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Psychotherapy With Trauma and Stressor-Related Disorders Assignment

Psychotherapy With Trauma and Stressor-Related Disorders AssignmentPsychotherapy With Trauma and Stressor-Related Disorders AssignmentThe AssignmentSuccinctly, in 1–2 pages, address the following: 1- Briefly explain the neurobiological basis for PTSD illness.2- a-Discuss the DSM-5 diagnostic criteria for PTSD and relate these criteria to the symptomology presented in the case study.b– Does the video case presentation provide sufficient information to derive a PTSD diagnosis? Justify your reasoning.c– Do you agree with the other diagnoses in the case presentation? Why or why not?3- a-Discuss one other psychotherapy treatment option for the client in this case study.b-Explain whether your treatment option is considered a “gold standard treatment” from a clinical practice guideline perspective, and why using gold standard, evidence-based treatments from clinical practice guidelines is important for psychiatric-mental health nurse practitioners.ORDER A PLAGIARISM-FREE PAPER HERE4–a-Support your Assignment with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources.b-Explain why each of your supporting sources is considered scholarly.c-Attach the PDFs of your sources. Psychotherapy With Trauma and Stressor-Related Disorders AssignmentYoutube VideoGrande, T. (2019, August 21). Presentation example: Posttraumatic stress disorder (PTSD) [Video]. YouTube. https://www.youtube.com/watch?v=RkSv_zPH-M4 TRANSCRIPTwelcome to my scientifically informed00:01insider look at mental health topics if00:04you find this video to be interesting or00:06helpful please like it and subscribe to00:07my channel oh this is dr. Grande today’s00:10question is can I analyze a presentation00:13example for post-traumatic stress00:16disorder00:16specifically can I look at an example00:18where the trauma did not seem to be00:20congruent with the development of the00:23disorder so another way of putting that00:25is the trauma didn’t really seem that00:27severe when it happened yet it’s still00:30led to post-traumatic stress disorder so00:33when I use the term presentation example00:36what I’m talking about is a situation00:38where a mental health therapist like a00:41counselor wants to take the information00:44from a client’s case from a client’s00:47presentation and produce a report from00:50that so this is also called a00:53presentation analysis case analysis or a00:57case study after the clinician obtains00:59consent they produce this report but01:01they change a lot of the identifying01:03information not only the clients name01:05but a lot of other information but the01:08idea here is that the clinical essence01:09of the case remains unchanged so we can01:13learn something from it as clinicians01:15and as people that are not clinicians01:18but we still don’t know who it is right01:20doesn’t have identifying information. Psychotherapy With Trauma and Stressor-Related Disorders Assignment01:22about the client typically these are01:25used in training other types of01:27education conferences and sometimes01:30these case reports are published the01:32presentation example I’m using here did01:34come from a published study and I’ll put01:36the reference to this article in the01:38description for this video this is an01:40interesting presentation example it’s of01:43an eight-year-old boy I’ll call him Joe01:44this takes place in the United Kingdom01:48this is a good example of how a01:50traumatic event might not seem severe01:52but how it’s the interpretation that can01:55lead to post-traumatic stress disorder01:57it’s also a good example of how trauma02:00focused cognitive therapy can be used to02:02treat post-traumatic stress disorder one02:05of the mysteries of post-traumatic02:06stress disorder is why does it tend to02:09form in some people who have relatively02:12minor of02:13massacre when it might not form and02:16other people have really serious events02:19occur right so for example a severe02:22motor vehicle accident compared to a02:24minor motor vehicle accident and that’s02:26what we’re talking about here in this02:27case a minor motor vehicle accident well02:29we learn here of course is it’s not just02:31the severity of the traumatic event that02:33matters there are a number of other02:35factors that have to be weighed in02:37genetic factors environmental factors02:40prior experiences cognitive processing02:43and what was perceived during the event02:46so first I’ll review Joe’s history then02:49take a look at trauma focused cognitive02:50therapy and then look at the course of02:53treatment in this case so again Joe is 802:56years old he lives with his father and02:59two older siblings Joe’s father takes03:01care of the three children alone as his03:04wife left him many years ago Joe’s03:06father has a physical disability but no03:09history of mental health conditions now03:11taking a look specifically at the03:13traumatic event I mentioned it was a03:14minor motor vehicle accident we see that03:16Joe was riding home as a passenger in03:18the front seat of his father’s car his03:21father was driving they were coming back03:23from soccer practice and his father03:26entered into a traffic circle in this03:28case it was a five-way intersection the03:31father slows down as he sees another03:34vehicle in the circle so he has to yield03:36to that vehicle because either the03:37vehicle has the right of way03:38and as the father slows down the vehicle03:42behind him runs into the rear of his03:44vehicle the guy behind him was driving03:45too fast not paying attention whatever03:47was going on there but again he drove03:50into Joe’s father’s car so Joe was not03:54hurt at all Joe’s father sustained a03:56minor injury to his knee because it hit03:58the steering column there was no airbag04:00deployment the vehicle is only04:02cosmetically damaged and it was drivable04:05immediately after the collision04:07evidently when Joe’s father exited the04:10vehicle to talk to the driver that hit04:12them an argument ensued and the other04:15driver threatened Joe’s father with04:17physical harm so Joe’s father got back04:19into the vehicle and drove away from the04:21scene but the other driver pursued them04:23before eventually breaking off the04:25pursuit by pulling over on04:27the road Joe’s father waited till they04:29arrived home before he called the police04:31shortly after this event Joe was taken04:33in to receive mental health care he04:36presented with intrusive memories of the04:38accident and the subsequent pursuit he04:41did not seem to understand the incent04:43but he did understand that was an04:44accident04:45and the car was slightly damaged and he04:47also understood that the other driver04:48chased him and his father Joe we become04:51very anxious when presented with04:53anything that reminded him of the04:55accident the stretcher Road word04:56occurred stories on television related04:59to car accidents the type of vehicle05:01that hit them and talking about the05:04insect Joe had trouble sleeping it took05:06him a few hours to get to sleep and had05:08to go to sleep in the same room as his05:10dad to fall asleep he also had a lot of05:12nightmares05:13he became physically aggressive in05:15school and at home at school he was05:18engaging in outburst in the middle of05:20class it was one incident where he05:22turned over tables and threw trash all05:24around the classroom and apparently this05:26was pretty frightening to the school05:28staff and to his fellow students at home05:31he was fighting with older siblings and05:33was set off by the slightest05:35provocations in addition to meeting the05:38criteria for post-traumatic stress05:40disorder Joe had significant comorbidity05:42including oppositional defiant disorder05:45conduct disorder that’s really uncommon05:48that both of those diagnoses would be05:49given he also had major depressive05:52disorder attention deficit hyperactivity05:55disorder ADHD separation anxiety05:57disorder and one specific phobia spiders06:01the only diagnoses that were of concern06:03before the incident would be the ADHD06:07and the fear of spiders all the other06:10diagnoses were given after the event06:12that’s a lot of mental disorders to be06:14diagnosed with that quickly I’ll talk06:17about this a little later specifically06:18at the post traumatic stress disorder we06:20see Joe had symptoms of hyper or06:22avoidance and intrusive thoughts he also06:25had a disorganized understanding of the06:28event and didn’t really seem to be able06:30to discuss the incident so now take a06:33look at the trauma focused cognitive06:35therapy a key concept of this therapy06:39when talking about PTSD06:41is the nature of the traumatic memory06:43not so much what happened but again the06:46properties of the actual memory it’s06:48considered to be critical to the06:50development of PTSD individuals with06:52PTSD often struggle to retrieve06:55information about the event when they do06:57recall information it’s often fragmented06:59and disorganized as I mentioned this is07:02something of course we see specifically07:03in this case with Joe another important07:06concept is the idea of maladaptive07:08appraisals so an individual PTSD is07:11unable to accurately assess the event07:14and the idea that the event was time07:16limited so they don’t really understand07:18that the event is in the past but it’s07:21over this leads to the sense that07:23there’s some sort of current threat07:25right again so the traumatic event is07:28not just in the past but it’s happening07:30right now in some way or it may happen07:33right now in some way to address these07:35concepts and the other factors we see07:37. Psychotherapy With Trauma and Stressor-Related Disorders Assignmentaround PTSD trauma focused cognitive07:39therapy focuses on the 3ms of PTSD07:43memories07:44distorted memory representations07:46meanings the maladaptive cognitive07:49appraisals and management this is07:52working on the difficulty we see with07:54coping with feelings and thoughts and07:58perceptions so now moving to the course08:01of treatment we see in this case of Joe08:03the treatment team explained to Joe how08:05the treatment was supposed to work so08:06they explained the three M’s and all the08:08other information about trauma focused08:11cognitive therapy we see that Joe’s08:15father joined him for the early sessions08:17this kind of makes the client more08:20comfortable in the case of Joe it08:22certainly did these initial sessions had08:24a lot of normalizing of the response to08:26the event so anybody would be distressed08:29if they are in a car accident and08:30pursued by the person that hit them08:32there was a lot of rapport building they08:34made it clear to Joe that he had08:35permission to talk about the event which08:38I think seems particularly bored in this08:40case because again he had difficulty08:41really expressing thoughts or feelings08:45around the incident they also gave him08:47permission to talk about the symptoms08:49and they discussed the incident in a08:52calm and safe way kind of setting at08:55for joe tafolla trying to really make08:58this a little bit less emotional for Joe09:01Joe was encouraged to recognize his09:03emotions to express his emotions and to09:06manage the more extreme emotional09:08reactions some relaxation techniques09:11were used including progressive muscle09:13relaxation Joe was also instructed to09:16practice this at home so we see some09:18homework assigned which is actually09:20fairly common for all different types of09:22cognitive therapy we see the specific09:24cognitive distortion was identified09:26early on this is that Joe believed that09:29the world was a different place since09:32the accent in relation to him right so09:34he didn’t fit in with the world in the09:36same way because of that accent09:39Joe was assigned a number of new09:41activities this is called behavioral09:42activation essentially we see a series09:45of tasks that Joe and his father would09:48complete together for example they would09:51play soccer in the garden then in the09:53street and then play soccer in the park09:56the idea here was they’re trying to move09:58Joe into other geographic areas and10:01increased the probability of contact10:03with his friends from these behavioral10:05activation exercises it became clear10:08that one of Joe’s fears was that when he10:10was away from his father something bad10:12would happen to his father to alleviate10:14this fear they discussed with Joe how10:16his father – actually been a number of10:18altercations before this incident they10:21tried to sell this like Joe’s father had10:24a lot of skill at surviving fights so it10:27always worked out okay for him because10:29he knew how to take care of himself I’m10:31not sure I would have gone with this10:33route right like telling Joe that his10:36father had been in a lot of fights and10:37kind of was a survivor it seems a little10:40unusual to me it’s kind of introducing10:43new information that may have backfired10:45but we see in the case report that this10:47appears to have been effective again10:48maybe not something I would have done10:49but a kind of maneuver that seemed to10:52work in this case Joe also incorrectly10:55believed that his father was still10:57suffering from the injuries that10:58occurred in the accent what we see is11:01that Joe became more alert about11:02behavior as his father already engaged11:05in for example taking medication the11:07father already did this right11:09early but now Joan noticed it and11:12attributed this behavior to the accent11:14so Joe had a lot of blanks in terms of11:16understanding what happened and he11:18tended to fill in those blanks with the11:20worst case scenario the treatment team11:23kind of created a game for Joe to11:26address this making him the detective11:28who is responsible to find evidence and11:31fill in those blanks so unlike that11:33other technique of talking about all11:35these flights that the father had been11:37in I think this technique makes a lot of11:39sense11:39this one really I think kind of empowers11:41Joe and allows him to use his creativity11:44and critical thinking skills to solve11:47problems that could help him move past11:49these symptoms so I really like this11:51technique in particular we see an11:54example of some of the blanks that Joe11:55had in terms of the narrative Joe11:58believed that immediately after the11:59accent that him and his father were both12:01severely injured so severely in fact he12:05believed they required immediate medical12:07treatment because they did not receive12:09treatment Joe felt that there must be12:11unresolved physical issues so he12:14believed that both him and his father12:16had physical problems as a result of12:18that accent but really it was a12:20cognitive distortion they did not have12:22any problems at the time that Joe was12:24receiving treatment so to address this12:27they talked with Joe about his12:29understanding what happened and in the12:31. Psychotherapy With Trauma and Stressor-Related Disorders Assignmentnarrative we see that behind the vehicle12:33that hit Joe and his father there was an12:36ambulance the ambulance crew saw the12:38accident of course they were right12:39behind the vehicle to hit him as I12:40mentioned but then they drove past the12:43accent drove around the circle and came12:46back to make sure that no one was12:48injured to the degree where they would12:49need transportation to the hospital Joe12:52remembers seeing the ambulance twice12:54which is in fact what happened the12:56ambulance passed their position again12:59two times going past them and then13:01coming back the presence of that13:02ambulance led to this assumption by Joe13:05that he would need to be hospitalized13:07therefore his injuries must have been13:10serious so again we kind of see how13:12these cognitive sources play out there13:15was information that was accurately13:17collected at the time by Joe but13:20incorrectly interpreted13:22the treatment team was able to spin this13:24around and paint another narrative I13:26thought this was also a good technique13:27they said clearly it was unlikely that13:30Joe and his father were severely injured13:31as evidenced by the ambulance crew13:34seeing them and continuing on so they13:38really took the same information but13:40interpreted more accurately and in a way13:42that was more helpful to treating Joe’s13:44symptoms Joe made fairly good progress13:47as a result of therapy13:49there was this distress scale that they13:51used in therapy and went from 0 to 1013:53with 10 being the most distressed Joe13:55initially reported a score of 10 when13:58discussing the incident but by the time14:00he got to the end of therapy he was14:02reporting scores of 0 during all parts14:05of his narrative not just the parts14:07associated low distress but even the14:09parts that have been associated with a14:11high level distress my thoughts on this14:13presentation example this is an14:15interesting case we get to see as I14:17mentioned before how severity may be14:19important sometimes but it may not be14:21the most important thing for everybody14:23and it would also appear here that the14:25Psychotherapy With Trauma and Stressor-Related Disorders Assignmentaltercation was as traumatic as the14:28accent so I think that’s what’s really14:30interesting about this as well we see14:33this accent that was fairly minor right14:35Joe was uninjured but then we see this14:37pursuit and that as a separate incident14:41could be quite frightening and it’s14:43really again how somebody perceives that14:46pursuit I think most people would have14:48been fairly alarmed when being chased by14:51another car but by the accident itself I14:53think most people would not have viewed14:56that as traumatic when these things14:58combined for Joe it did result again in15:01the development of post-traumatic stress15:02disorder15:03we’re also left with the sense that if15:06Joe didn’t realize that they were being15:08chased he would not have been15:09traumatized right so maybe the motor15:12vehicle accident really wasn’t enough to15:14lead to PTSD but it was his15:16interpretation of that pursuit which of15:19course as I mentioned would have been15:20scary to anybody but if he was sitting15:22there and didn’t know about it he may15:24not have had any reaction to it now15:26there’s not a strategy that comes from15:29this of course there’s no way to really15:30say hey let’s ignore what’s going on15:32right Joe’s father couldn’t have just15:34said hey nothing’s really happening here15:36not worry about it he had to acknowledge15:38what was going on and he was probably15:39scared himself but again it just points15:42back to how important perception is I15:44mentioned before that it seemed like Jo15:46was given a large number of diagnosis I15:48have to in some sense of course defer to15:51the people that treated him because they15:53actually saw him and they put together15:54this case report but I can’t help15:56thinking that it may have been more15:58useful to diagnose him just with16:01post-traumatic stress disorder and treat16:03that for a while16:04rather than stacking on a lot of16:06diagnoses the one that concerns me the16:08most of course is that conduct disorder16:10diagnosis conduct disorder carries a16:13stigma because about a third of16:15individuals diagnosed with it will go on16:18to develop antisocial personality so I16:20think I would have tried to avoid the16:22conduct disorder diagnosis especially16:24because the oppositional defiant16:26disorder was already diagnosed as I16:29mentioned before it’s unusual to have16:30both of those diagnoses together usually16:33it’s just one or the other of course16:35somebody can technically be diagnosed16:37with both but again this is somewhat16:38unusual and if you have the o DD16:41diagnosis there I don’t really see the16:43urgency to go ahead and move forward16:45with conduct disorder but again that’s16:47just my opinion for me in the case16:48report there’s a lot of information of16:50course that would not be included there16:52of less concern but still somewhat16:54troubling is the diagnosis of major16:56depressive disorder this is an episodic16:59disorder that has a distinct course to17:02it somebody has a major depressive17:03episode then they usually recover some17:06.Psychotherapy With Trauma and Stressor-Related Disorders Assignmentdegree and sometime later they have17:08another major depressive episode usually17:10sometimes there’s one episode but17:11usually there’s more than one so this17:13isn’t something that we really think of17:15as being associated with a traumatic17:18event like a traumatic event occurs and17:20then immediately after that we see major17:22depressive disorder this is a disorder17:24where you would typically take a lot of17:26time before making the diagnosis watch17:29somebody for a while see if there’s some17:31sort of change in their mood look at the17:35level of depression and the level of17:37some of the other symptoms associate the17:38disorder so a little bit unusual I think17:42to jump right to major depressive17:43disorder as well so we see kind of I17:45think some unusual diagnostic behave17:49on the part of the clinicians not17:51necessarily technically incorrect but17:53just unusual I thought this presentation17:55example overall though was excellent and17:57Psychotherapy With Trauma and Stressor-Related Disorders Assignmentdemonstrating how trauma focused17:58cognitive therapy could be applied to a18:01real-life situation and how cognitive18:03distortions were highly problematic for18:06Joe and addressing those distortions18:08seemed to lead to a market improvement18:12PTSD and part is driven by individual18:15perceptions it’s what people think of18:17those events that really matters at18:19least in some cases so I know whenever I18:22talk about topics like this like18:23post-traumatic stress disorder and I18:25look at these different presentation18:27examples there gonna be a variety of18:28opinions please put any opinions and18:31thoughts in the comment section18:32they always generate a really18:34interesting dialogue as always I hope18:35you found this presentation example on18:37post-traumatic stress disorder and18:38trauma focused cognitive therapy to be18:41interesting thanks for watchingBook Reference: Wheeler, K. (Ed.). (2020). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (3rd ed.). Springer Publishing. Chapter 3, “Assessment and Diagnosis” (Previously read in Week 2)Chapter 7, “Eye Movement Desensitization and Reprocessing Therapy”Chapter 11, “Trauma Resiliency Model Therapy”Chapter 15, “Trauma-Informed Medication Management”Chapter 17, “Stabilization for Trauma and Dissociation”Chapter 18, “Dialectical Behavior Therapy for Complex Trauma”. Psychotherapy With Trauma and Stressor-Related Disorders Assignment

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