Anxiety Disorders Case Study Essay

William Rich is a 29 years old, homeless male and Afghanistan War Veteran. He appeared psychotic and unable to communicate. In 2012 he lost his right leg when a mine exploded and he uses a wheelchair. William stated he doesn’t want to stop using drugs (crystal and spice) because it relieves his symptoms of depression and anxiety. William shared that when he was a teenager he was placed on a 51/50 hold when he swallowed a bottle of pills after a breakup with his girlfriend. He stated he had a physical altercation with his father and was burdened by remorse, guilt and shame. William shared that he felt hopeless about life and could not endure another day on the street. William suffered from weight loss, poor hygiene, lack of concentration, and exhibits symptoms of; memory loss, anxiety, dizziness, and experiences nightmares and horrible memories. William also feels confused, agitated and full of frustration. Problem: William’s problems are the following; PTSD, with anxiety disorder, major depressive disorders, stimulant use disorder, unspecified cannabis-related disorder, other specified disruptive impulse-control and conduct disorder, and unspecified
As a provider, the goal would be to encourage William to reach sobriety so that he can be reconnected with his VA benefits. In doing this we would suggest William to enroll in a harm-reduction (HR) program that’s VA connected, or community based, and monitor his progress to sobriety. In addition, doing Cognitive Behavioral Therapy (CBT) with William to improve his way of thinking and reminding him that there’s still hope. William’s use of drugs and feeling dysphoric is what ultimately caused him to sever ties with his family, wellbeing and benefits. By treating those problem areas with CBT and harm reduction William can rebuild those broken ties and live a meaningful