Case Report # 2
Nara, age 40, lost her husband of 20 years approximately 4 years earlier after an acute illness. He had been well up to 2 days prior to death, and they had imminent travel plans until the point his illness turned grave with complications. Nara is still shocked that her husband died so suddenly. She felt like “someone had cut her in two with a saw.”
Nara was a successful professional who had maintained the apartment she and her husband shared as though it were a museum. She has been unable to live there after his death and instead has moved in with her elderly mother and older sister in an apartment. She periodically visits her own apartment for which she continues to pay rent, but cannot tolerate spending the night there.
Nara is aware that she is unable to move on with her life. Even more than missing her husband, her primary issue is a paralyzing sense of guilt. This is the result of her perceived failure to honor her religion’s tenets and practices in terms of a wake, funeral, and burial (she was raised as a strict Catholic) after his death. Contrary to her beliefs, he requested that he be cremated and that she do whatever she wanted with his ashes as long as it did not include a ceremony of any sort, including a memorial. She feels that she did not give him the proper send-off.
Nara has stopped going to church and her gym has lost 20 pounds and has been noted by family members to just sit in her chair for multiple hours at a time without talking or watching television, or listening to the radio.
Instruction as follow:
1. Complete TAF( Triage Assessment form) (5 points)
2. Generate crisis intervention plan (5 points): Treatment plan should comprehensively address relevant clinical issues; treatment plan should thoroughly conceptualize in the context of the problem areas; theoretical rationale for treatment plan interventions should be clearly and thoroughly discussed and conceptualized.