How does the biology of trauma present in this case?

 

Review the Trauma Case Study for Maryam. Write a 750-1,000-word essay answering the following questions. Your number one goal is to make sure she is safe.

Provide appropriate support for your answers by citing the DSM.

1. What are the key assessment issues to consider?
2. Do you think this is a crisis situation? Why or why not? Explain.
3. What is the client’s immediate need? Be specific.
4. What specific interventions do you feel are necessary with this client?
5. What is the possible diagnosis for this client? Provide supportive reasoning for your diagnosis. Why?
6. Is this client suffering a stress disorder? Define which one and the symptoms associated.
7. How does the biology of trauma present in this case?
8. Should Maryam’s family be notified? Explain.
9. Would you feel competent enough to work with this client? Why or why not?
10. Should you seek additional resources to help with this case? Explain.
11. Do you have coordination or treatment issues to consider? Explain.

Include a minimum of three scholarly references in addition to the textbook.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

This assignment meets the following CACREP Standard: 5.C.2.f. Impact of crisis and trauma on individuals with mental health diag

RUBRIC

1 Unsatisfactory 0.00% 2 Less than Satisfactory 74.00% 3 Satisfactory 79.00% 4 Good 87.00% 5 Excellent 100.00% 70.0 %Content 5.0 %Key Assessment Issues Essay omits or incompletely describes the key assessment issues to consider for the case study presented. Essay does not demonstrate understanding of the topic. Essay inadequately describes the key assessment issues to consider, but description is weak and missing evidence to support claims. Essay demonstrates a poor understanding of the topic. Essay adequately describes the key assessment issues to consider, but description is limited and lacks some evidence to support claims. Essay demonstrates a basic understanding of the topic. Essay clearly describes the key assessment issues to consider, and description is strong with sound analysis and some evidence to support claims; and the DSM is accurately cited in support of responses. Essay demonstrates an understanding that extends beyond the surface of the topic. Essay expertly describes the key assessment issues to consider, and description is comprehensive and insightful with relevant evidence to support claims; and the DSM is accurately cited in support of responses. 15.0 %Crisis Situation and Immediate Need Essay omits or incompletely describes whether there is a crisis situation and the client’s immediate need for the case study presented. Essay does not demonstrate understanding of the topic. Essay inadequately describes whether there is a crisis situation and the client’s immediate need, but description is weak and missing evidence to support claims. Essay demonstrates a poor understanding of the topic. Essay adequately describes whether there is a crisis situation and the client’s immediate need, but description is limited and lacks some evidence to support claims. Essay demonstrates a basic understanding of the topic. Essay clearly describes whether there is a crisis situation and the client’s immediate need, and description is strong with sound analysis and some evidence to support claims; and the DSM is accurately cited in support of responses. Essay demonstrates an understanding that extends beyond the surface of the topic. Essay expertly describes whether there is a crisis situation and the client’s immediate need, and description is comprehensive and insightful with relevant evidence to support claims; and the DSM is accurately cited in support of responses. 5.0 %Specific Interventions Essay omits or incompletely describes what specific interventions are necessary with the client for the case study presented. Essay does not demonstrate understanding of the topic. Essay inadequately describes what specific interventions are necessary with the client, but description is weak and missing evidence to support claims. Essay demonstrates a poor understanding of the topic. Essay adequately describes what specific interventions are necessary with the client, but description is limited and lacks some evidence to support claims. Essay demonstrates a basic understanding of the topic. Essay clearly describes what specific interventions are necessary with the client, and description is strong with sound analysis and some evidence to support claims; and the DSM is accurately cited in support of responses. Essay demonstrates an understanding that extends beyond the surface of the topic. Essay expertly describes what specific interventions are necessary with the client, and description is comprehensive and insightful with relevant evidence to support claims; and the DSM is accurately cited in support of responses. 15.0 %Diagnosis and Possible Stress Disorder Essay omits or incompletely describes what the possible diagnosis is and whether the client is suffering from a stress disorder along with the type and symptoms associated for the case study presented. Essay does not demonstrate understanding of the topic. Essay inadequately describes what the possible diagnosis is and whether the client is suffering from a stress disorder along with the type and symptoms associated, but description is weak and missing evidence to support claims. Essay demonstrates a poor understanding of the topic. Essay adequately describes what the possible diagnosis is and whether the client is suffering from a stress disorder along with the type and symptoms associated, but description is limited and lacks some evidence to support claims. Essay demonstrates a basic understanding of the topic. Essay clearly describes what the possible diagnosis is and whether the client is suffering from a stress disorder along with the type and symptoms associated; and the DSM is accurately cited in support of responses. Essay demonstrates an understanding that extends beyond the surface of the topic. Essay expertly describes what the possible diagnosis is and whether the client is suffering from a stress disorder along with the type and symptoms associated, and description is comprehensive and insightful with relevant evidence to support claims; and the DSM is accurately cited in support of responses. 5.0 %Biology of Trauma Essay omits or incompletely describes how the biology of trauma is present with the client for the case study presented. Essay does not demonstrate understanding of the topic. Essay inadequately describes how the biology of trauma is present with the client, but description is weak and missing evidence to support claims. Essay demonstrates a poor understanding of the topic. Essay adequately describes how the biology of trauma is present with the client, but description is limited and lacks some evidence to support claims. Essay demonstrates a basic understanding of the topic. Essay clearly describes how the biology of trauma is present with the client; and the DSM is accurately cited in support of responses. Essay demonstrates an understanding that extends beyond the surface of the topic. Essay expertly describes how the biology of trauma is present with the client, and description is comprehensive and insightful with relevant evidence to support claims; and the DSM is accurately cited in support of responses. 5.0 %Client’s Family Essay omits or incompletely describes whether Maryam’s family should be notified for the case study presented. Essay does not demonstrate understanding of the topic. Essay inadequately describes whether Maryam’s family should be notified, but description is weak and missing evidence to support claims. Essay demonstrates a poor understanding of the topic. Essay adequately describes whether Maryam’s family should be notified, but description is limited and lacks some evidence to support claims. Essay demonstrates a basic understanding of the topic. Essay clearly describes whether Maryam’s family should be notified; and the DSM is accurately cited in support of responses. Essay demonstrates an understanding that extends beyond the surface of the topic. Essay expertly describes whether Maryam’s family should be notified, and description is comprehensive and insightful with relevant evidence to support claims; and the DSM is accurately cited in support of responses. 15.0 %Counselor Skills and Resources Essay omits or incompletely describes whether you would feel competent enough to work with the client and whether you should seek additional resources for the case study presented. Essay does not demonstrate understanding of the topic. Essay inadequately describes whether you would feel competent enough to work with the client and whether you should seek additional resources, but description is weak and missing evidence to support claims. Essay demonstrates a poor understanding of the topic. Essay adequately describes whether you would feel competent enough to work with the client and whether you should seek additional resources d, but description is limited and lacks some evidence to support claims. Essay demonstrates a basic understanding of the topic. Essay clearly describes whether you would feel competent enough to work with the client and whether you should seek additional resources; and the DSM is accurately cited in support of responses. Essay demonstrates an understanding that extends beyond the surface of the topic. Essay expertly describes whether you would feel competent enough to work with the client and whether you should seek additional resources, and description is comprehensive and insightful with relevant evidence to support claims; and the DSM is accurately cited in support of responses. 5.0 %Coordination/Treatment Issues Essay omits or incompletely describes whether you have coordination or treatment issues to consider for the case study presented. Essay does not demonstrate understanding of the topic. Essay inadequately describes whether you have coordination or treatment issues to consider, but description is weak and missing evidence to support claims. Essay demonstrates a poor understanding of the topic. Essay adequately describes whether you have coordination or treatment issues to consider, but description is limited and lacks some evidence to support claims. Essay demonstrates a basic understanding of the topic. Essay clearly describes whether you have coordination or treatment issues to consider; and the DSM is accurately cited in support of responses. Essay demonstrates an understanding that extends beyond the surface of the topic. Essay expertly describes whether you have coordination or treatment issues to consider, and description is comprehensive and insightful with relevant evidence to support claims; and the DSM is accurately cited in support of responses. 20.0 %Organization and Effectiveness 7.0 %Thesis Development and Purpose Paper lacks any discernible overall purpose or organizing claim. Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear. Thesis and/or main claim are apparent and appropriate to purpose. Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose. Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear. 8.0 %Argument Logic and Construction Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use) Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) and/or word choice are present. Sentence structure is correct but not varied. Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Writer is clearly in command of standard, written, academic English. 10.0 %Format 5.0 %Paper Format (use of appropriate style for the major and assignment) Template is not used appropriately, or documentation format is rarely followed correctly. Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent. Appropriate template is used. Formatting is correct, although some minor errors may be present. Appropriate template is fully used. There are virtually no errors in formatting style. All format elements are correct. 5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. 100 %Total Weightage

PCN-545

Trauma Case Study

Reason for Referral

Maryam is a 17-year-old Caucasian female university student who was referred to your agency by her physician Dr. Jaffee. Maryam presented in her doctor’s office complaining of lack of sleep. Dr. Jaffee did not give her medication as Maryam has reported drinking three to four glasses of vodka and orange juice per night to sleep. Dr. Jaffee’s report indicates the patient is sleeping 2-4 hours per night and often awakens with nightmares. Blood tests were normal with the exception of slightly elevated liver enzymes. Blood pressure was 130/94. Patient was scheduled for a follow-up appointment in two weeks.

Behavioral Observations

Maryam arrived on time for her appointment. She was driven to the appointment by her university roommate. The client appeared anxious, had circles under her eyes, and was tearful during the intake. Maryam was oriented to time, place, and person. Client vocabulary was above average. Client appeared tired and despondent evidenced by low voice, soft speech, and flat affect.

Presenting Problem

Maryam states “I can’t drive a car. I am too afraid that someone will hit me or I will hit someone else. I can’t sleep so I don’t get up to go to class in the morning.” Client states, “I am afraid to drive.” She goes on to state, “I made such a horrible mistake; I don’t deserve to live. I am so stupid.”

Client states that she was involved in a three car accident two months ago. Client reports one person was critically injured and the other was treated and released at the hospital. Client reports she received a citation, as she turned in front of two oncoming cars at a red light.

Support System

Client reports that she lives in student housing on the campus of a local university. She has one roommate who brought her to today’s appointment.

Legal: Client is facing legal problems due to the accident.

Family Support: Maryam’s family lives out of state. She has no relatives that live locally.

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