Case Study: Santiago Gordon-Cruz is a six-year-old Argentinian boy who witnessed the murder of his father, Manuel, six months ago. Manuel was shot multiple times during a robbery in the bodega where he worked. Since the murder, Santiago has had trouble sleeping, often cries, and has been refusing to leave the house. His mother, Adelina, notes that Santiago regularly complains that his tummy hurts, is startled by any sudden or loud noises, and constantly wants to be held by family members. He has a poor appetite and he sleeps poorly.
The family is Catholic. Adelina says that she has told Santiago many times that his father is in heaven, and they pray for him every day. Her son does not appear to be comforted by this.
The Gordon-Cruz family legally immigrated to the United States about four years ago. Santiago and Adelina speak English, although the family primarily speaks their native Spanish at home and in their community.
Questions
From your perspective as Santiago’s psychiatric nurse practitioner, answer the following questions in a three-page double-spaced paper (not including the reference page) in APA format. Include at least two peer-reviewed, evidence-based references (not including your textbooks).
1. What type of psychotherapy might you recommend for Santiago (Cognitive Behavioral Therapy or Cognitive Behavioral Therapy for Anxiety)? Provide a rationale. How would you explain to Adelina how this intervention could help her son?
2. Identify a case conceptualization based on cognitive behavioral therapy for this case (Ex: Santiago shows a case of Post-traumatic stress disorder, grief, and anxiety).
3. What level of care would you recommend for Santiago (Ex: inpatient or outpatient therapy)? How often would you want to see him? Are there any recommendations you would make for the family as a whole?
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