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Mental and physical consequences of war for soldiers
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Edward (Teddy) Daniels also known as Andrew Laeddis, the main character in the psychological thriller, Shutter Island, suffers from an extreme form of Posttraumatic Stress Disorder. Andrew Laeddis was in War World II and developed PTSD soon after he got home. Andrew is both an alcoholic and a workaholic, this is shown in the movie when he comes home late in the day and as soon as he comes home he opens a cupboard and there are bottles of wine and he takes one out and downs a glass of it in a second. Andrew is a US Marshall, same as his alter ego Teddy. When Andrew is being Andrew, he feels culpability, remorse, and miserable. As Teddy, he feels like he has responsibilities to fulfill and will do anything to do them. His relationships include his wife, Doctor Sheehan/Chuck his partner, and Doctor Cawley. The relationship between him and his wife is difficult to describe since we only see her in his nightmares. But in his nightmares he misses her and always sees her soaking wet and asks “Baby why are all wet?” He wants to be near her and wants her back in his life but that cannot happen. His relationship with Chuck/Sheehan is complicated since we only see them interact as Chuck and Teddy. But Teddy has respect for Chuck even though he is a younger Marshall and is new to this type of investigation. They act like they have been known each other for o long time and get along well professional. His relationship with Dr. Cawley is strained. In one scene Teddy wants to interview the nurses and some of the patients and the Doctor says that he will try his best to get them but can’t promise anything and Teddy gets angry at him and starts yelling. Most of his relationships are normal, he gets mad when it’s appropriate and talks normall... ... middle of paper ... ...on Duration of the disturbance (symptoms in B, C, and D) is more than one month.”(DSM-IV-TR) Teddy has had these symptoms for at least two years, he has been on Shutter Island since 1952 and the epic role playing game he is in is in 1954. Other symptoms include substance abuse, as said earlier; he comes home and drinks a glass of wine right away. In the cupboard there are at least five other bottles ready for him. His relationship with his wife has been strained because of her mental illness, bipolar. Then when he finds out she drowned the kids he tries to save them but cannot. So he shoots his wife while saying he loves her. This entire trauma, added onto the trauma from the war made him crack. He lost it; he disappeared and became someone else, a better person, and hid Andrew Laeddis away so he wouldn’t have to feel guilty anymore. He could start new.
Sometimes, an alcoholic can be abusive. In Arnold Josephs case, it is nonetheless. When Arnold realizes that he accidentally starts a fire that kills Thomas’s parents, alcoholism seems as the only thing in which he can turn to and try to resolve his problems. After a few years, Arnold’s alcoholism takes a toll on the household. Victor’s attitude toward alcohol is greatly affected as he sees what it did to his father. Arnold eventually left the reservation due to him not being able to manage his emotions. Even though it may seem that Arnold was being selfish, in reality, it was quite the opposite. Arnold saves the two by not submitting them to a life of fear by leaving town. In the end, alcohol rescues Victor from living in fear.
METNAL UPDATE: Client was diagnosed with Axis1: Adjustment Disorder with mixed anxiety and depressed mood-309.28 (primary). CM continues to encourage the client to participate in mental health
In order to collect data a counselor must first decide on which symptom and functioning domain to assess on. Many measures are used to assess treatment outcome focus from one particular symptom or diagnosis such as depression and to which these measures only apply to one subset of clients. In response, many clinical settings that see a wide range of clients tend to measure a broader range of symptoms to provide a more complete assessment of each client. The researcher must then decide what source of dates should be used as well as whom perspective should be assessed. As a result of the complexities of measuring clinical outcomes clinicians have begun to integrate an increased number of brief, standardized, and validated measures that are provided at the beginning of treatment and throughout in intervals.
Despite these facts the modes of the symptoms show a similar pattern. Group A seem to agree upon the majority of symptoms when looking at the mode. All items except reported sadness and inner tension have a mode of 4. The same applies to group B although here the items which do not follow the pattern of fours are inner tension and reduced appetite.
Excessive or ongoing anxiety and worry, for at least three months, about two or more activates or events (Table 5-1).
Throughout the film Chris Eyre uses flashbacks of Victor, Thomas, and Suzy to demonstrate their views on Arnold Joseph after he passed away. Victor, when Arnold had already passed, starts to recall memories of his time with Arnold. Victor remembers Arnold constantly drinking, hitting Victor, hitting his mother, and when left for Arizona. He only recalls these memories because from his mind his was a bad person and father. He is unable to find a way to forgive him or mourn him because all he did, according to Victor, was hurt him, drink heavily, and hurt his mom, making Arnold unforgivable. Thomas was not seen much around Arnold Joseph but he was always tells stories of how he was a great man. He mentions stories of how Thomas was waiting for a vision but after he waited Arnold took him to Denny’s, or how he was the perfect hippie for trying to make love not war.
The novel The Things They Carried by Tim O’Brien is based in Vietnam during the Vietnam War in the 1950’s. Though most of the novel is just a flashback to the Vietnam War, there are some events that occur well after the war. Looking back at their place in time during the Vietnam War, Jimmy Cross and some of his old fellow war vets use some of the objects they carried with them in Vietnam to remember those events that caused their lives to drastically change. The most significant event that changed Jimmy Cross’ life was of watching fellow platoon member Ted Lavender die right next to him. Cross does not go a day in his life without blaming himself for Lavender’s death. Throughout the novel Jimmy is torn between the love of his life, Martha, who does not feel as affectionate towards Cross, and by his actions in the War. In the novel, the author/narrator Tim O’Brien is also a protagonist in the story. He is first presented as a nervous, young, soldier who is in the Alpha Platoon. Because of O’Brien being the author of the novel, he can strongly use imagery to his advantage when he writes of stories he confronted in his point of view. The two main topics of current war and PTSD which are illustrated in the novel The Things They Carried by Tim O’Brien can be compared and contrasted with three relevant articles: “Al Qaeda tries to recruit Americans in Syria,” “Ukraine orders Crimea troop withdrawal as Russia seizes naval base,’ and “Post- Traumatic Stress Disorder.”
"Prevalence, Severity, and Comorbidity of 12-month DSM-IV Disorders in the National Comorbidity Survey Replication." National Center for Biotechnology Information. U.S. National Library of Medicine, n.d. Web. 19 Dec. 2013. .
Diagnostic criteria for other mood or depressive disorders were unmet and/or her symptoms were better explained by another disorder. For example, while she met five of the ten diagnostic criteria for full mania in Bipolar I Disorder, the full range of symptoms were better explained by this diagnosis. Additionally, the description of her acute panic attacks was insufficient to qualify for a panic disorder, so a specifier was added for a more complete diagnosis.
Pat is diagnosed with bipolar disorder and displays two hyperactive mood swings: maniac and depressive (Martinez, 2004) (Russell, 2014). During his maniac mood swings, he demonstrates poor judgement, aggressive behavior, unwise financial choices and increased drive to achieve goals. During his depressive swings, Pat is sad and hopeless and demonstrates anxiety and trepidation and considers suicide and suffers from chronic pain. Tiffany on the other hand treats in order to compensate for feeling guilty sleep with everyone in her office and then treats anyone who comes close to her as a threat. This in itself is difficult to understand. She frantically tries to avoid her grief by having extreme relationships and social problems (Russell,
The common symptoms include mood swings, mild elation, tearfulness, irritability, fatigue, and confusion (Pearlstein 2009). As a clinical diagnosis a study proposes the diagnostic criteria for a Major Depressive Episode (MDE) which verify a constant depression for a period of 2 weeks or anhedonia, also 4 of the following aspects need to happen such as change in appetite, sleep problems, psychomotor agitation or retardation, feelings of being important and useless, low focusing, and considerations of suicide (Fitelson 2011).
Agreeable to the DSM-IV, a manual used to diagnose mental disorders, the criteria to diagnose a depressive episode contains five, or more, of the following symptoms, for a period longer than 2 weeks:
His mood was guarded, hostile and irritable. He asserts that he feels restless at the clinical interview. He says that he analyzes a lot. He describes his appetite as not good. He has lost 170 pounds because of diabetes. He no longer has feeling in his fingers and he has sores on his feet and experiences neuropathy in his feet. He has trouble staying asleep. He will often wake up at 1:30 AM and not be able to get back to sleep until 7:00 AM. During this time, he says that his mind races. In a 24 hour period, he reports sleeping five hours. Most of the time, emotionally, he feels sad, angry and irritated. He is also depressed due to his diabetes. He does not have crying spells. He gets down and depressed. He gets depressed due to his diabetes, experiencing lack of sensation, and having poor balance. When he gets depressed he is likely to just sit at home. He does not think of death excessively and would not say what he thinks of when he does think of death. He denies homicidal or suicidal ideations. He currently feels hopeless, helpless, full of guilt and worthless as he contends that he has lost his family. His energy levels are low. He has no sexual desire. He experiences mood swings that range from anxiety and nervousness to depression and anger. He does not recall a time where he had so much energy for a few days that he did not need sleep. He has gone one or two days with no sleep, when he “pushes” himself. During these
but they may not happen until months or years later.” Still the behaviour may include; agitation,
American Psychiatric Association (1994). Diagnostic and statistical manual of mental health disorders (4th ED). Washington DC