Determination of stress factors to inquire about the fear factors after the traumatic accident; this includes the complete awareness of the patient perspective of self harm or harm to others. As the patient informed that she had a feeling that she received some illustrations before the accident, The patient's assessment for the mental disorders i.e. anxiety, depression done through examination. Patient's personal history assessment to determine if any vulnerability is present in the family required. This early fear assessments later help to tackle the threats a person experience (Dodge et al, 1997). The extent of the time gap between the traumatic incidence and the time of interview accurate assessment is very significant as sometimes the early symptoms are more severe in first few months than observed in the later months (American Psychiatric Association, 1994). Is this a crisis situation?
The patient is going through a crises situation. The reasons behind these crises are the patient's dissociation from her family and persistence stress due to mental, legal, emotional, severe low self esteem as this will trigger patients mental and emotional disturbance, which eventually ended in the accident. Patient reported of illustrations, therefore, going through serious mental disturbances as she started crying due to shock which is still haunting the patient, in order to let patient get out of her fears require incessant psychoanalysis and psychotherapy.
The disturbed sleep is the reflection of serious medical and mental issue and requires patient medical history, sleep diaries and questionnaires, and clinical examination (5th ed., DSM-5). The client's complete anxiety assessment through asking details about the accidents and counselling her about her fears related to travelling which is affecting her life and education required to address. Patient also has terrific fear and nightmare problem.
What is the client's immediate need?
The patient's immediate requirements include the immediate interaction with the family so that this will improve the patient's emotional health. To let client believe that she is safe and will cope up with the problem, decrease uncertainty and generate believe that she is safe, Another significant consideration is to help the client to get out of self low esteem and self blame, proper mental health diagnosis and treatment as the patient also has terrific fear and nightmare problem. This is reflecting severe mental disturbance which needs proper examination from a psychiatrist and assessment of psychotherapy requirement. Patient's has ...