#

International Journal of Contemporary Research in Multidisciplinary

International Journal of Contemporary Research In Multidisciplinary, 2024;3(2):196-204

Alex’s Case of Post-Traumatic Stress Disorder

Author Name: Mona Ghazi Sayegh;  

1. Ph.D. in Psychology, Lebanese Order of Psychologists (LOPSY), Lebanese International University, Lebanon

Paper Type: case report
Article Information
Paper Received on: 2024-03-18
Paper Accepted on: 2024-04-21
Paper Published on: 2024-04-30
Abstract:

Alex had dreamed of being a firefighter since he was a child. He was dedicated to his profession and had been serving as a firefighter for over 15 years. He came from a close-knit family and had a supportive network of friends and colleagues within the fire department. About a year ago, Alex and his team responded to a massive wildfire that had engulfed a densely forested area. They were tasked with evacuating residents, protecting structures, and battling the relentless flames. During this time, Alex's team faced extreme danger, and they witnessed the destruction of homes, landscapes, and wildlife. Alex had a best friend on his team called Samir. He and Samir were in a house that caught on fire, trying to rescue the family living there. Samir was trapped in one of the rooms while trying to rescue the little daughter of this family. Alex couldn’t do anything and had to leave because he was in danger too and his life was at stake. Both Samir and the little girl died that day.

Keywords:

Diagnosis, Treatment Plan, PTSD, Psychoeducation, S.M.A.R.T Goal

Introduction:

Since then, Alex has been feeling down and low. He frequently experiences intrusive flashbacks of the wildfire response. These flashbacks are mostly triggered by the sound of sirens, the smell of smoke, or even the sight of fire-related news stories. Sometimes Alex experiences intrusive memories unexpectedly with no known triggers. A recurrent intrusive memory for him is the sound of Samir screaming out agony and the little girl crying, while Alex was standing at the door of the room feeling helpless. Alex experiences persistent guilt and self-blame. He questions whether he could have done more to save his best friend and the little girl. He always ruminates about the parents who lost their little daughter wondering if they blame him too for the death of their daughter. During the rescue of the family, Alex describes feeling numb and dissociated as if he was watching himself from outside of his body. He felt a sense of duty and responsibility to protect the community, but he was also gripped by fear and anxiety. He cannot understand why his anxiety was so high at that time; he feels he was a bad firefighter and a weak man. The relentless fire, thick smoke, and the constant threat to his life left him in a constant state of high alert. Because of his worry, he is constantly checking the stove at his home and the electricity to make sure a fire does not start at home. He describes worrying about something bad happening to his family. When he is out, he frequently calls his wife and daughter at home to make sure they are fine and safe. His wife understands where his worries come from but Alex avoids discussing the traumatic experience and refuses to visit the area affected by the wildfire. Alex has difficulty sleeping and often experiences nightmares related to the traumatic event. He startles easily, is often irritable, and has trouble concentrating. He has started to drink alcohol excessively as a way to numb his distress and improve his sleep. He avoids social gatherings and has become increasingly isolated colleagues thinking that they would blame him for Samir and the little girl’s death.

How to Cite this Article:

Mona Ghazi Sayegh. Alex’s Case of Post-Traumatic Stress Disorder. International Journal of Contemporary Research in Multidisciplinary. 2024: 3(2):196-204


Download PDF