Case Presentation 2

Case Presentation of M.K.: Post-Traumatic Stress Disorder Student's Name Institution Course # and Name Professor's Name Submission Date Identification Data M.K. is a 32-year-old, active-duty soldier of Black American descent. He speaks fluent English and is seeking an initial assessment for psychological well-being. Chief Complaint The client complained of having constant nightmares, negative flashbacks, and anxiety attacks after the recent military deployment. The client reports that these clinical manifestations have persisted for several months, and his uncle referred him to the psychiatrist after noticing these radical behavioral changes. History of Present Illness M.K. is a serving soldier who returned home from deployment after developing physical and mental health issues. He had been deployed in the warzone in the past year and was required to rest after returning home. His unit's vehicle hit an improvised explosive device that killed most of his close colleagues. Being the unit leader, he felt lost and unable to face the reality of losing close friends who had been part of his life for nearly a decade in military service. Since that fateful experience six months ago, M.K. has been battling with intrusive thoughts, haunting traumas and crippling anxiety. There have been triggers in everyday life that have reminded him of those fateful experiences, making his life a living hell. Each day presents a battleground where he struggles against the invisible scars left by the trauma. M.K. was losing his mind in accepting the aftermath of this combat and had to seek solace and assistance from mental health services. Psychiatric History M.K. did not have any significant psychological issues before the recent deployment—no history of formal psychiatric diagnoses or seeking mental health treatment. Personal and Social History Alcohol/ drug history: M.K. denies alcohol dependence. He consumes it occasionally, almost four times a month. He uses marijuana to cope with the stress. He was also prescribed oxycodone to manage the chronic injuries sustained during deployment. Family history: The family of M.K. has battled with PTSD before. His father died in the line of duty, but he was treated for PTSD twice in his service years. He had a calm childhood with a military father and a stay-at-home mother who ensured they never lacked anything. After the death of his father, his mother remarried, and the stepfather was abusive. His abusive actions motivated him to seek admission to the military so that he could be away from his family. Legal history: M.K. denies any bad encounters with the legal system. Psychosocial history: M.K. hails from a military family, with his father and grandfather serving in the military. He had military discipline from childhood and was committed to completing tasks, a sense of duty, honor, and camaraderie. He was listed for military service at a young age, which might have been due to the influence of his family's military veterans. Throughout his service years in the military, he assumed many leadership roles. He was a source of encouragement to his peers and would lead well in high-pressure environments. M.K. had an uncomplicated personal life and enjoyed participating in recreational activities like hiking, camping, and physical fitness competitions. These pursuits were meant to relieve him of stress and let him relax after being deployed in the army. However, the traumatic event that occurred six months ago has had a significant shift in his social dynamics and personal life. He is often isolated in his room and does not enjoy participating in recreational activities with childhood friends. His wife and two sons have been living in fear for the last few months because of his mood changes. Sometimes, he gets too aggressive and does not want anybody close to him. His wife and two sons relocated to a new house because they could no longer cope with him. Suicide and Homicide Assessment M.K. had suicidal thoughts during childhood after his stepfather made his life to be miserable. He was treated, and the situation was resolved amicably. He denies any instances of harm or abuse to others. Medical History M.K. claims to have been physically healthy since childhood, with no significant hospitalizations. However, he is currently battling with chronic pain sustained during his recent deployment. Allergies No known allergies for M.K. Current Medications Oxycodone for managing chronic pain Review of Systems * Anxiety-related: Experiences persistent worry, panic attacks, and repetitive thoughts. * Mood-related: Complains of overwhelming anxiety and fear. * Agitation: Denies experiencing agitation. * Aggression: Emotional reactivity and outbursts whenever triggers are present. * Self-injurious behaviors: Denies engaging in self-harm or self-injurious behaviors. * Depressed mood: Denies experiencing a depressed mood. * Eating pattern: Reports anxiety-related appetite changes. * Appetite: Typically reduced by anxiety, leading to decreased food intake. * Elevated mood: Denies experiencing an elevated mood. * Intrusiveness...