In two to three pages, complete the case study below by responding to the prompts. Robert Smith is a 40-year-old black male who is divorced, with no children or nearby family. Robert has been diagnosed with post-traumatic stress disorder (PTSD). He recently retired from the military but refuses to talk about his experiences with anyone. He now lives in a small, rural town 30 miles from the nearest grocery store. Robert had a difficult childhood; his father committed suicide when Robert was only seven years old, and his mother was an alcoholic. His mother died last year from cancer. His father used to physically and verbally abuse him.
- Identify some possible risk factors of Robert’s PTSD.
- Provide an educated discussion of what social determinants of Robert’s mental illness most likely affect him.
- Apply the diathesis-stress model to how Robert may have developed PTSD and still suffers from it to this day.
Expert Solution Preview
Introduction:
Post-traumatic stress disorder (PTSD) is a mental health condition that can affect individuals who have experienced or witnessed a traumatic event. PTSD can cause several symptoms, including nightmares, flashbacks, anxiety, and mood swings. In this case study, we will analyze the possible risk factors and social determinants that may have led to Robert’s PTSD and apply the diathesis-stress model to understand the development and persistence of his condition.
1. Identify some possible risk factors of Robert’s PTSD.
Robert has experienced several traumatic events in his life, such as his father’s suicide, his mother’s alcoholism and death, and his military service. These events can be the major risk factors contributing to Robert’s PTSD. Additionally, his childhood trauma and lack of social support from family and friends can further exacerbate his symptoms.
2. Provide an educated discussion of what social determinants of Robert’s mental illness most likely affect him.
Several social determinants can influence the development and progression of PTSD in individuals. In Robert’s case, his financial insecurity, lack of access to proper healthcare facilities due to living in a remote area, and racial discrimination due to being a black male could have significantly impacted his mental health status. Additionally, social isolation due to his lack of family and friends can further aggravate his condition. Lack of education and employment opportunities can also contribute to the development of PTSD in individuals.
3. Apply the diathesis-stress model to how Robert may have developed PTSD and still suffer from it to this day.
The diathesis-stress model is a psychological theory that suggests that individuals with an inherent vulnerability or predisposition to a particular disorder may develop it under stressful circumstances. In Robert’s case, his childhood trauma may have increased his susceptibility to develop PTSD. His military service, where he may have experienced further traumatic events, coupled with his lack of social support, may have triggered the onset of his condition. Moreover, living in a rural area with limited access to mental health services can further hinder his recovery from PTSD.
Conclusion:
PTSD can be a debilitating mental health condition that affects an individual’s quality of life. A holistic approach that considers the various social determinants that contribute to the development and progression of PTSD is required to manage the condition effectively. It is essential to recognize that various factors, such as childhood trauma, military service, social support, and access to mental health care facilities, can significantly impact an individual’s mental health status.
