Topics: Posttraumatic stress disorder, Psychological trauma, PTSD Pages: 13 (4856 words) Published: December 30, 2011
Welcome to Oceanside Trauma Center
The Oceanside Trauma Center of Daytona Beach will strive to heal clients with potentially serious or persistent trauma related mental illnesses as well as those who are in a state of acute crisis. Our mission is to provide services to trauma survivors through appropriate screening, assessment, and our empirically based clinical interventions. 1. Intake Protocol

At Oceanside Trauma, we take pride in our modified Trauma and Drug Use Intake Form (TDUIF) which will be administered to all of our potential clients (Beall, Larry, 2001). We have found that comorbid issues are highly correlated with most Stress issues, especially our military veterans and believe it’s in our clients’ best interests if we administer an intake protocol that addresses this before we proceed any further. It should be noted that if the client’s answers reflect potential comorbid issues based on our intake questionnaire, one on one interviews are scheduled and decisions are made to get the client immediate help if needed. The self-administered questionnaire covers a wide variety of trauma history as well as potential coping/avoidance techniques. Minor changes have been made to Larry Beall’s original version, with respect to vocabulary and some questions omitted. Identifying an individual's trauma exposure history is important because of the serious psychosocial impairments associated with PTSD. We believe after reviewing the intake form with the client, we will have an easier process of deciding what the next step is and how to proceed. 2. Oceanside Case Example via “Soft Spots”

Recently I had the pleasure of reading “Soft Spots” by former Marine Sgt. Clint Van Winkle. Throughout the reading numerous examples of PTSD were prevalent as he rendered his account of returning home from his deployment in Iraq. Clint should be commended for not holding back during his internal dialog and this candidness really lets you experience his trauma with a first person perspective. I noted several indications along the way that Clint might be suffering from PTSD. Clint references his internal struggles of returning home with a variety of atypical personality traits. He explains how hyper vigilante he was upon his initial return and it felt like letting his guard down was not an option. Clint was meaner, short tempered, and overall more aggressive. He illustrated his lack of emotional connection to his wife saying, “Hugs were as foreign as walking around without a weapon” (Van Winkle, Clint 2009, p. 30). At one point Clint is in a heated argument with his wife and recounts that “he watched from a far and waited for sanity to return” (Van Winkle, Clint 2009, p. 21-22). When driving around town, he conveyed a sense of immortality. He would look for trouble or a reason to start a fight. Things almost came to a head when he was pulled over for speeding and simply demanded the officer give him a ticket or let him go because he didn’t have time to play games. His uncontrollable flashbacks were another matter altogether. Clint explained that in many instances, he would start conversations with people who weren’t there, some alive and some dead. Logic seemed to walk a fine line in his daily goings. He would question himself, when recounting personal stories with his friends as specific details were often fabricated or inaccurate. Even reality would begin to bend as at one point his mind elicits a little girl from his deployment who dances around and jumps into a coffin at a funeral. These thoughts and flashbacks are intrusive and definitely unwanted. Clint visits the hospital numerous times for acute anxiety attacks that trap him in dangerous situations like being buried alive by sand (Van Winkle, Clint 2009). All of the aforementioned examples were horizontally consistent with specific criterion needed from the DSM-IV’s diagnostic criteria for post-traumatic stress disorder (American Psychiatric Association, 2000). Clint was able to...

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