Trauma Diagnoses Maryam`s Case


TraumaDiagnoses: Maryam`s Case

TraumaDiagnoses: Maryam`s Case

Inthe case presented, Maryam demonstrates the diagnosis ofPost-traumaticStress Disorder. Thecase of Maryam is asituation of the after effects of the accident that she had and theunderlying legal, moral and personal burden that arises from theincident. Maryam is under Post-traumaticStress Disorder because of the behavior that she is portraying. Steinet al (2011) argues that Post-traumatic Stress Disorder demonstratesanxiety and a combination of fear and remorse. For Maryam, she showsfear, circle in the eyes and tearful outbreaks as she feelsresponsible for the accident. This explains her low voice and flattalk as she responds to questions.

Maryam’sdemonstration of Post-traumatic Stress Disorder is also affirmed byher acts of taking alcohol before sleeping, as a way of trying toforget the memories of the accident. The trauma has taken the tool byMaryam to the extent of nightmares and lack of sleep despite thealcohol. According to Davidson et al (1993), having intense fearsthat lead to nightmares is a significant symptom of Post-traumaticStress Disorder. Kottler et al Montgomery (2010) also argues thatPost-traumatic Stress Disorder leads to a level of fear that bars avictim from doing normal tasks of psychomotor skills. In Maryam’scase, she cannot drive a car because she fears the occurrence ofanother accident.

Themost appropriate evidence-based counseling theory for Maryam’s caseis Acceptanceand Commitment Therapy (ACT).This is because the situation that Maryam faces relates more aboutaccepting the current circumstances other than cognitive problems.According to Coyneand Martinez (2011),acceptance and commitment theory aims at providing guidelines foracceptance of problematic situations, thoughts and emotions. The caseof Maryam shows that her lack of acceptance of the situation isblocking her commitment to the consequences of the accident.


Coyne,L. W., &amp Martinez, E.R. (2011). Acceptance and Commitment Therapy(ACT): Advances and Applications with children, adolescents andfamilies. Childand Adolescent Psychiatric Clinics of North America,20, 379-399

Davidson,J. R., &amp Edna B. Foa, E. B. (1993). PosttraumaticStress Disorder: DSM-IV and Beyond.Arlington, VA: American Psychiatric Publishers

Kottler,J. A., &amp Montgomery, M. J. (2010). Theoriesof Counseling and Therapy: An Experiential Approach.Newcastle: Sage Publishers

Stein,D., Friedman, M., &amp Blanco, C. (2011). Post-traumaticStress Disorder. NewYork: John Wiley &amp Sons