Ante Trauma Case Study

On Wednesday, September 7, 2016 at about 1541 hours while represent at Brooklyn Special Victim Unit, located at 653 Grand Ave, Brooklyn, Sgt. Smolarsky, SVU and I interviewed Ms. Ryan-Mary Roberts. The following is a detail description of what transpired;

The client name is Johnny. He is an eight-year-old, low SES African American male. He identified himself as Black. He lives with a seven-year-old stepbrother and mother in an independent home in inner city of Milwaukee. The client was referred to intensive outpatient unit by his mother due to suicidal / homicidal ideations (almost daily), impulsive / disruptive behaviors and mood instability both at home and school. Mother was also worried about his sexualized behaviors towards brother, cousin and peers. The client’s behavioral and emotional problems started at the age of four. He has multiple inpatient admissions over the past three years (Mom believes at least five admissions). The client had a multiple trauma history including sexual and

What is the impact of historical trauma on a particular client population? How can Trauma Informed principals be used to reduce the impact of historical trauma on specific clients?

The incident is in its fifth day with little to no change in status. Dykes continues to be demanding and disinterested in offering any concessions and continuing his initial demands. Dykes is now giving deadlines for which he intends to escalate with violence. We feel the justification for preparation of a plan to assault due to this lack of change is necessary.

I. Theoretical and Research Basis for Treatment While working with Precious it has become clear that she has gone through a number of traumas as a child and up until her young adulthood. Precious, dealing with both sexual and physical abuse, has come a long way in wanting to seek treatment and actually wanting to move past her previous traumas. Relevant treatment choices for Precious would be Eye Movement Desensitization and Reprocessing (EMDR) Trauma focused cognitive behavior therapy Exposure therapy Cognitive Processing Therapy Integrative treatment of complex trauma for adolescents.

It will be important to conduct the trauma based assessment as early as possible. However, it is vital that a therapeutic rapport be established with the client before proceeding in asking questions regarding the trauma. It takes time for a traumatized individual to trust and be willing to disclose their experiences. When it is felt that the client is ready it is important to let the client know that they have the right to not answer questions. It is important to discuss why we are asking the questions and ensuring the client that we have their best interests in mind and can provide them with a safe and secure location to work through the trauma.

There are many issues that could arise if you aren't aware of the trauma that your clients has gone through. Courtois and Ford (2009) stressed that assessing someone is an important step in the treatment process. For me, this helps guide the conversation. I feel that if there is a lack of awareness that there could be something that triggers the person you are trying to help and wouldn’t even be aware of it. Also, I don’t feel that healing will begin unless the team ( helper and client) are aware of what is being worked towards. in most cases in order to do this goal setting, back group trauma would be good information to have. Along the line of healing and triggers, it is hard to create a safe place, if the helper doesn't know about the trauma.

Introduction: The prevalence of marijuana abuse and dependence has been increasing among adults and adolescents trauma patients in the United States. Several studies have demonstrated effects of marijuana on the outcomes of diseases. The aim of this study was to assess the relationship between the presence of a positive toxicology screen for marijuana and mortality in trauma patients.

The nature of combat injuries is such that bacterial contamination is frequently present in traumatic wounds.One of the natural purposes of free and unimpeded bleeding from wounds is to flush out potentially contaminating microorganisms that may have gained entry to the wound from the environment. The question then arises if a hemostatic bandage is successfully used to control potentially life-threatening bleeding, will it increase the chances of infection developing in the wound? The polycationic nature of chitosan is such that the substance possesses natural antimicrobial properties. The broad spectrum antimicrobial activity of N-carboxybutyl chitosan suggested it could be used as a wound dressing.

• Chronic and incapacitating mental condition that is triggered by traumatic events, either experienced or visualized by the patient 1

Trauma is a risk factor in the development of both posttraumatic stress disorder and psychosis. Trauma exposure is commonly reported in individuals that had psychotic disorder, and it may be one factor that plays a key role in child abused. However, exposure to childhood abuse is the risk factor for developing psychotic disorder. There are studies that shown the relationship between PTSD and psychotic disorder and how if affect many people.

In the third case study, Sarah suffered from sexual assault when a stranger broke into her home. Like physical abuse, sexual abuse is an interpersonal trauma, which causes the most severe outcomes because the trauma is intentional. Sarah feels ashamed and guilty about the assault. She questions whether she should have resisted the attacker more when he began advancing at her. She also feels as though it is her fault for playing her music to loud which caused her to not be able to hear the intruder. After the attack, she has felt stupid and dirty and she has begun withdrawing from others including her husband and children. She thinks about the event constantly and imagines different scenarios happening. She has started experiencing intrusive

When I decided to take the trauma course, I was hesitant at first to take it. I did not know what to expect nor felt I would be prepare listen to stories about traumatic occurrences, despite of the number of years I have worked in the field of community mental health. Therefore, now that we are in week eight, I am delighted to have taken this course. The impression I had at first, has changed my insight concerning what is trauma, as for many years, I did not understand why a person in many instances, could not process their trauma. In a quote by Chang stated, “The greater the doubt, the greater the awakening; the smaller the doubt, the smaller the awakening. No doubt, no awakening” (Van Der Kolk, 2014, p. 22). The goes in congruence with my understanding on trauma and how it has changed during this course. As a result, I feel I am awakening when acquiring more about trauma.

Jane is a nine year old girl who has been brought in to therapy by her mother for stealing, being destructive, lying, behaving aggressively toward her younger siblings, and acting cruelly to animals. Jane has also been acting clingy and affectionate toward strangers.

Thompson and colleagues (2009): Physical and sexual abuse was moderately positively correlated with positive symptom severity (especially grandiosity) among ethnic minority participants (N=17), while general trauma was positively correlated with affective symptoms among Caucasian participants (N=13).