| Sumario: | Specialist Leonard adamantly wants to return to combat and kill as many "Hadjis," (unkind slang for enemy combatants), in Afghanistan as possible. He suffers from nightmares but denies nightmares are a problem for him. He reports that he can sometimes smell and taste the blood of his friends as he did when his friends were blown up beside him. He reports that experience motivates him. Leonard insists he is more than ready to go back to Afghanistan but that his commanders refuse to let him return. He reports his commanders believe that he is overly eager to fight and that judgment from his commanders makes him furious. This training title shows F43.10 Posttraumatic Stress Disorder. The symptoms of Posttraumatic Stress Disorder demonstrated in this vignette include: nightmares, anxiety, sweating, irritability, and exaggerated startle response. This man demonstrates immature coping mechanisms including: severe anger, wishes to reverse events (the defense of undoing), and seeking and plotting violent revenge (the immature defense of acting out).
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