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Along with this case study are questions that the professor needs answered. This is for an Addictions/ Counseling class. it does not have to be in APA format. It just has questions that need to be answered in a few, detailed sentences.
Psy 252- Case 2
The Case of Michelle
Michelle is a 24-year-old medical student. Recently she was driving home from a spring break vacation with her two best friends when she fell asleep at the wheel. Unable to regain control of her car, she swerved into another lane, colliding head-on with an oncoming car and leaving her friends in serious condition. Michelle survived with minimal injuries but her two friends have been in the hospital for 4 weeks. Unable to overcome the guilt of her role in that night of the accident, Michelle has been withdrawn from her social network. She is having trouble sleeping at night and often experiences flashbacks during the day. She has lost much of her appetite and states that she does not remember anything from the accident. Her medical doctors believe she may have amnesia from the accident, but those close to her believe she is avoiding any discussion of the accident because of the guilt she feels. She refuses to visit her friends in the hospital because she believes she will be plagued by great anxiety and flashbacks. Since the accident, she has had a sudden and seemingly intractable change in personality, often wishing to spend time alone in her room. Her family worries she may be experiencing post-traumatic stress symptoms following the accident but are unable to get her to open up about her feelings.
1. If Michelle agreed to go to counseling, how would you begin to assess her situation? What hypothesis would you make about her behavior? What else might be going on?
2. What diagnosis(es) might apply in this case? Be sure to discuss relevant diagnostic criteria.
3. How would you treat Michelle on a BioPsychoSocial level? Include recommendations in all three domains.
4. How would you go about building a rapport/relationship with Michelle? What type of techniques would you use to help her to open up about her feelings?
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