* please help me respond to the post below by Discussing application of a theory different from both the theory you chose and the one chosen by the peer in the post below.
* Include discussion on how you would apply that concept or method to Nellie or Mary through the three stages of beginning, middle, and ending treatment.
please use 7th edition a p a format. add references used.
I have chosen to review the case of Nellie
Bowman. After reviewing the case history, I
believe Nellie is suffering from posttraumatic
stress disorder (PTSD) and possibly co-
occurring with panic disorder due to her
trauma. While it is still early to make a clear
diagnosis, Nellie reports symptoms that fall
under these diagnoses. Nellie experienced a
traumatic event when a stranger came into
her apartment and held a knife to her throat.
She believed she had put it all behind her until
six months later when she woke up to her
heart pounding, body sweats, and chest pain.
She had a feeling of apprehension, and
everything felt like it was in slow motion.
According to DSM-5-TR, when an individual
suffers from panic disorder, they experience
“recurrent, unexpected panic attacks and is
persistently concerned or worried about
having more panic attacks or changes his/her
behavior in maladaptive ways because of
panic attacks”. Nellie reports feeling scared to
be by herself because she is afraid of this
happening again. In cases of PTSD, it is also
common for the individual to experience fear
of separation from their loved ones, especially
if the traumatic event happened during a time
when they were alone (DSM-5-TR).
In terms of intervention, I believe that
Cognitive Behavioral Therapy (CBT) will be
effective for Nellie’s case. The first step in
CBT is to identify and narrow down the
problematic or “target” behaviors that are the
focus of change. In this case, her panic
attacks and the fear of being by herself are
target behaviors. Then, collecting data over
time about these behaviors and events that
trigger these behaviors, in addition to what
the consequences are. Having Nellie keep a
journal can be a helpful way to track this data
and allow her to practice self-awareness. CBT
also focuses on goal setting and
reinforcement for change, where positive
behaviors are met with positive reinforcement.
I would also work with Nellie to teach her self-
management strategies i.e. coping skills
training, in order to prevent relapse in her
behaviors (Cooper & Lesser, 2014). Working
with Nellie’s family and roommate would be
helpful in explaining her struggles to them,
how PTSD and panic disorder can manifest,
and working towards Nellie being ok with
being by herself. On a community level, I
would aim to bring more safety measures
when it comes to break-ins and people feeling
safe when walking home alone, such as a
community watch.
Cooper, M., & Lesser, J. G. (2014). Clinical
Social Work Practice: An Integrated Approach
(5th ed.). Pearson Learning Solutions. https://
capella.vitalsource.com/books/
9781323264522
DSM-5-TR (n.d.). Anxiety Disorders. https://
doi-org.library.capella.edu/10.1176/
appi.books.9780890425787.×05_Anxiety Diso
rders