Posted: September 23rd, 2022
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Based on the information provided, what diagnosis/diagnoses would you give the patient?
Identify the symptoms within the case that support your diagnosis/diagnoses. This should be specific to the case study; do not just list symptoms for the diagnosis from your text. Be sure to also include the duration, intensity, and/or frequency of the symptoms as appropriate.
Based on your assessment, describe the treatment you would implement with the patient. Please use your text and any other outside information you might need to answer this question.
Tim, age 17, is brought into your office by his mother following a car accident that occurred 3 months ago. The following is a report of the incident from Tim’s mother:
It was the last week of school– no real classroom work, no assignments to be dealt with at night, a winding down of the activities of the past year. School was down to half days, starting at 7am with release at just after 1pm. Because of the shortened schedule, there was no lunch period and Tim, his friend Ron and Jack were hungry, thirsty and restless. During the 10 minute nutrition break, the boys headed to the nearest 7-11 to grab some junk food, with the goal to return before getting caught. Ron was the only one who had a car, so they all agreed to meet at his car immediately following the nutrition break signal. They jumped in the car, raced down the street trying to beat the 10-minute break, when Ron lost control of the car. It veered to the right from the road, hit a sign, a post, and in an attempt to correct and prevent more damage, Ron overcorrects, the car rolls. Both Tim and Jack lose consciousness during the accident and unfortunately, Ron does not survive.
When you ask Tim about the event, he is reluctant to talk about it, partly because the details are remembered later, through a haze, and partly because he does not want to discuss the events. He does report a decrease in sleep, likely related to recurrent nightmares of the accident, trying to change the ending of the story (which doesn’t happen). He also reports not wanting to drive a car, and will only ride in a vehicle if one of his parents is driving. His mother notes that when they are driving, Tim is very anxious and on edge until they reach the final destination. His entire summer thus far has been spent in the hospital or at home, as he has no desire to meet up with friends, even Jack.
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