KAREN is a 19-year-old female who has been referred to mental health care after being seen in the emergency department following a violent sexual assault
KAREN is a 19-year-old female who has been referred to mental health care after being seen in the emergency department following a violent sexual assault. Open your door to the world of mental health care with our new case study, featuring a realistic pop-up homework assignment that helps you develop clinical insight into this enigmatic client, Karen. violent sexual assault
According to the DSM-IV-TR, the diagnostic domain of PTSD consists of four subtypes that are each characterized by reminders of the traumatic event as well as behavioral, cognitive, and physiological responses. The four types include Re-experiencing of the event (dissociative amnesia, flashbacks), Avoidance of stimuli associated with the trauma, Negative cognitions and mood associated with the trauma (e.g., helplessness, shame, guilt), and Hyperarousal. For example, Karen is having flashbacks where she has reoccurring memories of the assault that cause her physical pain. She is avoiding situations associated with the trauma which might include being in crowds or working late. As a result of a sense that she is watching the assault happen to her, she is feeling a loss of control over her environment. An additional symptom that she should be experiencing is negative cognitions about herself or others as a result of this experience such as shame or guilt. violent sexual assault
One of the most responsive criteria for acute stress disorder (ASD) is feeling detached from oneself and observing oneself in a detached manner, resulting in feelings of estrangement or unreality. This detachment may occur as a generalized sense that the world looks or feels different, or that one is viewing the world as it happens to someone else. violent sexual assault.
Karen is a 19-year-old female who has been referred to care after being seen in the emergency department following a violent sexual assault. She was working late one evening at the shopping mall and walked alone to her car after dark. She was assaulted, beaten, and thankfully a passerby saw her lying in some bushes and called 911. Initially she was resistant to mental health care, but now, 2 months later, she feels as though she needs help because she is experiencing a collection of symptoms including flashbacks, dreams of the assault, palpitations, anxiety, and a sense that she is watching the assault happen to her This sense of watching the assault as if she was an observer is characteristic of which diagnostic domain of PTSD?