Evidence and Non-Evidence Based Treatment Options

Prior to beginning work on this discussion, please read both “Limitations to Evidence-Based Practice” and “Rationale and Standards of Evidence-Based Practice,”and listen to the Case Studies in Non-evidence Based Treatment Part One (i needed transcript Download transcriptfor part one audio). On the last day of Week 5, listen to Case Studies in Non-evidence Based Treatment Part Two (if needed transcript Download transcriptfor part two audio).

For your initial post, you will choose one of the case studies from this week’s audio file selection on which to base your remarks. Based on the available information, evaluate the symptoms and presenting problems for the patient in the chosen case study and propose a provisional diagnosis. Describe one evidence-based treatment for this diagnosis and provide a rationale for your choice.

This is what I need done:

Guided Response: Review several of your colleagues’ posts, and respond to at least two of your peers.

Examine your colleague’s initial post, and assume the proposed evidence-based treatment was ineffective. Using a sociocultural perspective, provide an explanation for why the evidence-based treatment may have been ineffective in this case. Describe at least one non-evidence-based treatment option as an alternative to evidence-based treatment in this case. Compare and contrast the failed evidence-based treatment with the proposed non-evidence-based treatment option. Justify the use of the proposed non-evidence-based treatment option for this patient (i.e., How does this treatment option meet the patient’s unique sociocultural needs?).

Student one:

Barbara Larios

Hello class,

Here are my thoughts on this individual case for M.D. She seems like she has experienced a lot in her life at a young age. I would do a preliminary diagnosis of PTSD due to the trafficking and borderline personality disorder due to her feeling of abandonment by her parents. Her fear of abandonment can be the cause of her aggressive and masculine behavior in relationships. According to a study clinicians believe that people who suffer from borderline personality disorder tend to have malevolent attributions to others’ intentions, (Palihawadana et. al., 2019, pg. 2). M.D.’s behavior towards her male partners seems to match this behavior. This can also be triggering some of the emotions she felt when she was being sex trafficked causing her to feel anxiety although she is choosing to be in these relationships and not being forced into them. M.D. can seek transference-focused therapy or schema therapy which can support her with the interpersonal factors she is facing daily, (Palihawadana, et. al., 2019. Pg.3). Another benefit to treatment that is personality-based for the individual being treated is precision that can be offered, ( Sauer-Zavala, et. al., 2023. Pg. 4). Borderline personality disorder is so uncommon that having a treatment personalized to the individual seems manageable and tangible. For someone like M.D. I believe that there are benefits to tailoring her treatment to her once is further information gathered and the diagnosis is confirmed.

Student two:

Michele Baggett

Ivan:

Ivan, a Navajo descent individual, during the ages of 20-26, he was deployed to Iraq for a couple of tours and returned home with anger issues. After another tour, when he returned it was apparent that he had been deeply affected by the war. After a hospital visitation, he had become even more stoic and aggressive physically towards his wife and children. He also suffered nightmares, night sweats and even with his hospital visits, he not able to find relief. As a result, he began to drink, as his treatment plan including medications did not work.

Based on Ivan’s symptoms of nightmares, aggression, stoic moods, and anger, I believe he is suffering from Post-Traumatic Stress Disorder (PTSD). Symptoms of PTSD usually typically begin within 3 months of a traumatic event; however, the symptoms may emerge later. The criteria for PTSD, requires an individual to have symptoms for longer than 1 month, and severe enough to interfere with everyday life, including personal and professional relationships. These symptoms are not related to medication, substance use, or other any other illness. Individuals with PTSD often have co-occurring conditions, including depression, anxiety, and substance misuse (Kessler et al, 1995).

Exposure to combat is frequently identified as a risk factor for the onset and with more severe symptoms. The more exposure to combat experiences raises the risk for PTSD (Owens et al, 2009).

Ivan is of Navajo decent; Native Americans are unequally impacted and have higher rates of PTSD than non-whites (Roberts et al, 2011).

Treatment options:

Cognitive behavior therapies including cognitive processing therapy, exposure therapy, and stress inoculation therapy are among the different methods of CBT used to treat PTSD; these are deemed safe and effective for the treatment of both acute and chronic PTSD (Kar, 2011).

The American Psychological Association (APA)Links to an external site. recommends selective serotonin reuptake inhibitors (SSRIs) for the treatment of PTSD symptoms. The most commonly prescribed medications are paroxetine (Paxil), fluoxetine (Prozac) and sertraline (Zoloft) (Brady et al, 2000).