In Tyrone social work case study below what is describe the typical fight, flight, and freeze responses.

Explain which response the Tyrone appears to be experiencing, based on their symptoms and behaviors.

Describe typical long-term physical and mental health effects of repeated exposure to trauma in Tyrone case. Explain the extent to which the Tyrone is experiencing these long-term effects.

Tyrone is a 41-year-old male social worker who identifies as heterosexual, Black, and Latino.

He is a divorced dad to a teenage daughter and shares custody with his ex-wife. Tyrone conducts individual therapy with clients at BCH to address mental health and substance use. In his therapeutic role, Tyrone sees individuals with complex trauma who have high therapeutic needs, compounded by high case-management needs. The expectation for this role is to see seven or eight clients per day, a standard that Tyrone has kept up with throughout his employment over the past 4 years.

Tyrone, who has no recent history of substance use, has started drinking one to three glasses of wine at night and "nips" of alcohol during the workday. Tyrone explains that he "feels emotionally numb" and has difficulty concentrating and completing tasks at home and at work. He has begun to avoid people, places, and things that remind him of work with his clients, and he has also canceled sessions with clients who have higher levels of trauma to "stop my heart from pounding." Tyrone complains of decreased sleep due to nightmares, difficulty falling asleep, and experiencing anxiety, but reports that he can "handle it on my own" by "doing what I need to do." He has also expressed that he doesn't know why he continues to meet with clients because "I'm not going to help them in the end anyway."

Tyrone describes limited social support. He declined invitations to social events for months, and, when he did attend, he'd just frustrate his friends by talking mostly about work. He also started expressing the belief that something bad is going to happen and that there is little hope for anything to change in the future. When friends attempted to confront Tyrone about their concerns, Tyrone became angry and irritable.

Tyrone stopped attending church 3 months ago because he was "too tired" to go. He had previously identified church as a primary support. Tyrone reports a positive relationship with his ex-wife. He also reports a good relationship with his parents, who live a couple hours away. For self-care, Tyrone attempts to journal 3 or 4 days a week and takes short walks with his dog in the morning and evening.

Tyrone describes a recent event in which his 16-year-old daughter came home several minutes late from a social event. He began thinking of a client he was working with whose child had been murdered. Tyrone was pacing, looking out the window, and texting his daughter repeatedly because he became extremely anxious about her whereabouts.