Intervención psicológica en paciente migrante con duelos múltiples

Abstract

Abstract: The case of a 26-year-old migrant woman with multiple bereavements who develops a Post Trauma Stress Disorder (PTSD) due to primary and secondary victimization. The patient reports "I can't deal with another dead child" and presents symptoms of re-experiencing, avoidance, depressed mood, insomnia, hyperarousal, impaired judgment, mild dissociative amnesia, difficulty concentrating, and detachment from others people. It is explored through the clinical interview, observation and psychological tests to diagnosis of PTSD, assess the severity of symptoms and evaluate insomnia. The intervention consists of 16 sessions with an integrative model with techniques from the approaches: Therapy Cognitive Therapy (TC), Prolonged Exposure Therapy (PE) and Brief Therapy Focused on Solutions (TBCS). A reduction in avoidance behaviors and the discomfort generated is achieved by them, reduces re-experiencing, improves sleep, modifies thoughts and emotions that caused discomfort, improves the ability to make decisions, learns to set objectives and operationally plan their achievement.