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Jean
Jean, Psychotherapist
Category: Mental Health
Satisfied Customers: 433
Experience:  Masters degree in counseling, Licensed Clinical Social Worker (LCSW)
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I have a question about a diagnosis. There is this 39 year

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I have a question about a diagnosis. There is this 39 year old woman who covered the story of an execution for many years. After the execution she didn't find any excitement in her job as a reporter. Also she started to have marital problems because she was irritable and had angry outbursts. What psychological disorder do you think this woman has

Jean N/20pluscounts :

Hello, I can assist you


 

Customer:

Hi


 

Customer:

I have to diagnose this woman based on the info you just read


 

Customer:

can you help?


 

Jean N/20pluscounts :

Posttraumatic Stress Disorder PTSD is what I would look further into.

Jean N/20pluscounts :

When exposed to trauma to self or as a witness one can develop these symptoms.

Jean N/20pluscounts :

The reporter was involved in this for many years- It may have traumatized her.

Jean N/20pluscounts :

Similar as witnessing a death in war, in a natural disaster, sexual abuse, anything considered traumatic.

Customer:

does this apply even if she claims that she used to be an objective reporter and that's why she got into the case?


 

Customer:

she did claim that after the event she had a feeling of detachment


 

Jean N/20pluscounts :

Yes- anyone is vulnerable to this when faced with terror, violence, death, or witness to it.

Jean N/20pluscounts :

Yes detachment can be part of this- or dissociative disorder

Jean N/20pluscounts :

One can detach as a coping mechanism- check out as a survival mechanism

Customer:

ok what kind of treatment do you think it would be helpful for her


 

Jean N/20pluscounts :

An example of this is a little girl being sexually abused- and she later tells a story that she detached went "away" while being abused- said she went to the Hundred Acre Wood- Winnie The Pooh land!!

Jean N/20pluscounts :

A effective treatment is EMDR- Eye Movement Desensitization and Reprocessing

Jean N/20pluscounts :

I can give you a link to learn more about EMDR.

Customer:

yes please... that would be really helpful


 

Jean N/20pluscounts :

Emdria International is what I would recommend. Let me grab the link.

Jean N/20pluscounts :

http://www.emdria.org/

Jean N/20pluscounts :

We see great results with EMDR in treating trauma

Customer:

and this would be the nest one for her?


 

Customer:

would this also help with her problems with the husband or should that be taken care after she overcomes the trauma?


 

Jean N/20pluscounts :

I'd say with or without a ptsd diagnosis she experienced trauma- yes it would help

Jean N/20pluscounts :

I think the treatment for her should come first

Jean N/20pluscounts :

I think it will naturally help her in all areas of her life- to work through the trauma

Customer:

I learned that before applying a treatment, as a psychologist one must set goals, like intermediate, short-term and long-term


 

Customer:

how would this apply to her case?


 

Jean N/20pluscounts :

First and foremost it would start with evaluating her symptoms, form a relationship with therapist or psychologist, and preparation for emder- educating her options for treating the trauma, what emdr is etc.

Jean N/20pluscounts :

A goal would be to alleviate trauma symptoms

Jean N/20pluscounts :

More short term would be to teach her techniques to regulate her emotions, calm self, establish support

Jean N/20pluscounts :

An intermediate goal would be for her to manage symptoms better while she works through trauma.

Customer:

what do you mean by "to manage her symptoms"?


 

Jean N/20pluscounts :

There's specific steps to take to prepare for emdr. Manage her symptoms - techniques such as relaxation, deep breathing-

Jean N/20pluscounts :

Things that are identified that relax, soothe, calm a person

Customer:

oh ok got it


 

Customer:

as for long term?


 

Jean N/20pluscounts :

Sounds very intriguing- long term- emdr treatment length is identified through the preparation. Long term would be she functions as she did prior to the trauma.

Jean N/20pluscounts :

Or functions at the level she identifies when setting goals- asking a patient- how will we know you are better?

Customer:

so it would be based on she learns to manage what happened and her reaction to similar events?


 

Jean N/20pluscounts :

yes- exactly

Customer:

would she be able to cover stories like that in the future/


 

Jean N/20pluscounts :

not triggered, alleviation of symptoms of ptsd- I think it's possible to get back- through her treatment-

Jean N/20pluscounts :

That may be her end goal to be able to get back into it- not sure one would willingly sign up for that if it was so traumatic

Customer:

right... Also would she need some sort of support group or something like that


 

Jean N/20pluscounts :

Support support support- friends, family, counseling, group- yes. Not necessarily need but can benefit- meeting with others who have been traumatized.

Jean N/20pluscounts :

PTSD treatment for war vets often includes a support group.

Jean N/20pluscounts :

Support group is people coming together with similar experiences- comforting to know they are no alone- normalizes one's experience.

Customer:

She was with other colleagues during the execution, would talking with them help?


 

Customer:

I'm not sure if the other witnesses developed PTSD


 

Jean N/20pluscounts :

Part of her treatment may involve educating her husband and family about ptsd. Yes that would make a great support group- others who experienced witnessed this. Not sure how it couldn't be traumatizing to all to be part of that.

Jean N/20pluscounts :

It is a frightening and barbaric event to be a witness to such a thing -for most of us.

Customer:

I agree


 

Jean N/20pluscounts :

The emdria web link will give you more info. about the process of emdr- treatment planning etc.

Jean N/20pluscounts :

You tube likely has a demonstration of emdr too.

Jean N/20pluscounts :

Did you have other comments or questions?

Customer:

ok i'll look into it more


 

Customer:

one last question


 

Customer:

does it matter where the treatment takes place ?


 

Jean N/20pluscounts :

Hope information was helpful! EMDR certified therapist or psychologist- web site has a link to find a therapist- emdr therapist is specialized, trained, certified.

Jean N/20pluscounts :

Many counseling clinics are using emdr

Customer:

ok


 

Jean N/20pluscounts :

Typically is outpatient-

Jean N/20pluscounts :

However, long term treatment centers hospital- inpatient would also do it- that is if a client needs that level of care.

Customer:

got it


 

Jean N/20pluscounts :

Good- let me know if other questions come up for you-

Customer:

I think I'm good right now


 

Customer:

Thanks for explaining


 

Jean N/20pluscounts :

My pleasure!!

Customer:

thank you so much


 

Customer:

you were really helpful


 

Jean N/20pluscounts :

If you would be so kind to rate my answer okay or above so I can get credit- much appreciated.

Jean N/20pluscounts :

Good- glad to help!!

Customer:

of course.

Jean N/20pluscounts :

Thank you!!

Customer:

thanks again


 

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