wk5DisEvidence and Non-Evidence Based Treatment Options
JudeBrown
Peer1peer2.docxPeer 1
The case that will be discussed is with patient M.D. A quick overview this patient is at an early adult age, however, the situations that occurred happened to the patient at a younger age, which was from ages 14-16 years old. The patient was aggressively sexually assaulted by multiple men. The patient lived in low poverty and was involved in gang relations due to the area they were living in and began to heavily use substances.
Based on the available information, evaluate the symptoms and presenting problems for the patient in the chosen case study and propose a provisional diagnosis.
The information presented by Brewer et al (2014) regarding patient M.D., is that the patient has informed that she has panic issues, anxiety issues, aggression, and resentment. The patient, has changed her life and become an activist for women however, she still has trouble adjusting socially and making connections normally. She also has experienced more aggression towards men due to her past experiences. This shows she has trouble trusting and letting go of fear. I believe the proposed diagnosis, would be Adjustment Disorder Diagnosis. This disorder according to Morrison (2014), the person dealing with an adjustment disorder is having the emotional feeling of being panicky, having anxiety symptoms, and even depressive symptoms.
Describe one evidence-based treatment for this diagnosis and provide a rationale for your choice. Research at least two peer-reviewed articles to support your evidence-based treatment selection.
Cognitive behavioral therapy is one evidence-based treatment used for adjustment behavior. According to Soledad et al (2022), can help the patient adapt and or change their stressor, with information and communication technology. The technology used can help a patient with activities that are not as demanding and gives more adaptability to different tasks. As for the M.D. patient, this will benefit her to find ways to communicate and adapt to a more stress-free life.
Another study supports that cognitive behavioral therapy can help patients with adjustment disorders. Marco et al (2021), did a study that showed having continuous cognitive therapy, that helps patients process and make meaning of their stressors. The focus of cognitive therapy is to develop better coping and adjustments, to help reduce worry, anxiety, and panic and adjust better. This does only work if the patient wants help and is willing to continue the mental health care.
Examine your colleague’s initial post, and assume the proposed evidence-based treatment was ineffective. Using a sociocultural perspective, provide an explanation for why the evidence-based treatment may have been ineffective in this case. Describe at least one non-evidence-based treatment option as an alternative to evidence-based treatment in this case. Compare and contrast the failed evidence-based treatment with the proposed non-evidence-based treatment option. Justify the use of the proposed non-evidence-based treatment option for this patient (i.e., How does this treatment option meet the patient’s unique sociocultural needs?).
Peer 2
Based on the available information, evaluate the symptoms and presenting problems for the patient in the chosen case study and propose a provisional diagnosis.
For my chosen case study, I decided to discuss Ivan. Ivan is a Navajo descent who was born on a reservation in Arizona. From 20 to 26 Ivan served in the military and did multiple tours in Iraq. During his time in the military, he was able to come home during various points. His wife and children noticed how Ivan’s personality had changed and he displayed anger outbursts. First, it started as verbal abuse and then turned physical. After he was done with the military it had become obvious that the war had a significant impact on Ivan’s personality and behaviors. Ivan had a hard time managing his anger and began to abuse alcohol. It's even reported that Ivan would wake up in a cold sweat after having frequent nightmares. Based on the available information and the symptoms Ivan is displaying, my provisional diagnosis for him would be post-traumatic stress disorder (PTSD). PTSD is a mental disorder that's caused by a disturbing event where the individual either experiences it or observes it. Symptoms may include flashbacks, nightmares, and unease, as well as uncontrollable thoughts about the event (Mayo Clinic, 2023). War can be a traumatic event for all parties involved. Ivan spent six years in war and its apparent that it was a traumatic event in his life and the reason for the behaviors he is currently showing.
Describe one evidence-based treatment for this diagnosis and provide a rationale for your choice.
One evidence-based treatment I would consider for Ivan is Cognitive processing therapy (CPT). This is a specific type of cognitive behavioral therapy that has been effective in reducing symptoms of PTSD that have developed after an induvial experience a range of traumatic events. CPT focus on helping individuals get in control of their emotions and thought process after experiencing a traumatic event (Simpson, 2022). This approach would be beneficial to Ivan because he’s currently having a difficult time adjusting to life away from the war. Ivan has become more violent, has become addicted to alcohol, and has many run ins with police. With CPT, Ivan can learn how to control his thoughts and behaviors better. One study showed that CPT can be paired with Relapse Prevention, which is a Cognitive Behavioral Therapy designed to aid individuals with self-monitoring and coping with alcoholism. Research shows that a considerable number of individuals who deal with PTSD also have a higher risk of abusing alcohol (Simpson, 2022). CBT is an effective strategy to help veterans deal with PTSD. A study I found described how many veterans did not know of affective ways to manage their PTSD, however, after being part of an experiment in which veterans were brought to together for CPT training a majority of the veterans stated the training was beneficial to helping them identify issues associated to the symptoms of PTSD (Kehle-Forbes, 2022).
Examine your colleague’s initial post, and assume the proposed evidence-based treatment was ineffective. Using a sociocultural perspective, provide an explanation for why the evidence-based treatment may have been ineffective in this case. Describe at least one non-evidence-based treatment option as an alternative to evidence-based treatment in this case. Compare and contrast the failed evidence-based treatment with the proposed non-evidence-based treatment option. Justify the use of the proposed non-evidence-based treatment option for this patient (i.e., How does this treatment option meet the patient’s unique sociocultural needs?).
