In: Psychology
Identify a case conceptualization based on cognitive behavioral therapy for a child who suffers with ptsd after witnessing a parent be murdered
Traumatic Event- A 10-year-old boy, single child, heard some strange voices in the kitchen in his house. He went to the kitchen to check out the things, he saw his father beating his mother with a frying pan on her head. She was screaming. The boy ran from the house and returned after 20 minutes.
He saw a police car and a crowd
outside his home. His mother died due to injury on her head and she
died shortly in the emergency room from subdural hematoma.
Relatives thought of sending the child miles away to stay at a
relative's place. After that, his father was diagnosed with major
depressive disorder due to guilt over some transgressions from
earlier years.
After that, the boy was diagnosed with PTSD.
Thus, Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is a model that is used for children who were traumatically bereaved by various causes.
Children are assisted gradually to
master the frightening issues of death by including discussion of
death aspects and manner of death in each session, but these things
are done very slowly. Gradual exposure can be incorporated
throughout the therapy.
Trauma specific interventions can also be used to develop the
narrative of a parent's death and maladaptive cognitions related to
death. Cognitive coping skills may help the children by making them
understand the connections between various thoughts, behaviors, and
feelings. The boy will be helped to replace the thoughts with more
helpful thoughts.
Grief focused interventions may also help the child by adopting a more adaptive grieving process. Interventions may involve addressing unresolved feelings towards the deceased person and help the child to remember positive memories. It may also include learning about death and grief process.