Cognitively, I scored Amy low in regards to her decisions and others. It seems that Amy does not blame others for her trauma but places much of the blame on herself. I think that she is not a danger or potential danger to others. The second section, I rated as decision making is frenetic or frozen and not based in reality and shuts down general functioning. I think in Amy’s case, she has frozen up and she reports that it is similar to the night she was assaulted which causes her general functioning to shut down. Next, I scored thoughts about crisis have become pervasive. I think this one was pretty evident that as the symptoms of PTSD have increased it has expanded past just thinking about the trauma and into many of Amy’s thought processes. The next rating, I rated as able to carry on reasonable dialog restricted and has problems understanding and acknowledging views of others. This was another that was muddy for me to work through and process. Ultimately, I thought that Amy could not carry on a dialog with a male and that would be restricted. I don’t know if she would necessarily have problems understanding and acknowledging views of others, but I thought this rating fit her best. Lastly, I rated her problem solving is limited. I rated it this way due to she has some problem solving skills, they problem solving Amy is doing may not be a healthy way to problem solve.
The crisis event is lined out pretty well in the case study. Amy was sexually assaulted on a senior trip in high school and felt that she could not tell anyone but her sister due to the boys family standing in the community. She does not express any anger or hostility. She does express anxiety, fear and frustration. I think that in her behavior she is currently using avoidance and immobility due to her avoiding interacting with men and when she does, she “goes into la la land”. Cognitively, she has a poor self-concept and self-identity (self blame, “damaged goods”). Amy does have some social support with her family that she sees on the weekends, but outside of that she reports no significant friends or other social support. Amy reports that she is “disconnected and does not actively participate” in her Native American beliefs.
James, R. K., & Gilliland, B. E. (2017). Crisis Intervention Strategies (8th ed.). Boston, MA: Cengage.
James, R. K., & Gilliland, B. E. (2017). Crisis intervention strategies (8th ed.). Boston, MA: Cengage Learning.
Hatala, A. R. (2013). Towards a biopsychosocial–spiritual approach in health psychology: Exploring theoretical orientations and future directions. Journal of Spirituality in Mental Health, 15(4), 256–276. doi:10.1080/19349637.2013.776448
Substance Abuse and Mental Health Services Administration (SAMHSA). (2014). Trauma-informed care in behavioral health services. Treatment Improvement Protocol (TIP) Series 57. Retrieved from https://store.samhsa.gov/shin/content/SMA14-4816/SMA14-4816.pdf
Wilson, C., Lonsway, K. A., Archambault, J., & Hopper, J. (2016). Understanding the neurobiology of trauma and implications for interviewing victims. End Violence Against Women International. Retrieved from https://www.evawintl.org/Library/DocumentLibraryHandler.ashx?id=842