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Clinical Case Studies
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Unresolved PTSD in a Hispanic Woman Presenting With Test Anxiety

Amber M. Henslee

University of Mississippi Medical Center, Jackson, MS

Julie A. Schumacher

University of Mississippi Medical Center, Jackson, MS, jschumacher{at}psychiatry.umsmed.edu

Garland Holloman

University of Mississippi Medical Center, Jackson, MS

Scott F. Coffey

University of Mississippi Medical Center, Jackson, MS

This article illustrates the unique symptom presentation and outpatient treatment of posttraumatic stress disorder (PTSD) in a Hispanic female. The patient was referred to therapy to address problems with concentration and difficulties related to test-taking. A motivational interviewing-based assessment was conducted and the case was conceptualized in a cognitive— behavioral framework. After resolution of test-taking anxiety, additional anxiety symptoms emerged, including subclinical panic disorder and evidence of unresolved PTSD. Prolonged Exposure was initiated to successfully treat residual trauma-related symptoms. Recommendations for assessment and treatment of individuals with a trauma history are provided, with an emphasis on the need for sensitivity to cultural issues.

Key Words: unresolved PTSD • test anxiety • motivational interviewing

Clinical Case Studies, Vol. 8, No. 4, 340-350 (2009)
DOI: 10.1177/1534650109342124
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