as a physical condition. Cultures always vary particularly when the word is used in the description of an illness or the impact a condition has on a patient. The meaning of the word ought to be deep-seated and portray whether the disease is real or just imagined. In this case, the descriptions provided by the patient are as a result of the state of mind. Culture will, therefore, play an important role in motivating the patient to adjust to the treatment regime. The parents of the patient and the individuals close to her must realize that they are the determinant of the rate at which the patient responds to treatment or not. In this case, the parents and the ex-husband must be involved in her treatment schedule.
The patient is diagnosed with a severe form of emotional trauma. The condition is prevalent and therefore the treatment regime recognized to produce impact include:
Administration of PTSD Therapy and treatment
Administering Eye Movement Desensitization and Reprocessing Medication
CLINICAL IMPRESSIONS AND PROGNOSIS
In this case, the screening processes used in determining the amount of mental traumatization of the patient produced positive results. Most of the factors used to conclude psychological devastation were coinciding with the patient's responses. However, the client possesses no such symptoms warranting severe psychiatric treatment interventions. The patient's history provides evidence that she faced traumatic life before. The assessment made gathers all the information relating to the methodology of understanding the impact of the trauma on the life of the patient. The overall evaluation entails:
The mental injury is causing a lot of physical discomfort to the patient including an inability to sleep normally and experiencing constant crying jigs.
The patient thinks she is utterly useless and thus has no value in life.
The previous treatment regime wasn't able to overcome psychological challenges, and thus the patient returned with further mental problems.
PTSD is clinically recommended to mitigate the advancing traumatic conditions.
The screening and prognostic process make sure that the physical and mental conditions that have proved to be persistent will be alleviated and that the family members of the patient are to be included in the new treatment regime of the patient.
The new treatment regimen includes administration of PTSD drugs. The PTSD drugs majorly work in alleviating the physical symptoms of the identified condition. It should be considered that Food and Drug Administration do not approve most of the techniques of treatment which are prescribed. The available forms of medication would include:
Administration of antidepressants.
The most useful drugs for PSTD include Selective Serotonin Reuptake Inhibitors (SSRIs). These drugs work mainly in the mitigation processes of hyperarousal. Examples of such drugs include sertraline and paroxetine.
Administration of Benzodiazepines
These are tranquilizers. They are mainly prescribed to mitigate any symptoms of anxiety temporarily. They have the capability of alleviating irritability and reduce the amount of sleep disturbance caused by the symptoms of hyperarousal conditions. The drugs to be administered are Lorazepam and Diazepam.
Administration of Beta-Blockers
They majorly contribute to the alleviation of symptoms associated with the hyperarousal conditions. The drugs to be administered to the patient include Betachron E-R.
Administration of Anti-ConvulsantsCulturally, bipolar disorders have similar ways of manifestation as psychological traumas. Anti-seizure drugs would, therefore, be prescribed. However, it should be considered that the FDA disapproves such kind of medication towards the treatment of PTSD. The drugs under this category include Carbamazepine like Tegretol and Tegretol RX. Another drug group includes the Lamotrigine like the Lamictal.
Administration of Atypical Antipsychotics
This kind of medication is dedicated towards mitigating resurgence of traumatic symptoms like flashbacks and also to those kinds of patients who do not respond to other types of traumatic treatment regimes. The atypical antipsychotic drugs include the risperidone like the Risperdal and the Olanzapine, for example, the Zyprexa. However, other conventional drugs used in the treatment of traumatic disorders include Prazosin and the Clonidine.
Tracy, N. (2000). PTSD treatments: PTSD Therapy, Medications can help. Retrieved February 6, 2017, from http://www.healthyplace.com/anxiety-panic/ptsd/ptsd-treatments-ptsd-therapy-ptsd-medications-can-help/Helpguide. Dealing with recent or childhood trauma so you can move on. Retrieved February 6, 2017, from https://www.helpguide.org/articles/ptsd-trauma/emotional-and-psychological-trauma.htmChapter 2 Culture counts The influence of culture and society on mental health (2001). Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK44249/Screening and assessment (2014). Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK207188/
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