Client: Kiki Dover
Dr.: Anna Ferizza Yoma
– Posttraumatic Stress Disorder
– Acute Stress Disorder
Primary Diagnostic Features:
– Experience traumatic event that results in activation of the sympathetic nervous system symptoms, development of dissociative symptoms, and disruption in cognitive experience
– Duration is 4 weeks or less
Axis I: Acute Stress Disorder
Axis II: None
Axis III: None
Axis IV: Witnessed and execution
Axis V: GAF = 72
The client’s sympathetic nervous system may have been over activated which explains Kiki’s irritability. She also may have an excess of norepinephrine and a deficit of GABA which is the reason why she gets anxiety. There also may be abnormalities in her serotonin pathways. Also, there may be a genetic predisposition for the development of this disorder. A person who has experienced trauma may have develop an atrophy in hippocampus.
Client’s symptoms may be due to a faulty learning experience. She might have been classically conditioned. When she witness the execution she made a stimulus response association between the traumatic event and her anxiety symptoms. After, she was operantly conditioned. Every time she turned down assignments at work, it enable her to avoid being exposed to another trauma. This avoidance behavior is negatively reinforced.
This client’s symptoms are the result of work related trauma. She works as a newspaper reporter and in that capacity she was witness to the execution which resulted in her numerous trauma related symptoms.