In the role of a social worker assessing Jake and Sheri's case, I would identify two key issues

that require intervention:

1. Jake's Posttraumatic Stress Disorder (PTSD): Jake has received a diagnosis of post-

traumatic stress disorder (PTSD) as a result of the horrible events he encountered during

his service in the Iraq War. The individual exhibits a range of symptoms including

insomnia, cardiac arrhythmias, irritability, and recurrent nightmares. As a consequence of

these symptoms, his overall well-being, marital relationship, and parental responsibilities

are all being adversely affected.

2. Jake's Alcohol Abuse: Jake is using alcohol as a coping mechanism to manage the

psychological and emotional distress associated with his post-traumatic stress disorder

(PTSD). The individual openly acknowledges that his consistent engagement in excessive

alcohol use on a daily basis has significantly deteriorated his physical well-being,

interpersonal connections, and professional opportunities.

In addressing each issue, I would do a thorough examination of evidence-based therapeutic

approaches documented in peer-reviewed literature, with the aim of identifying optimal

resolutions. The integration of research findings, clinical expertise, and patient preferences all

contribute to the practice of evidence-based medicine. There are two therapies that have garnered

support from scientific research:

1. PTSD Intervention: Eye Movement Desensitization and Reprocessing (EMDR)

 Evidence-Based Characteristics: Multiple empirical studies have provided data

indicating that Eye Movement Desensitization and Reprocessing (EMDR) has proven
 effective in mitigating symptoms associated with Post-Traumatic Stress Disorder

(PTSD). Consequently, professionals have classified EMDR as a therapy supported by

empirical evidence. Public support for it has been expressed by prominent organizations

such as the American Psychological Association (APA) and the Veterans Administration

(VA).

 Research Summary: Post-traumatic stress disorder (PTSD) arising from combat

experiences has been the subject of investigation via the use of Eye Movement

Desensitization and Reprocessing (EMDR) in a randomized controlled trial, which was

subsequently published in an academic journal. The study included a cohort of 120

veterans who were diagnosed with post-traumatic stress disorder (PTSD). The findings

indicated that the group receiving Eye Movement Desensitization and Reprocessing

(EMDR) treatment had a statistically significant reduction in symptoms of post-traumatic

stress disorder (PTSD) in comparison to the control group. The technique used in the

research was robust, since it utilized dependable assessment tools on a substantial sample

size.

2. Alcohol Abuse Intervention: Cognitive-Behavioral Therapy (CBT) for Substance Use

Disorders

 Evidence-Based Characteristics: The focus of substance misuse treatment clinics has

been progressively shifting towards cognitive behavioral therapy (CBT). After

conducting a thorough evaluation of the existing literature, the National Institute on Drug

Abuse (NIDA) and the Substance Abuse and Mental Health Services Administration

(SAMHSA) are among the several institutions that support this endorsement.
 Research Summary: A scientific paper included a meta-analysis that examined the

effectiveness of cognitive behavioral therapy (CBT) in the treatment of individuals with

alcohol use disorder. The meta-analysis included a total of 20 randomized controlled

investigations, including a participant pool of more than 2,000 individuals. The efficacy

of Cognitive Behavioral Therapy (CBT) in lowering alcohol consumption and improving

treatment adherence was shown to be greater when compared to control conditions. The

efficacy of the intervention was shown by randomized controlled trials characterized by a

substantial sample size.

Evaluation of Interventions:

 The most effective approach for addressing Jake's drinking is cognitive behavioral

therapy (CBT) as a treatment modality for addiction. Research has shown its efficacy in

effectively reducing alcohol consumption. While more examination of Jake's aversion to

Alcoholics Anonymous (AA) is necessary, it may be necessary to use motivational

enhancement strategies in order to encourage Jake's participation in cognitive-behavioral

therapy (CBT).

 Based on the extensive scientific data supporting its efficacy in reducing symptoms

associated with post-traumatic stress disorder (PTSD), such as nightmares and

hyperarousal, it may be argued that Eye Movement Desensitization and Reprocessing

(EMDR) is a suitable therapeutic approach for addressing Jake's PTSD. It is advisable to

assess Jake's emotional stability before commencing Eye Movement Desensitization and

Reprocessing (EMDR) due to the high level of intensity associated with this therapeutic

intervention.
 In summary, there are viable strategies to address the issues encountered by Jake, namely

Eye Movement Desensitization and Reprocessing (EMDR) for Post-Traumatic Stress Disorder

(PTSD) and Cognitive Behavioral Therapy (CBT) for alcohol abuse. Nevertheless, before

formulating a treatment strategy, it is essential for the social worker to assess Jake's readiness for

such interventions, while also considering his unique requirements and personal inclinations.

Furthermore, it may be necessary to regularly review and adjust Jake's treatment plan in order to

accommodate his evolving requirements.