Week 4: Anxiety Disorders, PTSD, and OCD
Training Title 15 Name: Mr. David Jackson Gender: male Age:19 years old T- 98.8 P- 89 R 18 110/62 Ht 57 Wt 133lbs Background: Lives in Minneapolis, MN with both of his parents, only child. Works part time at Starbucks. Not currently partnered. No previous psychiatric history. Symptoms began in the last 1.5 months when he discovered he is being activated with the Navy Reserves. His MOS is SK1 Storekeeper; no medical illnesses Allergies: NKDA; sleeps 6.5 hrs; appetite good Symptom Media. (Producer). (2017). Training title 15 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-15
TRANSCRIPT OF VIDEO FILe
BEGIN TRANSCRIPT
OFF CAMERA So you, you said you were in the reserves? Inactive duty?
PATIENT Well, I was inactive duty. But then I learned that they are using the stop-loss policy to extend our active duties. We have to all return to Iraq for another tour.
OFF CAMERA Was that upsetting?
PATIENT I cant even begin to describe what I am feeling.
OFF CAMERA Tell me about why you decided to make an appointment with a psychiatrist.
PATIENT Some questions I can answer. Sadness. Fear I guess. But other, other questions I cant find the answers to.
OFF CAMERA Go ahead.
PATIENT You know how they repealed the Dont ask dont tell policy? Well, Im struggling if I should You dont have to report what I tell you, do you?
OFF CAMERA Well, its similar to civilian life, the military is under the same HIPPA laws. So if somebody, if one wants to look at your record, medical, only medical personnel can look in your record and only with a medical reason. And, no one else is allowed access. Any private, personal issues you have, which dont break a law or a military rule, those are not reported. Someone could always illegally access your record, but that would be prosecuted.
PATIENT Good. I guess you can figure out, well, I cant figure out whether I should tell people when I go back.
OFF CAMERA So have you been weighing the pros and cons of, the advantages and disadvantages about telling people about your sexuality?
PATIENT Everyday.
OFF CAMERA What do you feel are the pressures for you to tell people?
PATIENT Its miserable enough being over there just being a soldier, on top of that you have to listen to all these gay comments: Oh Johnston, you look a fag when you wear your head gear like that.
OFF CAMERA Uh, huh. Who is Johnston?
PATIENT Hes one of my best friends.
OFF CAMERA Is he gay or someone who has homosexual-type thoughts?
PATIENT Johnston. No. Never.
OFF CAMERA Why do you say that?
PATIENT I dont know. I can just feel it, sense it, that hes not gay.
OFF CAMERA Okay. So, if I play, permit me to play the devils advocate, maybe there are others feel they know, can already feel whether you are gay or not.
PATIENT No. I hide it. Im very careful.
OFF CAMERA Uh huh. I see.
PATIENT If I told the other people in my unit, the men and the women, theyd be surprised. I promise.
OFF CAMERA So you think that they all fell for the lies as you call it, about your sexuality?
PATIENT Absolutely. Well, I think absolutely. I mean, I mean they wouldnt feel free to make all the comments like they do if they thought that I were
OFF CAMERA Have you ever talked with anyone in your unit about your private, sexual thoughts,
PATIENT No.
OFF CAMERA Private sexual feelings?
PATIENT No. Never.
OFF CAMERA Do others talk with you about their sexual thoughts and feelings?
PATIENT Like 59 minutes out of every hour, every day.
OFF CAMERA Ah. Everyone?
PATIENT Well, almost everyone. I mean some people are more private, stand offish.
OFF CAMERA Yeah. So what do you fear could happen if you talk wit them?
PATIENT They wouldnt feel comfortable around me. In the showers. Patting me on the back. Guy hugs. Sleeping in close quarters.
OFF CAMERA So some people, men and women, if they knew you were gay, theyd treat you differently. But hard its know in advance the exact gains and losses. All you know is that it would be different.
PATIENT That it would feel lousy for somebody to get up and move away from me because they thought that I would do something with them.
OFF CAMERA Some may very well feel that way. Do you ever have sexual thoughts about any of the men in your unit?
PATIENT Mild curiosity maybe about what you know someone looks like or something, undressed. But not actually having sex kinds of thoughts. I have thoughts of wanting to be close, but thats, thats not sexual. I mean with women, too. I enjoy close friendships.
OFF CAMERA Sounds like your own feelings are just a little bit confused separating out friendship and sexual feelings.
PATIENT Well, Ive never been in an on-going relationship. I mean a few times fooling around. A couple years back.
OFF CAMERA Do you have doubts about whether you prefer women or if you prefer men?
PATIENT No. No doubts. Ive known since I was 8 what kind of nude photos, later internet pics, videos, I like to look at. Just no real-life experiences.
OFF CAMERA So it sounds like you feel pretty confident about your sexuality?
PATIENT Im gay. I know Im gay.
OFF CAMERA So who else, other than me just now, have you ever said those words to?
PATIENT Im gay?
OFF CAMERA Yes.
PATIENT Just you. Just now.
OFF CAMERA So you dont have experience in telling people. You havent practiced that skill.
PATIENT I never thought about that as a skill.
OFF CAMERA Well you have the skill, it sounds like of thinking whether or not you are gay, which many people dont even have that skill, But you are lacking in two skills. You have a little difficulty, little confusion about, thinking about separating friendships from sexual relations and then your lacking in that skill of telling people that you are gay. And not having those two skills, sometimes that scares people.
PATIENT Try terrifies.
OFF CAMERA Terrifies. Well, over the years, listening to people like I do with similar concerns, its, its clear to me that there are several skills in talking about ones own sexuality. There are bad ways, bad timing for telling people about your sexuality. And there are good ways, better timing.
PATIENT Guess that makes sense.
OFF CAMERA And then another skill is recognizing that there are people who wont want to learn directly from you about your sexuality, and there are people who do not want to learn it directly from you. Maybe because of their religious beliefs, or their cultural backgrounds, or even their lack of thinking about sexuality. So its a skill to look at people, talk to people and learn to sense their attitudes. So you dont confront them and surprise them or alarm them.
PATIENT But these people, theyre supposed to be learning about sexuality in workshops and all, right?
OFF CAMERA How many times have you gone to class, learning, only to later discover it was more difficult to apply what you learned
PATIENT Lots of times.
OFF CAMERA Yeah. So maybe one day, people will come into the military and talk open about sexuality and early in their meeting people, but not now. Were not there now. I think we have to be realistic
OFF CAMERA You look confused. Maybe confusions okay. Its a confusing topic at this point in our history.
PATIENT What other skills am I missing?
OFF CAMERA Well What about dealing with rejection?
PATIENT Rejection? Damn.
OFF CAMERA Yep. Thats a skill. Think about it. Lots of celebrities and politicians, they have to be really superb at dealing with rejection. Thats a skill. If you tell people you are gay, there are people who will walk away from you. Those people may need time to go think about it. About what you shared with them. Youve had lots of time to think about sexuality. Maybe they have not. You can expect that some of those people will come around and later be accepting. Other people who walk away from you, may feel deceived, and they may never, never come back to your side.
PATIENT That what scares me.
OFF CAMERA And you have to plan ahead for that. Rehearse it in your head, maybe rehearse with accepting friends, or counselors, people, about how you are going to deal with those moments. Thats, thats a skill.
OFF CAMERA You look sad about that.
PATIENT I used to worry about rejection. And it just made me want to die.
OFF CAMERA Kill yourself?
[Shakes head Yes]
OFF CAMERA Any thoughts like that now?
PATIENT Not for years. Ive seen too many people come out of the closet and do fine. I mean not so much people I know, but from TV, internet, hearing their stories.
OFF CAMERA In your unit, if you tell people, do you feel people may threaten your safety? Not watch your back when youre in danger
PATIENT Naw. The people in my unit are amazing. Its more the small, the subtle looks, the Feeling like I wasnt with them I mean I dont mean to sound like a pussy, but These men, theyre all I have. Day after day. Theyre right there, and I dont I dont want to feel like Im on the outside.
OFF CAMERA So back when you were with the unit, did you feel like they were with you, when you were not truthful with them?
PATIENT I guess not. They couldnt be with me. I wasnt being real. I used to dream that what I had was real. I want that to end. Not being real.
OFF CAMERA What are you thinking?
PATIENT That I still dont have my answer. I have lots more weighing of pros and cons to do. Maybe thats okay. Brush up on the skills, as you call them, while I prepare to To tell them. How do I start? I wish I could use stop loss and take you with me.
OFF CAMERA [Laugh] Thank you for inviting me.
PATIENT Youre welcome.
OFF CAMERA Ill tell you what, let me talk to a few people. See if If I can identify someone with whom you can talk with overseas. But in the meantime Lets, you and me At least have a session or two before you leave. Okay?PATIENT Sure.
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Training Title 15
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