Case Study Victor is a 27-year-old heterosexual African American male who comes

Case Study
Victor is a 27-year-old heterosexual African American male who comes to you for help at the urging of his fiancée. He was an infantryman with a local Marine Reserve unit who was honorably discharged in 2014 after serving two tours of duty in Iraq. His fiancé has told him he has “not been the same” since his second tour of duty, and it is impacting their relationship. Although he offers few details, upon questioning, he reports that he has significant difficulty sleeping, that he “sleeps with one eye open,” and, when he falls into a deeper sleep, he has nightmares. He endorses experiencing several traumatic events during his second tour but is unwilling to provide specific details – he tells you he has never spoken with anyone about them and is not sure he ever will. He spends much of his time alone because he feels irritable and doesn’t want to snap at people. He reports that he finds it difficult to perform his duties as a security guard because it is boring and gives him too much time to think. At the same time, he is easily startled by noise and motion and spends excessive time searching for threats that are never confirmed, both when on duty and at home. He describes having intrusive memories about his traumatic experiences daily but refuses to share any details. He also avoids seeing friends from his Reserve unit because seeing them reminds him of experiences he does not want to remember.
Answer the following questions about the case study below:
1. Does Victor meet DSM-5 criteria for PTSD? Why or why not? Explain which specific symptoms do/do not fulfill the DSM-5 diagnostic criteria for PTSD. Is there information missing that would help you decide whether Victor meets the criteria for PTSD?
2. Which other diagnoses DSM-5 diagnoses should be considered in this case (i.e., differential diagnoses)? Explain which specific symptoms do/do not fulfill the DSM-5 diagnostic criteria for these disorders.
3. Imagine you are Victor’s therapist. Based on your diagnostic information, would you use Cognitive Processing Therapy or Prolonged Exposure Therapy to treat him? Why? (Please note: There is no right or wrong answer.) You need to cite a peer-reviewed scientific article to back up your answer.