New Information or Changes
Certain changes are visible in the client situation. The client recently requested her husband to take one 1-2 weeks leave, and the former obliged. He was granted a 16-day sick leave with client and she is impressed with it. In addition, the couple cannot currently afford to change home because of the COVID-19 related financial complications. However, the husband has promised to the client to a week vacation to resort center to give her some break. The client has also recently indicated that she can now catch seven-hour sleep as opposed to previously when she could sleep even for 4 hours.
Description of the problem
Before the above noticeable changes the client had complained of a myriad of problems. After the demise of her mother, the client has suffered from prolonged sadness, insomnia (lack of sleep), and difficulties in parenting her children. One of her kids is reportedly suffering attention deficit hyperactivity disorder has evidenced by trouble at school, difficulties in following directions, and focusing on simple tasks. Also, Miranda is sad and tearful, and is unhappy by her husband’s infrequency at home. He is sometimes away from home for 2 or 3 nights in a row.
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Changes in Family Function
Like the client’s situation, several changes are noticeable. For example, their father’s recent availability has made the family feel protected, loved, and cared by the head of family. Hence, their children, including the one with possible ADHD, are not much happier than before. Another visible chance in family functionality is the improving sense of responsibility and support. They recently all agreed to seek a therapist for their son for him to improve his behavior in school and regain focus on simple tasks.
Intervention
The client is likely to be suffering from posttraumatic disorder (PTSD) caused by parental loss, family, and marital problem. Parental loss is a deeply sad and threatening issue. The client is also clearly suffering from the signs and symptoms of PTSD such as insomnia, sadness, and many more. The best intervention for this case is a short-term cognitive processing therapy and medications. The aim of this intervention is to improve the client’s symptoms, teach her coping skills, and restore her self-esteem (David, Cristea, & Hofmann, 2018). The idea is to alter the thought patterns that are disturbing the client’s thoughts. The best methods are to let the client talk about their trauma and/or concentrate on where her fears originate from. In this case, the client shall undertake both individual and family therapy. The intervention will consist of a 10-week treatment course, with weekly sessions of 50-60 minutes. First, I will talk about the traumatic event with the client and expect to know how the thoughts connected to it have affected her life (David, Cristea, & Hofmann, 2018). I will ask the client to write in detail what happened. This process will help me and client to know how she is thinking about her trauma and determine new ways of coping with it. I expect to convince the client to accept about the death of her mother and stop blaming herself about. Death is a natural thing that should not disorient her much. Also, she must understand that she has children who will be hugely disadvantaged if she stays in this situation.
References
David, D., Cristea, I., & Hofmann, S. G. (2018). Why cognitive behavioral therapy is the current
gold standard of psychotherapy. Frontiers in psychiatry , 9 , 4.
