Review the Case Scenario of Sgt. Lopez:
Sgt. Lopez served as a motor transport operator in Iraq where she was assigned as the driver for an armored vehicle in a convoy along the corridor of Ar Ramadi-Baghdad. An improvised explosive device (IED) is detonated by Sgt Lopez’ vehicle that was deployed by an insurgent’s vehicle. Although she survives, she experiences psychological distress and exhibits a startle response to vehicles that are approaching during the next several convoys along this corridor. Sgt. Lopez’ peers observe her being inebriated after the completion of every convoy and subsequently begins to overindulge with alcohol more and more. When Sgt. Lopez returns to the US, she continues to recall the detonation of the IED. As such, she avoids driving as much as possible. If she rides with others she will become angry and irritable when they drive too close to other vehicles. Even though back home, she continues to overindulge with alcohol. Sgt. Lopez’ spouse convinces her to seek help at the local Veteran’s Affairs (VA) outpatient clinic.
- Driving a vehicle along the Ar Ramadi-Baghdad corridor is the neutral stimulus.
- The detonation of the IED is the unconditioned stimulus that produces the unconditioned response of anxiety & fear.
- Driving & approaching vehicles along the corridor with the detonation produces the conditioned response of anxiety & fear, with driving and approaching vehicles becomes the conditioned stimuli.
- Imitating drinking behavior of her peers (observational learning) results in the temporary relief of psychological distress (negative reinforcement) as this is avoidant behavior (Criterion C of PTSD diagnosis).
- Driving and approaching vehicles back in the US are generalized stimuli resulting in anxiety & fear which are conditioned stimuli that lead to recurrent memories of the IED (Criterion B of PTSD diagnosis) and outbursts of anger when vehicles approach (Criterion D
- .CPT Patient Workbook Summary Actions attachment should be used along with applications from the text and additional attachments to complete the following FIVE requirements. The summary actions attachment provides a condensed snapshot of what 11 CPT sessions would require when working with a client impacted by trauma and/or diagnosed with PTSD as fully described and outlined in the CPT-Patient-Workbook.
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- Select a volunteer ( friend) to act as your “client,” Sgt. Lopez as you complete these requirements.
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- What psychoeducation would you provide about the PTSD/symptoms? [Session 1] – cite/support
- What information would you share to help the client better understand their diagnosis as supported by research? (2-3 paragraphs)
- Work with client, Sgt. Lopez, to complete the following worksheets. For each worksheet, identify (1) What are some of the key items the “client” identified from completing the worksheet as it relates to their traumatic event? (2) How comfortable and/or successful did you feel that the objectives where met when completing the worksheet with them? Did it go well? Why or why not? Was one worksheet easier to complete than another? Barriers? – graded on honest reflections/applications (3) What would you do differently, and why? (4) Could you see this intervention being helpful/beneficial to clients? How? Make sure that it is done in APA format and that each worksheet discussion utilizes citations to support your answers.
- ABC Worksheet (p. 8). [Session 2]-
- Challenging Questions worksheet (p. 28). [Session 4
- Patterns of Problematic Thinking worksheet (p. 45) using one stuck point. [Session 5]
- Challenging Beliefs worksheet (p. 53) using one stuck point. [Session 6]
- What psychoeducation would you provide about the PTSD/symptoms? [Session 1] – cite/support
Requirements: 5 pages
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