An 18 year old boy was brought in by his parents after he was robbed at gunpoint while at the ATM. Since then, he can not sleep, has nightmares, and has not been able to go to school.
What would the long term and short term goals be, as well as what interventions would you use?
Medications are used to relieve the most distressing symptoms, allowing the patient to concentrate on psychotherapy. Any medication regimen should be part of a psychotherapeutic process. Attention to a range of issues, including the effects on the family, education about the disease and treatment options, is paramount.
The goal of therapy is to break the pattern of self-defeat by reexamining the traumatic event (the 18 year-old being robbed) and the patient's response to it. Education about the disease and recognition of cues or situations that trigger symptoms are invaluable. Improving the patient's coping mechanisms, such as relaxation techniques, can also foster the patient's relationships with others in the short and long term.
PTSD can have devastating effects on the family, and family therapy may be warranted. Cognitive-behavioral therapy, group therapy and stress-inoculation training (systematic desensitization) are helpful against reexperiencing and avoidance symptoms.
Formal psychotherapy is difficult in a brief office visit. Because psychotherapy is frequently required to resolve PTSD, referral to a mental ...
A PTSD case is modeled