In this Week’s Discussion, you will demonstrate your skills related to explaining trauma and intervention to a client. This will require you explain the concepts in a manner that is understandable to the developmental and educational level of the client.  Please see attachment  1.Ask one question that you would use to elicit information about a client’s trauma experience. [Assume a response and move to the next part of the skill demonstration] 2 .Explain to the client the effects of trauma generally and how trauma may be affecting the client specifically. 3. Explain to the client what intervention(s) you would recommend and why. 4. Explain the role you would take in any intervention given your scope of practice and to whom you would refer the client for additional intervention.  Jake Levy  Identifying Data:  Jake Levy is a 31-year-old, married, Jewish Caucasian male. Jake’s wife, Sheri, is 28 years old. They have two sons, Myles (10) and Levi (8). The family resides in a two-bedroom condominium in a middle-class neighborhood in Rockville, MD. They have been married for 10 years. Presenting Problem:  Jake, an Iraq War veteran, came to the Veterans Affairs Health Care Center (VA) for services because his wife has threatened to leave him if he does not get help. She is particularly concerned about his drinking and lack of involvement in their sons’ lives. She told him his drinking has gotten out of control and is making him mean and distant. Jake reports that he and his wife have been fighting a lot and that he drinks to take the edge off and to help him sleep. Jake expresses fear of losing his job and his family if he does not get help. Jake identifies as the primary provider for his family and believes that this is his responsibility as a husband and father. Jake realizes he may be putting that in jeopardy because of his drinking. He says he has never seen Sheri so angry before, and he saw she was at her limit with him and his behaviors.  Family Dynamics:  Jake was born in Alabama to a Caucasian, Eurocentric family system. He reports his time growing up to have been within a “normal” family system. However, he states that he was never emotionally close to either parent and viewed himself as fairly independent from a young age. His dad had previously been in the military and was raised with the understanding that his duty is to support his country. His family displayed traditional roles, with his dad supporting the family after he was discharged from military service. Jake was raised to believe that real men do not show weakness and must be the head of the household. Jake’s parents are deceased, and he has a sister who lives outside London. He and his sister are not very close but do talk twice a year. Sheri is an only child, and although her mother lives in the area, she offers little support. Her mother never approved of Sheri marrying Jake and thinks Sheri needs to deal with their problems on her own. Jake reports that he has not.

1. In this Week’s Discussion, you will demonstrate your skills
related to explaining trauma and intervention to a client. This
will require you explain the concepts in a manner that is
understandable to the developmental and educational level of
the client.
Please see attachment
1.Ask one question that you would use to elicit information
about a client’s trauma experience. [Assume a response and
move to the next part of the skill demonstration]
2 .Explain to the client the effects of trauma generally and how
trauma may be affecting the client specifically.
3. Explain to the client what intervention(s) you would
recommend and why.
4. Explain the role you would take in any intervention given
your scope of practice and to whom you would refer the client
for additional intervention.
Jake Levy
Identifying Data:
Jake Levy is a 31-year-old, married, Jewish Caucasian male.
Jake’s wife, Sheri, is 28 years old. They have two sons, Myles
(10) and Levi (8). The family resides in a two-bedroom
condominium in a middle-class neighborhood in Rockville, MD.
They have been married for 10 years.
Presenting Problem:

2. Jake, an Iraq War veteran, came to the Veterans Affairs Health
Care Center (VA) for services because his wife has threatened
to leave him if he does not get help. She is particularly
concerned about his drinking and lack of involvement in their
sons’ lives. She told him his drinking has gotten out of control
and is making him mean and distant. Jake reports that he and his
wife have been fighting a lot and that he drinks to take the edge
off and to help him sleep. Jake expresses fear of losing his job
and his family if he does not get help. Jake identifies as the
primary provider for his family and believes that this is his
responsibility as a husband and father. Jake realizes he may be
putting that in jeopardy because of his drinking. He says he has
never seen Sheri so angry before, and he saw she was at her
limit with him and his behaviors.
Family Dynamics:
Jake was born in Alabama to a Caucasian, Eurocentric family
system. He reports his time growing up to have been within a
“normal” family system. However, he states that he was never
emotionally close to either parent and viewed himself as fairly
independent from a young age. His dad had previously been in
the military and was raised with the understanding that his duty
is to support his country. His family displayed traditional roles,
with his dad supporting the family after he was discharged from
military service. Jake was raised to believe that real men do not
show weakness and must be the head of the household. Jake’s
parents are deceased, and he has a sister who lives outside
London. He and his sister are not very close but do talk twice a
year. Sheri is an only child, and although her mother lives in the
area, she offers little support. Her mother never approved of
Sheri marrying Jake and thinks Sheri needs to deal with their
problems on her own. Jake reports that he has not been engaged
with his sons at all since his return from Iraq, and he keeps to
himself when he is at home.
Employment History:
Jake is employed as a human resources assistant for the

3. military. Jake works in an office with civilians and military
personnel and mostly gets along with people in the office. Jake
is having difficulty getting up in the morning to go to work,
which increases the stress between Sheri and himself. Shari is a
special education teacher in a local elementary school. Jake
thinks it is his responsibility to provide for his family and is
having stress over what is happening to him at home and work.
He thinks he is failing as a provider.
Social History:
Jake and Sheri identify as Jewish and attend a local synagogue
on major holidays. Jake tends to keep to himself and says he
sometimes feels pressured to be more communicative and
social. Jake believes he is socially inept 11 and not able to
develop friendships. The couple has some friends, since Shari
gets involved with the parents in their sons’ school. However,
because of Jake’s recent behaviors, they have become socially
isolated. He is very worried that Sheri will leave him due to the
isolation.
Mental Health History:
Jake reports that since his return to civilian life 10 months ago,
he has difficulty sleeping, frequent heart palpitations, and
moodiness. Jake had seen Dr. Zoe, a psychiatrist at the VA, who
diagnosed him with post-traumatic stress disorder (PTSD). Dr.
Zoe prescribed Paxil to help reduce his symptoms of anxiety
and depression and suggested that he also begin counseling.
Jake says that he does not really understand what PTSD is but
thought it meant that a person who had it was “going crazy,”
which at times he thought was happening to him. He expresses
concern that he will never feel “normal” again and says that
when he drinks alcohol, his symptoms and the intensity of his
emotions ease. Jake describes that he sometimes thinks he is
back in Iraq, which makes him feel uneasy and watchful. He
hates the experience and tries to numb it. He has difficulty
sleeping and is irritable, so he isolates himself and soothes this
with drinking. He talks about always feeling “ready to go.” He

4. says he is exhausted from being always alert and looking for
potential problems around him. Every sound seems to startle
him. He shares that he often thinks about what happened “over
there” but tries to push it out of his mind. Nighttime is the
worst, as he has terrible recurring nightmares of one particular
event. He says he wakes up shaking and sweating most nights.
He adds that drinking is the one thing that seems to give him a
little relief.
Educational History:
Sheri has a bachelor’s degree in special education from a local
college. Jake has a high school diploma but wanted to attend
college upon his return from the military.
Military History:
Jake is an Iraqi War veteran. He enlisted in the Marines at 21
years old when he and Shari got married due to Sheri being
pregnant. The family was stationed in several states prior to
Jake being deployed to Iraq. Jake left the service 10 months
ago. Sheri and Jake had used military housing since his
marriage, making it easier to support the family. On military
bases, there was a lot of social support and both Jake and Sheri
took full advantage of the social systems available to them
during that time.
Medical History:
Jake is physically fit, but an injury he sustained in combat
sometimes limits his ability to use his left hand. Jake reports
sometimes feeling inadequate because of the reduction in the
use of his hand and tries to push through because he worries
how the injury will impact his responsibilities as a provider,
husband, and father. Jake considers himself resilient enough to
overcome this disadvantage and “be able to do the things I need
to do.” Sheri is in good physical condition and has recently
found out that she is pregnant with their third child.
Legal History:
Jake and Sheri deny having criminal histories.
Alcohol and Drug Use History:
As teenagers, Jake and Sheri used marijuana and drank. Both

5. deny current use of marijuana but report they still drink. Sheri
drinks socially and has one or two drinks over the weekend.
Jake reports that he has four to five drinks in the evenings
during the week and eight to ten drinks on Saturdays and
Sundays. Jake spends his evenings on the couch drinking beer
and watching TV or playing video games. Shari reports that
Jake drinks more than he realizes, doubling what Jake has
reported.
Strengths:
Jake is cognizant of his limitations and has worked on
overcoming his physical challenges. Jake is resilient. Jake did
not have any disciplinary actions taken against him in the
military. He is dedicated to his wife and family.
Jake Levy:
father, 31 years old
Sheri Levy:
mother, 28 years old
Myles Levy:
son, 10 years old
Levi Levy:
son, 8 years old