DSM 5 Required!!!
CASE I
A 23-year-old war veteran was admitted to the hospital two years after he returned home from duty, at the request of his wife, after he began to experience depression, insomnia and flashbacks of his war-time experiences. He had been honorably discharged two years previously, having spent nearly a year in combat. He had only minimal difficulties in returning to civilian life, resuming his college studies and then marrying within 6 months after his return. His wife had noticed that he was always reluctant to talk about his military experience, but he wrote it off as a natural reaction to unpleasant memories.
The patient’s current symptoms began, however, about a year and a half after he returned home. He became preoccupied with watching TV news stories about the war. He then began to have difficulty sleeping, and at times would awaken at night in the midst of a nightmare in which he was reliving his past experiences. His wife became particularly concerned one day when he had a flashback experience while out in the back yard: as a plane flew overhead, flying somewhat lower than usual, the patient threw himself to the ground, seeking cover, thinking it was an attacking helicopter. The more he watched the news on TV, the more agitated and morose he became. Stories began to spill out about atrocities that he had seen and experienced, and he began to feel guilty that he had survived while many of his friends had not. At times he also seemed angry and bitter, feeling that the sacrifices he and others had made were all wasted.
The veteran’s wife expressed concern that his preoccupation with the war had become so intense that he seemed uninterested in anything else, and was emotionally distant from her. His symptoms had begun to significantly interfere with his ability to be productive at home and in his studies. His wife was dissatisfied with the state of their marriage and struggled with wanting to continue to stay married, he felt the same. When she suggested that they try to plan their future, including having a family, he responded as if his life consisted completely of the world of events experienced two years earlier, and as if he had no future.
1- Write out the complete diagnosis covering all aspects of the client’s presentation , also include V-codes if any apply.
2- Detailed description of the criteria met for your diagnosis(es) and examples of how the client met each criterion .
3- Differential Diagnosis: What other diagnoses did you rule out? Why? (
4- Write a treatment plan for the case which includes:
1. 3 Short-term goals and 3 long term goals/objectives
2. Specify therapeutic interventions related to short or long term goals. Give at least
two interventions for each the short and long term goals.
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