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Posted: January 21st, 2022

Reliving his past war


Treatment Planning: Practice

Nathan: A 23-year-old war veteran has recently had difficulty sleeping. Over the past 4 months, he often awakens at night in the midst of a nightmare in which he is reliving his past war experiences. His wife Linda reports that he has had flashbacks. For example, he threw himself to the ground in the backyard when a plane flew overhead, thinking it was an attacking helicopter. At times he is hyper-alert to any sign of danger. Linda states that his preoccupation with his traumatic war experience is so intense that he seems uninterested in anything else. In spite of his preoccupation, he is unwilling to discuss his military experiences with her or others. She describes Nathan as irritable, which sometimes leads to angry outbursts. She is also concerned about his detachment from her and others. Sometimes he talks as if he has no future. He also blames himself for his war injuries even though the reports indicate they were out of his control. 

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