Treating Patients With Post Traumatic Stress Disorder Essay

Treating Patients With Post Traumatic Stress Disorder Essay

Length: 1000 words (2.9 double-spaced pages)

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Their case manager referred Joe and Beth to me for marital therapy. The case manager reports Joe (veteran) has been diagnosed with PTSD. Beth has a childhood trauma history and has been diagnosed with Bipolar disorder. The case manager reports they are a high conflict couple, neither is currently taking medication or participating in individual therapy. Joe a 28 years old Army Veteran has been married to Beth, who is 30 years old, for 7 years. They have a 5 y.o. son and 18 month old daughter. During their marriage Joe was deployed to a combat zone twice, once to Iraq and once to Afghanistan. Joe was a combat infantryman involved in multiple firefights and exposed to multiple Improvised Explosive Device (IED) blasts. As a result of physical injuries and PTSD Joe was discharged from active duty two years ago. Joe has had two extra-marital affairs. Joe and Beth report they participated in marital therapy after the first affair, but not after the 2nd one. Both initially report the affairs are no longer a problem. “We have gotten past that..”
Beth reveals, through tears and yelling, she was 8 months pregnant with their daughter when Joe came home and told her he was leaving her for another woman. Beth reports “I told him how much I loved him and begged him not to leave me.” This is what Sue Johnson (2008) refers to as primal panic. Beth reports they decided to get pregnant after completing marital counseling following the first affair and feels stupid for believing their marriage was in a good place and choosing to get pregnant. She reports “I thought we were fine. I had no idea Joe was having an affair.” She reports, as a result of her previous naiveté, she is unsure how she will know if or when Joe can be trust...


... middle of paper ...


...th’s untreated bipolar disorder and Joe’s untreated PTSD may interfere with their ability to regulate emotion and consequently may interfere with marital therapy.



Works Cited

Basham, K. (2008). Homecoming as safe haven or the new front: Attachment and detachment in military couples. Clinical Social Work Journal , 36 (1), 83-96.

Greenberg, L. W. (2010). EMOTION-FOCUSED COUPLES THERAPY AND THE FACILITATION OF FORGIVENESS. Journal of Marital and Family Therapy , 36 (1), 28-42.

Gurman, A. S. (2008). Clinical Handbook of Couple Therapy (4th ed.). (A. S. Gurman, Ed.) New York, NY: The Guilford Press.

Johnson, S. (2008). Hold Me Tight: Seven Conversations for a Lifetime of Love. New York, NY: Little Brown.

Naaman, S. P.-D. (2005). Treating attachment injured couples with emotionally focused therapy: A case study approach. Psychiatry , 68 (1), 55-77.

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