Case Formulation: Nino

Identifying Information

Name: NinoAge: 22Gender: FemaleMarital status: SingleEducation: Bachelor’s degree in Humanitarian Employment status: Unemployed Current Address: IDP’s Collective CenterOriginal Home: Region of Tskhinvali

Experience of traumatic Events:One of the shells dropped near her house when Nino was alone upstairs and was praying. Very soon after this Nino found out that her neighbor was going to take his family to Gori by his car, so she left the village with them. Initially, in Gori , she remained alone at sister’s home for 2 days, till her family came there. She was in the street in Gori with her mother and father, when one of the bombs dropped nearby, she was thrown to the ground by the pressure. After that event they moved to their relative’s house where they spent the night in the basement. The next day her family moved to Tbilisi. All day long they had to stand in front of the building of Parliament, and wait for shelter. Over the next 4 days she was alone without her family in her relative’s home in Tbilisi. She felt very bad.During these days her family found the IDP’s center (at a university) and she started to visit there, but at nights she was in her relative’s home. After a week she moved to the IDP’s center where her family lived. But after 1 month they had to move yet again to another IDP’ center, where they live now.

Problems

Emotions/feelings:

•Irritability and anger towards government officials and Ossetians •Hates Ossetians

•Hopeless

•Fear of transition possibility

Diagram of Transitions

Village

GoriSister’s home

In front of the building of parliament

Her Relative’s house

Her other Relative’s home basement

Tbilisi

IDP’s center

Her Relative’s

home

Another IDP’s center

Thoughts:

•How could they destroyed our region•This may happen again •I do not want to appear in the same terrible situation again•We have lost our past because we have no photos and anything related to the childhood•All Ossetians are bad, I will damage them•Nothing will change•Re-experience, including other thoughts and memories about traumatic event

Behaviors:

•Express anger verbally by shouting to her family members without any serious reason

•Express anger verbally toward government officials

•Avoiding discussion of Traumatic events

•Avoiding being with others when they speak about traumatic experience

Initial Treatment goals andrelevant treatment strategies

•To feel more in control of emotions-particularly angerNino will understand how emotions become ,,out of control” and learn to better control her emotionsLearn basic skills for managing emotion by anger management techniques and Breathing control .

•Reduce distress around trauma Exposure and cognitive restructuring for dealing with trauma and replacement unhelpful thoughts.