Assessment
Presenting Issues and History
Cecilia Valle, a 45-year-old divorced, unemployed, Catholic, and white woman, is diagnosed with PTSD and depressive symptoms-NOS by an intake therapist. Cecilia meets the DSM-5 criteria demonstrated many features that are related with PTSD and depression with ANO. Cecilia reported that she has flashbacks, nightmares, and inconsistent sleep patterns. She expressed that she is fearful that others are following her. For example, …show more content…
Cecilia reported that she has an order of protection against her ex-husband, but he does not follow it, and he still consistently harasses her through phone calls and texts. She stated that she has three children who were bribed by their father to beat her up and have thrown hot water and hot grease at her in the past. She stated that she does not have close contact with them and her ex-husband has full custody.
Besides, Cecilia has experienced a couple of losses. She stated that her aunt passed away in 2015, and she had a close relationship with her aunt. She reported that her grandmother passed away in September, 2016. Cecilia expressed that she felt upset about them since she had good relationships with them.
Cecilia is currently living with her father and step mother, even though she is still receiving threats by her ex-husband. Cecilia reported that her father has depression and PTSD due to the military, and her father has different physical issues including diabetic, heart attack, and an enlarged kidney. Cecilia shows concerns about his father so that she does not want her ex-husband triggered him.