|Type of paper:||Course work|
|Categories:||Counseling Mental health Post traumatic stress disorder|
Post-traumatic stress disorder (PTSD) is a psychological effect as a result of exposure to threats and depressions to one's valued love or even self-love (Foa, Keane, Friedman & Cohen, 2008). The situation creates mental torture and disorder that keeps one out of normality. In reflection to Jessica PTSD situation, the paper will address how her treatment can be achieved as well as how I would handle her at the initial stage of treatment. Generally, Jessica is diagnosed with insomnia and anxiety. From her story, he had been raped by one of the family members at the age of 11year. She is now 29years yet she has been unable to handles her depression about the incident. She does not sleep alone in a room. She always needs to be accompanied by a person overnight. She has developed a negative attitude about males. Thus she does not want to be attended by a male doctor. Under such circumstance, her treatment will be done as follows.
There are two types of treatment of the PTSD that include psychological treatment or natural way of manipulating the disorder, and medical treatment or pharmacological treatment. Therefore, Jessica would first be treated through psychological manipulation to end her disorder. It merely implies that no drug would be administered but teaching on how to naturally handle the trauma and threats or rather the troubles she faces. In the failure of natural or psychological disorder handling, it will invite medical or pharmacological treatment. In the treatment, drugs will be used to sterilize the neuro disorders.
In discovery for Jessica's problem, generally, the emotional handling would start by conducting PTSD therapy (Bisson, & Andrew, 2007). Under this initial stage, the main aim is advancing the symptom, teaching on how to handle and deal with trauma and then the restoration of self-esteem. At that point, I would engage Jessica in a talk to identify where her most fears lay on. In the discovery of her threats, I would induce teachings on how to handle the issues or the condition (Bisson, & Andrew, 2007). Help her understand that the gone event do not depict the future or present. Through my analysis of whether she has improved or not, I would take another step to invite cognitive processing therapy.
In cognitive processing therapy, I would let Jessica that it wasn't her fault that the incidence happened to her. Instead, she should keep such thoughts away. Also, I would advise her to move one with life and even understand that not all men are the same. Therefore she should not dwell much on the past and notion about her perception about the men and incident recurring again. However, due to the prolonged effect of the trauma for 17year, I would also teach her always to breathe in gently whenever faced by anxieties (Bisson, & Andrew, 2007). If the trauma and revived recall of the past continuously affects her, I would let her to learn how to bear with them as well as facing them one by one.
The next level of treatment involves advising her that whenever she is faced by trauma, she should try hard to give a positive thought or idea. Also should make an eye movement trying to refigure about great positive things ahead of her life (Bisson, & Andrew, 2007). Making some melodious whistle and sound would also be an alternative method to keep away from the threats causing your disorder. The sound-making may also be accompanied by hands movement that confines your thoughts away from your troubles (Bisson, & Andrew, 2007). Jessica, therefore, disorder would be reduced. From the above pieces of advice, that would be a psychological and natural way of treatment. However, if Jessica's PTSD does not change even after natural way treatment, I would induce medical treatment. The process involves the use of chemical drugs in balancing neurotransmitter formalities.
I would, therefore, administer several drugs to her and make some observations and reactions in her disorder. Before administering the drugs, I would conduct the various test, to analyze the chemical imbalance in her brain. The process starts with medication. Effects of neurotransmitters serotonin and norepinephrine are therefore established. In that case, the fluoxetine, paroxetine, sertraline, and venlafaxine would be initiated (Foa, Keane, Friedman & Cohen, 2008). However, due to some reason and approvals, I would administer the testing for PTSD by use of paroxetine and sertraline only. However, since different people react differently to medication, in case Jessica does not recover from trauma, I might prescribe to her other drugs to use. They may include antidepressants, monoamine oxidase inhibitors, antipsychotics, or second-generation antipsychotics, beta-blockers, and benzodiazepines (Foa, Keane, Friedman & Cohen, 2008).
At the end of the treatment, Jessica should be able to handle and reduce the effects of her disorder. Similarly, a male doctor should be asked to attend to her in the final stages of her treatment. Through that, the treatment will be determined whether it has been effective or not. Her reaction towards the male doctor should be noted so that, if there is a negative response, an action to improve treatment methodologies will be taken.
In summary, the state of Jessica is caused by the psychological trauma of the rape incidence. Therefore, since the infections have taken roots in her, psychological treatment can never work alone and hence the need for medical treatment. The two treatment does not guarantee the full treatment of her condition but managing her state to a better one. It is therefore advisable that Jessica would visit clinics regularly examination of her condition as well as stressing more on the need to let the past go.
Bisson, J., & Andrew, M. (2007). Psychological treatment of posttraumatic stress disorder (PTSD). Cochrane database of systematic reviews, (3). https://doi.org/10.1002/14651858.CD003388.pub3
Foa, E. B., Keane, T. M., Friedman, M. J., & Cohen, J. A. (Eds.). (2008). Effective treatments for PTSD: practice guidelines from the International Society for Traumatic Stress Studies. Guilford Press.https://books.google.co.ke/books?hl=en&lr=&id=MFyEg007YEIC&oi=fnd&pg=PR1&dq=medical+treatment+of+Post-Trauma+Stress+Disorder+&ots=cuRRtCZvQw&sig=iFaFJe3ABMCrUjQj7Ow4xekg1I0&redir_esc=y#v=onepage&q=medical%20treatment%20of%20Post-Trauma%20Stress%20Disorder&f=false
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