Dr Fineman developed these symptoms after a traumatic life event of loss of his family. He was afraid to think about his family, and he felt helpless even with the slightest thought about the family, although he persistently relived the event in the subconscious and took all measures in the conscious to avoid being reminded about it. These were obviously overwhelming to him to the extent that he was rendered nonfunctional as an adult, to the extent that he quit his practice as a dentist. There is evidence that he entered into a mode of strong denial of the catastrophe only in a vain attempt to cover up the re-experience of the traumatic event of loss and profound grief over his family in his daily thoughts and dreams.
This led to his almost insane determination to evade anything that would bring his thoughts and grief about the event to his mind. There is also noted numbing of responsiveness in his social encounters with the present world and people and quite frequent incidents of states of hyperarousal. He cannot sleep at night, feels depressed, sometimes events of anxieties, and obvious cognitive difficulties failing to recognize even a past college friend and in-laws.
He has developed poor concentration shifting from topic to topic. Sometimes he uses substances, and he has been addicted to video games, more to keep himself engaged. He was not able to deal with this experience and could not share this experience with anyone known due to the fact that this would induce the horror and anxiety that he is through. He was also feeling an element of guilt since he felt that he failed to be with his family due to his work when they were flying without them, and it was to his guilt for surviving.
His communication was disjointed when it would be anything related even remotely to his family, and he was not able to process or rationalize the trauma that precipitated his experience of horror; even television news related to some terrorist activities somewhere else in the world rekindled his stress.
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