In a 2- to 3-page paper, address the following:

  • After watching Episode 1, describe:
    • What is Mr. Levy’s perception of the problem?
    • What is Mrs. Levy’s perception of the problem?
    • What can be some of the implications of the problem on the family as a whole?
  • After watching Episode 2, describe:
    • What did you think of Mr. Levy’s social worker’s ideas? 
    • What were your thoughts of her supervisor’s questions about her suggested therapies and his advice to Mr. Levy’s supervisor?
  • After watching Episode 3, discuss the following:
    • What were your thoughts about the way Mr. Levy’s therapist responded to what Mr. Levy had to say?
    • What were your impressions of how the therapist worked with Mr. Levy? What did you think about the therapy session as a whole? 
    • Informed by your knowledge of pathophysiology, explain the physiology of deep breathing (a common technique that we use in helping clients to manage anxiety). Explain how changing breathing mechanics can alter blood chemistry.
    • Describe the therapeutic approach his therapist selected. Would you use exposure therapy with Mr. Levy? Why or why not? What evidence exists to support the use of exposure therapy (or the therapeutic approach you would consider if you disagree with exposure therapy)?
  • In Episode 4, Mr. Levy tells a very difficult story about Kurt, his platoon officer. 
    • Discuss how you would have responded to this revelation. 
    • Describe how this information would inform your therapeutic approach. What would you say/do next?
  • In Episode 5, Mr. Levy’s therapist is having issues with his story. 
    • Imagine that you were providing supervision to this therapist, how would you respond to her concerns?
  • Support your approach with evidence-based literature.

In Their Own Words

In Their Own Words
Program Transcript

NICOLE: My name is Nicole. And May 30, I will have five years in recovery.

RICKY: My name is Ricky. I’ve been in recovery for 10 years.

GRETCHEN: My name is Gretchen. And I’ve been in recovery for about three
years.

JASON: My name’s Jason, and I’ve been in recovery for five months.

ODESSA: My name is Odessa, and I have been in recovery for six years.

SHANE: My name is Shane, and I have 11 years clean.

FEMALE SPEAKER: Six addicts, six remarkable stories of addiction, treatment,
and recovery in their own words.

GRETCHEN: My addictions are prescription pain pills and alcohol. I’m a survivor
of childhood sexual trauma, so that’s– and my parents are addicts. And my
parents always used around me. Their friends always used around me.

I grew up thinking that was normal. I grew up thinking chaos was normal and
negative type behaviors. My mother had breast cancer, and my mother has other
health issues. And she’s addicted to her pain pills.

I would try and reach out to her for help, and she would just say, you know, go
get me a bottle or go get me a beer or go get this. And she would take those pain
pills with that alcohol. When you sit there and you watch your mother do that and
not help you and not support you and not listen to you, and the whole time I was
there I was telling her I needed to get help.

I needed help. I needed counseling. I needed treatment. I needed something.

In the worst stage of my addiction, I just kind of went off the deep end with it all. I
just realized that I couldn’t handle it anymore and I didn’t know how to fix it. So I
just self-medicated and drank, and drank, and drank, and took pills and drank.
And some things happened that just caused me to realize that I was going to die
if I didn’t reach for help.

JASON: I snuck into a Casino with a fake ID at 14 and won $1,000 playing
Blackjack, and then it was like my whole life went this way. It was like college,
that all can wait, because there’s no way I can make this much money. So it was
just off to the races from then.

© 2016 Laureate Education, Inc. 1

In Their Own Words

I can remember one time I cashed out my 401k, took out like $30,000, went
straight to the casino. Doubled that and didn’t leave. And then lost $40,000.

I think I got the same feeling losing or winning. It was as long as I was gamb

Levy Family: Episode 1

Levy Family: Episode 1
Program Transcript

[MUSIC PLAYING]

FEMALE SPEAKER: You’re not dressed? You’re going to be late for work.

MALE SPEAKER: I’m not going to work. I’m sick.

FEMALE SPEAKER: Of course you’re sick. You’re hungover. I don’t want the

boys to see you like this. Go back to bed.

MALE SPEAKER: See me like what? I told you, I’m sick.

FEMALE SPEAKER: Well, what do you call it when someone is sick almost

every morning, because they drink every night while they sit in the dark watching

TV?

MALE SPEAKER: You calling me a drunk?

FEMALE SPEAKER: What do you call it?

MALE SPEAKER: I call it, leave me the hell alone.

FEMALE SPEAKER: Baby, you need to stop this. It’s tearing us up. The drinking,

the anger– you’re depressed.

MALE SPEAKER: You said, for better or worse.

FEMALE SPEAKER: My vows don’t cover this. You were never like this before.

You’ve changed. I want us back, the way we used to be.

MALE SPEAKER: That way is dead. It died when I went to Iraq.

Levy Family: Episode 1
Additional Content Attribution

MUSIC:
Music by Clean Cuts

Original Art and Photography Provided By:
Brian Kline and Nico Danks

© 2016 Laureate Education, Inc. 1

Levy Family: Episode 2

Levy Family: Episode 2
Program Transcript

FEMALE SPEAKER: I want to thank you for getting me this Levy case. I think it’s
so interesting. Just can’t wait to meet with the client.

MALE SPEAKER: What do you find interesting about it?

FEMALE SPEAKER: Well, he’s just 31. Usually the vets I work with are older. If
they have PTSD, it’s from traumas a long time ago. But Jake, this is all pretty
new to him. He just left Iraq a year ago.

You know, I was thinking he’d be perfect for one of those newer treatment
options, art therapy, meditation, yoga, something like that.

MALE SPEAKER: Why?

FEMALE SPEAKER: Well, I’ve been dying to try one of them. I’ve read a lot of
good things. Why? What are you thinking?

MALE SPEAKER: I’m thinking you should really think about it some more. Think
about your priorities. It’s a good idea to be open-minded about treatment options,
but the needs of the client have to come first, not just some treatment that you or
I might be interested in.

FEMALE SPEAKER: I mean, I wasn’t saying it like that. I always think of my
clients first.

MALE SPEAKER: OK. But you mentioned meditation, yoga, art therapy. Have
you seen any research or data that measures how effective they are in
treatment?

FEMALE SPEAKER: No.

MALE SPEAKER: Neither have I. There may be good research out there, and
maybe one or two of the treatments that you mentioned might be really good
ideas. I just want to point out that you should meet your client first, meet Jake
before you make any decisions about how to address his issues. Make sense?

FEMALE SPEAKER: Yeah.

Levy Family: Episode 2
Additional Content Attribution

© 2016 Laureate Education, Inc. 1

Levy Family: Episode 2

MUSIC:
Music by Clean Cuts

Original Art and Photography Provided By:
Brian Kline and Nico Danks

© 2016 Laureate Education, Inc. 2

Levy Family: Episode 3

Levy Family: Episode 3
Program Transcript

JAKE LEVY: We’d be out on recon in our Humvees, and it would get so hot. We
used to put our water bottles in wet socks and hang them right outside the
window just so the water would cool off of a bit, and maybe then you could drink
it.

Man, it was cramped in there. You’d be drenched, nowhere to breathe. It’s like
riding around in an oven. And you’d have your helmet on you, 100 pounds of
gear and ammo. I swear, sometimes I feel like it’s still on me, like it’s all still
strapped on me.

FEMALE SPEAKER: How many tours did you do in Iraq?

JAKE LEVY: Three. After that last recon, I just– There were 26 of us. Five
marines in the Humvee I was in. I remember I was wearing my night vision
goggles. We passed through a village and everything was green, like I was in a
dream or under water.

And then there was a flash, bright light just blinded me. There was this explosion.
I can’t– I can’t–

FEMALE SPEAKER: It’s OK, Jake. Take it easy. I understand this is difficult.
There’s something I;d like to try with you. It’s called exposure therapy, and it’s a
treatment that’s used a lot with war veterans, especially those struggling with
anxiety and PTSD.

JAKE LEVY: Exposure therapy?

FEMALE SPEAKER: Yes. It’s to help someone like yourself to confront your
feelings and anxieties about a traumatic situation that you’ve experienced. It’s a–
It’s meant to help you get more control of your thoughts, to make sense of what’s
happened, and to not be so afraid of your memories.

JAKE LEVY: Put that in a bottle and I’ll buy 10 cases of it.

FEMALE SPEAKER: Well, one part of it is learning to control your breathing. And
when you practice that, you can learn to manage your anxiety, to get more
control of it, not let it control you, to protect yourself. Do you want to try it?

JAKE LEVY: Right now?

FEMALE SPEAKER: Sure.

JAKE LEVY: Why not?

© 2016 Laureate Education, Inc. 1

Levy Family: Episode 3

FEMALE SPEAKER: OK. Well, I know this sounds crazy, but a lot of people don’t
breathe properly. And it really comes from bad habits. When they inhale and
exhale, all the effort is here in their chest and shoulders. And the problem with
that is you get a really short, shallow breath. And that really increases the stress
and anxiety in your body.

Instead, a more natural breath should always involve

Levy Family: Episode 4

Levy Family: Episode 4
Program Transcript

FEMALE SPEAKER: So do you want to try to go back to what you’re telling me
before?

LEVY: I can try. It was night. We were out on patrol. I remember it was so hot
packed in our vehicle. Suddenly there was an explosion. We got tossed into a
ditch. And somehow I made it out, and I could see it was the Humvee behind us.
It’s whole front end was gone. It had hit a roadside bomb. Our vehicle had just
driven past it, just mistriggering it. But not them. They didn’t make it.

FEMALE SPEAKER: Remember how we practiced. Slow your breathing down.
Inhale and exhale from your abdomen.

LEVY: Thank you.

FEMALE SPEAKER: And just take your time. Whenever you are ready.

LEVY: So the bomb went off. I managed to get out. I had my night vision goggles
on. And I could see the Humvee, the one that got hit. It’s whole front end was
gone. And there’s this crater in the road. And inside it I could see– I could see
Kurt’s– our platoon Sergeant, he was lying there everything below his waist was
gone, blown off. And he was screaming. Screaming like nothing you’d ever
heard.

And then he was looking at me. And he was screaming for me to kill him. To stop
his suffering. He was yelling, please. Please. And someone tried putting
tourniquets on him. But the ground just kept getting darker with his blood. And I
was staring into his face.

I had my rifle trained on him. I was going to do it. You know. He was begging me
to. I could feel my finger on the trigger. And I kept looking into his face. And then
I didn’t have to do nothing. Because the screaming had stopped. He’d bled out.
Died right there.

And all I could think was I’d let him down. His last request, and I couldn’t do it. I
couldn’t put a bullet in him so he could die fast not slow.

FEMALE SPEAKER: I can see and hear how painful it is for you to relive this
story. Thank you for sharing it. Do you think this incident is behind some of the
symptoms you’ve been telling me about?

LEVY: When I go to sleep at night, I close my eyes, and I see Kurt’s there staring
at me. So I don’t sleep too good. That’s why I started drinking. It’s the only way I

© 2016 Laureate Education, Inc. 1

Levy Family: Episode 4

can forget about that night. So I drink too much. At least that’s what my wife yells
at me.

We’re not doing too well these days. I’m not exactly the life of the party. I left Iraq
10 months ago. But Iraq never left me. I’m afraid it’s never going to leave me
alone.
<

Levy Family: Episode 5

Levy Family: Episode 5
Program Transcript

FEMALE SPEAKER: It was such an intense story. I just kept seeing things the
way he did, you know. The weird green of his night-vision goggles, his sergeant
screaming for Jake to kill him. I just keep seeing it all in my head.

[MUSIC PLAYING]

MALE SPEAKER: Why, do you think?

FEMALE SPEAKER: Why what?

MALE SPEAKER: Why do you think you keep thinking about this story, this
particular case?

FEMALE SPEAKER: I don’t know, maybe because it’s so vivid. You know, I went
home last night, turned on the TV to try to get my mind off it. And a commercial
for the Marines came on, and there was all over again– the explosion, the
screams, the man dying. Such a nightmare to live with, and he’s got a baby on
they way.

MALE SPEAKER: Could that be it, the baby?

FEMALE SPEAKER: Maybe. That’s interesting you say that. I mean, the other
vets I work with are older, and they have grown kids. But Jake is different.

I just keep picturing him with a newborn. And I guess it scares me. I wonder if
he’ll be able to deal with it.

Levy Family: Episode 5
Additional Content Attribution

MUSIC:
Music by Clean Cuts

Original Art and Photography Provided By:
Brian Kline and Nico Danks

© 2016 Laureate Education, Inc. 1