Psychological Disorder Analysis Essay

Marla is a 42 year old Hispanic female accountant, that has complaints of trouble sleeping, sense of smell rasping all the time, and un competent to concentrate. With these symptoms it is causing her issues at work. T here(predicate) argon several disorders that Marla could be suffering from b atomic number 18ly, it seems to be that one stands egress from the rest. Post-Traumatic deflect also known as posttraumatic stress disorder, this is experienced when a someone experiences something traumatic much(prenominal) as a violent crime against them, a automobile chance, progressive troops combat duty, the loss of a love one, etc. Marla sat in my delegacy nervous and unsure as if she was level in the ripe place. I leaseed her if she was okay and what brought her to see me. Marla told me of her symptoms and s maintenance she was unsure if she should even be here. I asked her if she has been to a family impact to discuss her problems that she was having and she assured m e that she had and came out with a clean bill of health. He dilute suggested to come see me and talked about what she was aromaing and going through. With this and much reassurance from me bear witnessing her she did the right thing.I proceeded to ask her the following perplexitys Marla, what would you identical to accomplish by being here? I command to be sufficient to feel pattern again and to feel like myself again. I study that is something that we after part do with and I would like to ask you a little bit more about what you ar feeling and by chance why you be feeling the flair you do. Marla agrees. When did you start to nonice the symptoms you are experiencing? I started to really notice it about a month ago, my boss and some co-workers started to question me where I was not performing at my normal standards and coming into work easy from not getting either sleep. Is at that place some(prenominal) family history of depression, anxiety, or whatever mental illness? non that I am aware of. As uttermost as I know no(prenominal) of my family has ever had any issues mentally or been mentally ill. She seemed kind of curios as to why I would ask such a thing, I ensured her that I am lone(prenominal) asking to better help her and throw more about what she whitethorn be going through.Have thither been any changes in your brio recently? unspoiled or bad? Not that I sewer  forecast of. Have you been a victim of a crime or served in the military on active duty in front? I expect never been in the military or been the victim of a crime. Have you had anything snuff it to you or somebody close to you? No, but I was a witness to a women manner of fling of tone in the parking smokestack with her conserve and got hit by a railroad car about six months ago. Really, tell me more Marla. advantageously I was walking into work and an older women and her husband where walking hand in hand when a car driven by an elder couple seeme d to gain speed and enamored the women where she rolled over the top of the car and landed several yards away from where she was. The remote couple that was driving hit a pole which stopped their car.The driver had a heart attack and the passenger was wrong moderately bad but did not seem to be critical. When the ambulance and police showed up they called for a helicopter to buzz off the women to the hospital that was struck, she was none responsive and nevertheless determined there twitching. There was blood everywhere and seemed to be pooling from the back of her head. I stayed there with the lady and tried to calm her husband that seemed lost and unsure of what to do. I was able to call his adult children to come to his aid and inform them of what happen. The EMTs lifted her from the back account and laying there on the ground was a lock of her hair that was committed to part of her skull. They air lifted the women to a trauma center but died out front they made it the re. The couple in the car also passed away from injuries from the accident as easily. I volition never stymy the look on the husbands face as he s overlyd there helpless shout out for his wife and pleading for them to help her.Well Marla I would say that could be pretty traumatic to see, be gull you talked to anybody about this? Not until now I did not think I would need to. Have you had any thoughts about this lately or think about it at all? sometimes I do, I still roll in the haynot walk where she was lying on the ground I still see her laying there in my mind and them lifting her up with the break up of skull and hair laying there. I suppose I was okay until I dictum that. Marla I would have to say that you are suffering from Post-Traumatic extend derangement. What is Posttraumatic Stress Disorder? Why would I now be having or suffering from Posttraumatic Stress Disorder now 5 months later? posttraumatic stress disorder is not always an instant bombardment of sympto ms. It shadower come out mean solar days, months, or ever years later. Lets talk more about this PTSD so you better understand it.Posttraumatic Stress DisorderPosttraumatic Stress Disorder git occur in some individuals who have been exposed to a life imperil bureau, or a internet site which they have been witness in which another person is exposed to danger. The onset of symptoms with PTSD do not always happen outright following the traumatic event, therefore the crosstie between the symptoms and the initial event is often overlooked.A person with PTSD allow be hyper-vigilant, and empennage react to an unsettling situation with physiologic symptoms such as cark stomach, headache, or dizziness. People with PTSD hatful also suffer from depression or panic disorder, although this is not always the case. Avoiding stimuli which female genital organ trigger an anxious reaction is normal for the PTSD sufferer, and many become indrawn from social interaction with friends and family members. Some whitethorn also have problems continuing an advise relationship, and angry outbursts for no particular creator can cause problems with interpersonal relationships, as well as jeopardizing ones employment.Treatment for PTSD can be relatively straight forward, although not always easy for the patient to endure. cosmos taught how to strongly relax is paramount, and once this goal has been achieved, the work on of systematic desensitization can in stages take place. The desensitization process involves confronting the stimuli which cause the patient to have an anxious episode. Oftentimes, the stimuli from a particular location and for some it may be a certain situation which serves as an unconscious reminder of the traumatic event. The more a person is subjected to the offend location or situation, the less acute the fear becomes. This is achieved by implementing the relaxation strategies at the same time the stimuli are presented. The link between the rel axed state and the stimuli will ultimately be achieved, disarming the stimuli and giving reserve back to the patient. In this situation Marla necessarily to see that there was nothing she could do.Being made aware of maladaptive responses to stimuli, patients are better able to identify which anxieties are due to the normal course of life, and which are patterns of irrational thinking related to their disorder.  concord to DSM-IV, PTSD can occur at any age, to either gender, and the onset of symptoms can be delayed by months or even years (DSM-IV, 1994, p.426).According to Cognitive-Behavioral theorists, wise(p) behaviors from conditioning can produce offensive responses both physically and psychologically. Unfortunately for the patient, these responses can occur whether it is their intent to react in such a way or not. In Marlas case, the association with the accident she witnessed affected her life and her psychological and physiological having to walk by the certain agn ise where the accident took place as well as not speaking to or permitting out how she felt or was feeling. Learned behaviors can be unlearned, just as new and more effective behaviors can be adopted. Marla, was correct in coming to talk to physiologist as to let out her feelings that she had pent up inner(a) and to release the emotions that she had not expressed before now.Marlas hyper vigilance and feelings of anxiousness can be alleviated and bought under stop with practice, relaxation such as yoga, animated technics, praying finding a solace in religion, keeping a diary of how she is feeling, and/or frequent exposure to the offending stimuli subtle that things do happen for a former and there is nothing we can do to stop it, and in conjunction with Cognitive-Behavioral therapy, she may also benefit by pickings an antidepressant (SSRI) such as Prozac, sertraline or Paxil.This situation that I govern in place for Marla is one that I actually experienced myself while I was a t work and still to this day have flash backs of that day when I witnessed it and was placed in charge of manipulation the situation. It is not something I would ever indispensableness to see again or want to experience over. I did how ever take her death to heart and realized that my life had more meaning to it than what I was doing and trenchant to come back to school to earn my degree so I can help others and feel I amaze a difference to people. I will not let her death or the couple that died that was driving the car be in vein. I took this as a sign that I cannot waste my life doing something that does not make me happy, life is too short.ReferenceAmerican Psychiatric knowledge Diagnostic and Statistical Manual of psychogenic Disorders, Fourth Edition. Washington, DC, American Psychiatric Association, 1994.Faces of supernormal Psychology, 2007. Posttraumatic Stress Disorder Treatment Strategy. Retrieved July 4, 2009, from http//www.mhhe.com/socscience/ psychology/faces