Kylewas deployed twice to Iraq to serve as a reservist in the UnitedStates Marines. Kyle’s wife is concerned about his well-being sinceten months ago after returning home. His wife complains of Kyle’sradical changes in his behaviors following a tragic event that markedhis second deployment. Although he was not hurt in the whole event,Kyle’s colleague was killed and so were other local civilians(Healey, 2006). His behavioral problems include usual withdrawal,refusing to discuss his experiences in Iraq. He also becomes quicklyirritable, having frequent nightmares and end up crying through thenight. He also experience sleepless nights and anxiety to protect herfamily, especially when there is a threat of insecurity.
Importantethical considerations have to be considered in the creation of atreatment plan for Kyle. First, Cognitive Behavioral Therapy isconsidered to be a genuine psychotherapeutic approach, whichoriginates from behavioral and cognitive therapy branches. As atreatment plan, CBT focuses fundamentally on the premise, whichnegative behaviors rises from a person’s faulty (Healey, 2006). Aspart of the treatment plan, ethical considerations include thinkingpatterns of the patient, which might be exposed during the treatment,patient’s vulnerability during treatment, and the risk by thepatient to experience kind of abuse, mental compromise, andexploitation (Healey, 2006). Additionally, patient’s personalinformation and confidentiality might also be revealed.
Kyleis diagnosed with a number of CBT efficacies that needs treatment.These diagnoses include depression, anxiety disorder, panic disorder,social phobia, and general anxiety disorder (GAD), posttraumaticstress disorder (PTSD), obsessive compulsive disorder (OCD), andacute stress disorder (ASD) (Zubernis & Snyder, 2014).Justification of Kyle’s diagnosis comes about as a result of hisbehavioral reaction to his family, friends, and environment aroundhim (Berman, 2010).
CognitiveBehavioral Therapies are known to be efficacious when treatinganxiety disorders and depression. Based on this theoreticalorientation, randomized clinical procedures reveals that patientstreated with Cognitive Behavioral Therapies are more likely to befreed from primary diagnosis after post-treatment. CBT theoreticalorientation explains Kyle’s primary issues through a combination ofbasic cognitive and behavioral principles (Lee & Edget, 2012).This theoretical technique explains the issues by putting intoconsideration behaviors that are non-controllable unless treatment issought. These are behaviors non-controllable by rational thought.Issues experienced by Kyle are conditioned by the environment heoperated in and other internal or external stimuli (Lee & Edget,2012). The theoretical orientation is problem-focused andaction-oriented. Kyle undergoes depression, anxiety issues, andsocial phobia, which has to do with an avoidance of response andfeared stimulus.
Someof the treatments and interventions best suited for Kyle should firstbe aimed at getting his mood, personality, anxiety, addiction, anddependence back to normal. His CBT treatment should also be firstevaluated in order to identify symptom-based diagnoses and has to befavored over an approach such as the psychodynamic treatments. First,Kyle should undergo proper counseling (Zubernis & Snyder, 2014).Application of CBT on Kyle will be used to replace his negative andreproductive patterns and thoughts. Medication should also be usedfor treatment for example, SNRI and SSRI.
Aspart of a treatment plan, it has to be tailored and narrowed down toa specific diagnosis. Again, tailored down to an individual, in thiscase, Kyle, means that first, therapy should be first on the list,followed by intervention by counselors, medication, and finallyfamily and social introduction (Healey, 2006). Additionally, thetreatment plan should have energy and high motivation on taking partin a support group.
Berman,P. (2010). Caseconceptualization and treatment planning: Integrating theory withclinical practice.Thousand Oaks, Calif: Sage.
Healey,J. (2006). Anxietyand depression.Thirroul, N.S.W: Spinney Press.
Lee,S. A., & Edget, D. M. (2012). Cognitivebehavioral therapy: Applications, methods and outcomes.Hauppauge, N.Y: Nova Science Publisher`s.
Zubernis,L. S., & Snyder, M. (2014). Caseconceptualization and effective interventions: Assessing and treatingmental, emotional and behavioral disorders.Mahwah, N.J: Erlbaum.