Course Hero Logo

Unit 7 Discussion-cognitive-behavioral-therapy-example.pdf...

Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e.g., in search results, to enrich docs, and more. This preview shows page 1 - 2 out of 4 pages.

1CLINICAL PRACTICEGUIDELINEPTSDCASE EXAMPLEJill, a 32-year-old AfghanistanWar VeteranThis case example explains how Jill’s therapist used a cognitive worksheet as astarting point for engaging in Socratic dialogue.This is a case example for the treatment of PTSD using Cognitive Behavioral Therapy.Cognitive Behavioral Therapy is strongly recommended by the APA Clinical PracticeGuideline for the Treatment of PTSD.Jill, a 32-year-old Afghanistan war veteran, had been experiencing PTSD symptoms for over 5 years. Sheconsistently avoided thoughts and images related to witnessing her fellow service members being hit by animprovised explosive device (IED) while driving a combat supply truck. Over the years, Jill became increasinglydepressed and began using alcohol on a daily basis to help assuage her PTSD symptoms. She had difficultiesin her employment, missing many days of work, and she reported feeling disconnected and numb around herhusband and children. In addition to a range of other PTSD symptoms, Jill had a recurring nightmare of theevent in which she was the leader of a convoy and her lead truck broke down. She waved the second truckforward, the truck that hit the IED, while she and her fellow service members on the first truck worked feverishlyto repair it. Consistent with the traumatic event, her nightmare included images of her and the service memberson the first truck smiling and waving at those on the second truck, and the service members on the secondtruck making fun of the broken truck and their efforts to fix it — “Look at that piece of junk truck — good luckgetting that clunker fixed.”After a thorough assessment of her PTSD and comorbid symptoms, psychoeducation about PTSD symptoms,and a rationale for using trauma focused cognitive interventions, Jill received 10 sessions of cognitive therapyfor PTSD. She was first assigned cognitive worksheets to begin self-monitoring events, her thoughts aboutthese events, and consequent feelings. These worksheets were used to sensitize Jill to the types of cognitionsthat she was having about current day events and to appraisals that she had about the explosion. For example,one of the thoughts she recorded related to the explosion was, “I should have had them wait and not had themgo on.” She recorded her related feeling to be guilt. Jill’s therapist used this worksheet as a starting point forengaging in Socratic dialogue, as shown in the following example:Therapist:Jill, do you mind if I ask you a few questions about this thought that you noticed, “I should have hadthem wait and not had them go on?”Client:Sure.

Upload your study docs or become a

Course Hero member to access this document

Upload your study docs or become a

Course Hero member to access this document

End of preview. Want to read all 4 pages?

Upload your study docs or become a

Course Hero member to access this document

Term
Spring
Professor
miss ayesha
Tags
Improvised explosive device, Jill s therapist

Newly uploaded documents

Show More

Newly uploaded documents

Show More

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture