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Question
How would you assess this client from the person-in-environment perspective? From the medical model or DSM-5 perspective? Write some notes as you think through this issue.
Case Vignette
Sanaa is a 28-year-old single mother of Joaqin (2 years old). She is currently living in a shelter for battered women. She lived in Syria until immigrating to the United States three years ago. She married Steven, a U.S. citizen, and moved to the United States. However, Steven never filed immigration papers on her behalf and used that as a way to keep her in the marriage. The marriage was rocked by violence and abuse from the start. Sanaa has no family or friends here in the United States. After a vicious beating, Steven has been sentenced to one year in prison for domestic violence. Sanaa speaks limited English and is afraid that she might be deported to Syria. She is concerned for her safety and her ability to take care of her son as a single mother. At the shelter, Sanaa was seen by a clinical social worker who diagnosed her with posttraumatic stress disorder (PTSD). She is so shattered and frightened by her experience that she refuses to leave the shelter for any reason.
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