Assignment: Posttraumatic Stress Disorder Essay
Explanation of my Observation of William
William, a war veteran previously based in Iraq, is a 38-year-old African American male who became homeless after failure to pay his mortgage. He lives with his wife and works as a lawyer with a specialty in finance law. However, his career is in a jeopardy due to his habit of alcohol consumption, which he uses as a survival mechanism from posttraumatic stress disorder (PTSD).
From my analysis of the client, he is experiencing stressful events based on the evaluation using the Diagnostics and Statistical Manual of Mental Disorders fifth edition (DSM-5) tool (Moskowitz et al., 2019). William exhibits re-occurring symptoms of irritability, concentration problems as well as sleep disturbances, which arise from nightmares, flashbacks, and hallucinations. These are exacerbated by thoughts about the traumatic experiences he encountered as an American soldier in Iraq. Even though William’s depression and PTSD scores reveal a low level of distress, his current life experiences affect how he functions at work (Sareen, 2014). Mainly, he reports intense fear, horror, and sometimes helplessness, which makes him self-medicate with alcohol. However, William is consistently connected to his wife and closest friends, which is mainly achieved through texting rather than direct communication. This is an indication of avoidant coping indicating that he prefers to manage his affairs in isolation.
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As I use the PTSD explorer to examine William, his mood and energy keep on fluctuating from moderate status to worst condition. He is mainly stressed about his previous encounters in the military environment (Zamorski et al., 2015). The client is mainly concerned about the nature of his work as a lawyer in which in some instances, he handles customers whose reprimanding demands reminds him about the nature of the military encounters in Iraq. His mood scores fluctuate and this calls for the need for medications to manage such dilapidating mood disorder.
Due to anxiety, I will administer Klonopin 0.25mg PO x 2 daily (Moskowitz et al., 2019). The patient will be expected to take the medication for one month until panic stops. However, I might increase the dosage of 0.125mg to the 0.25mg of Klonopin every three days to ensure that anxiety and panic are under control. I will also prescribe Ziprasidone 40mg PO BID for the client. This medication will be used in a combination with Lorazepam 1mg PO BID to address hallucinations and nightmares that occur to the patient due to a flashback about the experiences of the military environment (Moskowitz et al., 2019). However, in the event the patient does not realize improvement in perceptual disturbances, I will increase Ziprasidone gradually up to 80mg PO BID within three days of medication. I will also administer Duloxetine 60mg PO x 1 daily to restore positive mood in the patient.
I will expect William to adhere to the prescribed medication regimen for him to realize a positive change in his psychotic disorder. Upon completion of the drugs, I anticipate to observe a remarkable improvement in the patient particularly in how he relates with the family and friends (Sareen, 2014). This means that his habit of isolation will reduce. I also expect William’s mood to change and his anxiety to drop following the use of the medication after one month. This will mean that his depression will drop based on the analysis using the depression survey score tool (Zamorski et al., 2015). A positive outcome from the psychotropic medication suggests that patient is responding well to the therapy and this provides a valuable understanding of the character dynamics for these clients which guide the decision on medication adjustment or withdrawal.
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