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Chriscurchin27
Case Three Jakki is a 29-year-old Iranian woman who was referred by…
Case Three
Jakki is a 29-year-old Iranian woman who was referred by a former client. Jakki moved to the United States from the Middle East when she was 10 years old. Jakki is happily married and the couple has an 18-month-old daughter. Jakki tells you that she feels like she is going crazy. She has this terrifying sensation that someone is in her room at night standing over her bed, staring at her. Even though, intellectually, she knows that nobody is there, she says she gets frozen and cannot move. She also tells you, “I bolt awake from a deep sleep from having horrific nightmares of being chased and smothered. I’m covered in sweat, gasping for breath for 10 minutes until I realize I am safe in my own bed with my dear husband.” During your assessment, you learn that Jakki saw her youngest brother killed as they were escaping out of the country. Tearfully, she tells you that she wishes she could trade places with him so that he could have survived. “He was such a sweet boy. I often see him from the corner of my eye when I take my daughter to the park, but when I turn around to call out to him, he is gone.” Jakki does not remember her early childhood, but she does get “creepy, eerie feelings around men with beards. I hold my daughter close worried that something will happen to her.” You notice that Jakki is easily startled and keeps looking about the room with what appears like nervous anticipation.
Using the text information from Chapters 8 through 11:
In consideration of the diagnosis and treatment of trauma and trauma related disorders, how might you assess Jakki?
What would you target in treatment?
What form(s) from the text might you utilize in your work with Jakki as a therapeutic intervention?
How might her responses be used to initiate change?
Case Four
Ken is a 31-year-old African American man who is sent for therapy through his EAP program at work. Ken tested positive for amphetamines on a random drug test. He denies using drugs and tells you, “it must be those herbal pills that did it. A buddy of mine gave them to me to help me stay awake. I’m a truck driver and sometimes it’s hard to stay focused on the road. My buddy said it was all natural stuff and would also help me shed a few pounds. Sitting in a truck all day has really started to put the weight on, if you know what I mean.” Ken admits to having “a bit of a meth problem in my early 20’s. But that was because my best buddy was a drug dealer. So he got me started on the stuff. I was real skinny back then though!” During your interview, Ken reveals that his parents were obese and that, “I hated it when I was a kid. I was embarrassed and ashamed to have friends around and I don’t want to do that to my own kids.” You notice that Ken becomes quite emotional at this time, then quickly changes the subject by asking you, “so what do I have to do to get my boss to believe I’m not a drug addict?” You notice Ken is quite thin and that his face is broken out. His pupils are dilated and he can’t seem to sit still.
Using the text information from Chapters 8 through 11:
In consideration of the diagnosis and treatment of substance use disorders and eating disorders, how might you assess Ken?
What would you target in treatment?
What form(s) from the text might you utilize in your work with Ken as a therapeutic intervention?
How might his responses be used to initiate change?
