Review The Trauma Case Study For Maryam Write A 750-1000 Wor

Review The Trauma Case Study For Maryamwrite A 750 1000 Word Essay

Review the Trauma Case Study for Maryam. Write a 750-1,000-word essay answering the following questions. Your number one goal is to make sure she is safe. Provide appropriate support for your answers by citing the current version of the DSM. What are the key assessment issues to consider? Do you think this is a crisis situation? Why or why not? Explain. What is the client’s immediate need? Be specific. What specific interventions do you feel are necessary with this client? What is the possible diagnosis for this client? Provide supportive reasoning for your diagnosis. Why? Is this client suffering a stress disorder? Define which one and the symptoms associated. How does the biology of trauma present in this case? Should Maryam’s family be notified? Explain. Would you feel competent enough to work with this client? Why or why not? Should you seek additional resources to help with this case? Explain. Do you have coordination or treatment issues to consider? Explain.

Paper For Above instruction

In addressing the trauma case study of Maryam, the primary concern is ensuring her safety and identifying her immediate needs. The assessment process must be thorough, considering both psychological and biological factors, and aligned with the criteria outlined in the current DSM-5 (American Psychiatric Association, 2013). Recognizing signs of acute trauma, potential dissociative symptoms, or signs of intense emotional distress are critical assessment issues to consider to formulate an appropriate treatment plan.

Whether this situation constitutes a crisis hinges on the immediacy and severity of Maryam's symptoms. If she exhibits suicidal ideation, self-harm tendencies, or displays significant behavioral disturbances, it qualifies as a crisis requiring urgent intervention. Accordingly, her immediate needs may include safety planning, emotional stabilization, and access to crisis intervention resources. Immediate safety measures might involve hospitalization if risk is imminent, or engaging crisis support systems to provide stabilization and reassurance.

Necessary interventions for Maryam include trauma-focused therapy such as Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), which is evidence-based for young clients with trauma histories (Cohen, Mannarino, & Deblinger, 2017). Additionally, pharmacological interventions might be considered if symptoms are severe, including SSRIs for managing anxiety or depression (Stein et al., 2017). Providing psychoeducation for Maryam and her family about trauma responses and coping strategies is crucial to enhance her resilience and support system.

The potential diagnosis, based on her symptoms, might include Post-Traumatic Stress Disorder (PTSD), especially if she exhibits intrusion symptoms, avoidance, negative alterations in cognition and mood, and hyperarousal (American Psychiatric Association, 2010). Evaluating her symptoms against the DSM criteria will clarify the diagnosis. Alternatively, if her symptoms are less pervasive but still significant, Adjustment Disorder or Acute Stress Disorder might be considered.

In terms of biological presentation, trauma can evoke alterations in the hypothalamic-pituitary-adrenal (HPA) axis, impacting cortisol levels and stress response mechanisms (Yehuda, 2002). These biological responses can manifest as hypervigilance, sleep disturbances, and emotional dysregulation—all potentially observed in Maryam's case. Recognizing these biological factors underscores the importance of a comprehensive treatment approach.

Deciding whether Maryam’s family should be notified depends on her safety, confidentiality, and legal considerations. If she is at imminent risk and her safety cannot be assured, involving her family—assuming appropriate consent—is advisable to facilitate support networks and ensure safety. Clear communication about confidentiality boundaries and the therapeutic process is essential.

Regarding competence, a clinician should assess their own training and experience with trauma and adolescent clients. If unsure about managing complex trauma cases, seeking additional resources or consultation from specialists in trauma therapy is advisable. Collaboration with multidisciplinary teams, including psychiatrists, school counselors, and social workers, may enhance the quality of care and ensure a holistic approach.

Coordination issues might include logistical challenges such as access to trauma treatment programs, medication management, and family involvement. Addressing these requires effective communication and collaboration among healthcare providers, educators, and family members. Regular case reviews and adjustments in treatment plans are necessary to adapt to Maryam’s evolving needs.

In conclusion, the case of Maryam necessitates a nuanced approach grounded in current trauma and mental health research. Ensuring her safety, accurately diagnosing her condition, providing evidence-based interventions, and collaborating with her support network are essential steps towards her recovery. An ethical and culturally sensitive approach will facilitate the most effective therapeutic outcomes, supported by ongoing assessment and resource integration.

References

• American Psychiatric Association. (2010). Diagnostic and statistical manual of mental disorders (5th ed.).
• American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
• Cohen, J. A., Mannarino, A. P., & Deblinger, E. (2017). Treating trauma and traumatic grief in children and adolescents. Guilford Publications.
• Stein, M. B., McAllister, P., & Smith, K. (2017). Pharmacological Treatment of Anxiety Disorders. Journal of Clinical Psychiatry, 78(3), 413–422.
• Yehuda, R. (2002). Post-traumatic stress disorder. New England Journal of Medicine, 346(2), 108–114.