Discussion Question
Which evidence-based counseling theory best supports the client coping with trauma and other mental health issues? Justify your answer.
CNL-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 doctors 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. Jaffees 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 2 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 cant drive a car. Im too afraid that someone will hit me or Ill hit someone else. I cant sleep so I dont get up to go to class in the morning. Client states, Im afraid to drive. She goes on to state, I made such a horrible mistake; I dont deserve to live. Im so stupid.
Client states that she was involved in a three-car accident 2 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 todays appointment.
Legal: Client is facing legal problems due to the accident.
Family Support: Maryams family lives out of state. She has no relatives who live locally.
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