Discussion Question

CNL-545 Trauma Case Study

Reason for Referral

Maryam is a 17-year-old Caucasian female university student who was referred to your agency by her physician, Dr. Jaffee. Maryam presented in her doctor’s office complaining of lack of sleep. Dr. Jaffee did not give her medication, as Maryam has reported drinking three to four glasses of vodka and orange juice per night to sleep. Dr. Jaffee’s report indicates the patient is sleeping 2-4 hours per night and often awakens with nightmares. Blood tests were normal with the exception of slightly elevated liver enzymes. Blood pressure was 130/94. Patient was scheduled for a follow-up appointment in 2 weeks.

Behavioral Observations

Maryam arrived on time for her appointment. She was driven to the appointment by her university roommate. The client appeared anxious, had circles under her eyes, and was tearful during the intake. Maryam was oriented to time, place, and person. Client vocabulary was above average. Client appeared tired and despondent evidenced by low voice, soft speech, and flat affect.

Presenting Problem

Maryam states “I can’t drive a car. I’m too afraid that someone will hit me or I’ll hit someone else. I can’t sleep so I don’t get up to go to class in the morning.” Client states, “I’m afraid to drive.” She goes on to state, “I made such a horrible mistake; I don’t deserve to live. I’m so stupid.”

Client states that she was involved in a three-car accident 2 months ago. Client reports one person was critically injured and the other was treated and released at the hospital. Client reports she received a citation, as she turned in front of two oncoming cars at a red light.

Support System

Client reports that she lives in student housing on the campus of a local university. She has one roommate who brought her to today’s appointment.

Legal: Client is facing legal problems due to the accident.

Family Support: Maryam’s family lives out of state. She has no relatives who live locally.

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