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1. Complex PTSD – Compounded trauma from physical and sexual trauma, bullying in high school spanning over years. Anxiety and Depression – SSRI and taking medication from a potential diagnosis in relation to her Complex PTSD. Dual diagnosis – Being prescribed the SSRI medication, and also struggling with addiction of methamphetamines and alcohol.

2. Childhood sexual abuse and physical abuse, bullying, loss of custody of her child.

3. Her relationship with her cousin Hermione is resource and her strengths are that she is resilient, friendly,empathic and intelligent.

4. Hermione, peer support, counselling, GP, psychiatrist, community services (financial aid), Tom and her ex-partner.

5.  Victoria Consulting Clinic Ph: 9526 0244 306-308 Malvern Rd. Prahan
Star Health, Dual diagnosis Clinic Ph: 9525 1300 www.starhealth.org.au

6.1
1. Reconnect with her son Tom.
2. Start living healthier, eating properly (focus on nutrition), become more active and addressing her health. Visiting the GP to address occasional blood in her urine etc, and addressing methamphetamine addiction.

3. Seeing a psychiatrist to address her AOD, mental health and PTSD.

4. Seeing a psychologist to address her mental health.

6.2
1. Start focusing on eating healthier and better.
2. Making an appointment with a psychiatrist.
3. Making an appointment with a GP.
4. Making an appointment to see a psychologist.
5. Reconnecting with her ex to establish a healthy co-parenting relationship. Potentially attend counselling sessions together.

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1. What (if any) mental illness/es might Wendy be

experiencing? Clearly state your reasons for this.

PTSD, Bullimea/Anorexia, Body Dismorphia

2. What factors might categorise this as complex trauma?

Drugs, Alcohol, Long period of time and multiple instances of sexual abuse, separation of her and her chid, break up , assaulted and bullied, anxiety, panic attacks,

3. What are Wendy’s strengths and her resources?

Empathetic, Wants to build a relationship, close to her cousin, seems to be motivated to change, wants to change, there is social connection , willingness to try new things,

self determined, great communication skills she aspires to have

4. Who might be involved in her recovery?

The ones she chooses,
AOD Services, Mental Health Services, Employment Services or Studies, Peer Support, Advocate, Financial Aids, cousin Hermione

5. Find 2-3 suitable referral options for Wendy – provide names/contact details/websites

Mind Australia mindaustralia.org.au , 94557000
Westcasa, 03 9216 0444

PARC Wellways.org 94703100

6. Wendy’s idea of Recovery involves different things, including (in no particular order)

Re-establishing contact/relationship with Tom 11

Finding a job 7

Paying her bills on-time 8

Not using drugs 1

Having people in her life (friends) 10

Not having nightmares and intr 2

usive thoughts/memories/images

To find enjoyment in life – the things she used to enjoy, and new experiences 12

To live independently in her own place 9

To not hate who she is  3

To have more energy 5

To have better physical health 6

To not be always ‘looking out’ for danger 4

Wendy is open to your advice in designing her recovery plan, and is willing to be guided by you in this.

6.1 What are your priorities in relation to Wendy’s goals (number them) with your reasons why

6.2 What are the steps you need to take to reach each of the goals? SMART Goals/steps

1 To not hate who she is
2 To not use drugs
3 Not have intrusive

Specific (simple, sensible, significant).

1 To reduce use of meth and relapse
2 Therapist and Psychiatrist co-ordination
3 Building self confidence, acceptance

Measurable (meaningful, motivating).

1 Ask and Observe
2 Frequency & Reaction Intensity

3 language used to describe herself , physical appearance

Achievable (agreed, attainable).

1 Agreed that its attainable through programs and tools attained to deal with stress
2 Decreased Reaction Intensity to those things and also frequency
3 Daily self care plan, Affirmation journaling, affirmation playlist

Relevant (reasonable, realistic and resourced, results-based).

1 Connecting with AOD services
2 Psychologist, GP, Therapist co ordination
3 Psychologist, GP, Therapist co ordination

6.4. What obstacles are you and Wendy likely to encounter on the recovery journey?

SMART Goals, Relapse, Coping Mechanisms, inability to connect with others, Complex Trauma, Complex PTSD, rejection from access to son

Empathy fatigue, burnout, developing trust, rejection,

6.5. How will you review the effectiveness of the recovery

Questionaires at the start from 1-10 weekly or bi weekly , GAP Assessment ,survey , ticking off goals, observing her behaviour, how are you finding things, contacting her cousin to see if any positive changes are taking place etc

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1) Depression and C-PTSD - Experience of prolonged physical and sexual trauma perpetuated by someone she could not easily escape. Experienced symptoms(nightmares, difficulty trusting, anxious, difficulty concentrating, intrusive memories/images, very negative self-beliefs and about the world, sleeping a lot, fatigue, little pleasure in world, little appetite, significant weight loss, and is easily startled) for a period greater than one year.

Co-morbid with weekly drug use.

2) The abuse was carried out over a period of time by someone she was not able to escape from(care giver? Hallmark of betrayal in abuse). Exasperated by bullying and physical assault at school.

3) Wendy's strengths and resources. Affect congruent with her cognition. Willing to take responsibility. Self-reflective. Through process are clear and coherent. Friendly, empathetic, and appears intelligent. Committed to rebuilding relationship with son. Positive relationship with cousin Hermoine. Has proven administration skills, and the desire to improve her skills. Very good insight and has a lot of self knowledge.

4) Hermoine. GP, Psyc and Psychiatrist. AoD support - peer group? C-PTSD support group? Financial management and support. Not in recovery plan, but netball team in network? Studying in tafe - new friends? Community involvement to build networks not in drugs. Legal aid and advocate in child services? Perhaps partner if willing to participate? Community financial counselor

5) Advocate in child services and support, community mental health service, Allied Health/GP

6.1)
1) Re-establish contact/relationship with Tom (top priority, but not to happen immediately. Will guide overall pathway?)
2) To not hate who she is
3) Not using drugs
Finding a Job
Paying her bills on time --> Community financial counselor
Having people in her life (friends)
Mental health generally (Not having nightmares and intrusive thoughts/memories/images
To find enjoyment in life - the things she used to enjoy, and new experiences
To live independently in her own place
To have more energy
To have better physical health
To not always be 'looking out' for danger

6.2)
- Build network/community independent from drug scene - feeds into larger goal of cutting down drug use. Participation in two weekly groups by end of month which Wendy feels supported by.
- Enrolled in long term AoD peer support and counselling program by end of month
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6.4)
Relapse (reported using drugs when faced with a setback), growing financial difficulty, pursued contact by drug-involved networks, difficulty trusting new people, overwhelm at new challenges, pressure to stay on track, no guarantee that access to child will ever be granted, negative impact of mental health challenges on self-image and belief in self-efficacy and worth

6.5)
Seek guidance from Wendy regarding how she is feeling --> self image, ability to self-advocate, principals of social definition of recovery. Weekly meetings and coordinated care meetings to check in and the like