The movie Collateral beauty was psychologically reviewed and diagnosed the main actor of the movie

3. WHAT MENTAL ILLNESS COULD
HE HAVE?

4. Posttraumatic Stress Disorder
(PTSD)This is a trauma and stress disorder that includes exposure to a traumatic or
stressful event.

5. CRITERION A (one required)
The person was exposed to: death, threatened death, actual or threatened serious injury, or actual or
threatened sexual violence, in the following way(s):
Direct exposure
Witnessing the trauma
Learning that a relative or close friend was exposed to a trauma
Indirect exposure to aversive details of the trauma, usually in the course of professional duties (e.g.,
first responders, medics)

6. CRITERION B (one required)
The traumatic event is persistently re-experienced, in the following way(s):
Unwanted upsetting memories
Nightmares
Flashbacks
Emotional distress after exposure to traumatic reminders
Physical reactivity after exposure to traumatic reminders

7. CRIETRION C (one required)
Avoidance of trauma-related stimuli after the trauma, in the following way(s):
Trauma-related thoughts or feelings
Trauma-related reminders

8. CRITERION D (two required)
Negative thoughts or feelings that began or worsened after the trauma, in the following way(s):
Inability to recall key features of the trauma
Overly negative thoughts and assumptions about oneself or the world
Exaggerated blame of self or others for causing the trauma
Negative affect
Decreased interest in activities
Feeling isolated
Difficulty experiencing positive affect

9. CRITERION E (two required)
Trauma-related arousal and reactivity that began or worsened after the trauma, in
the following way(s):
Irritability or aggression
Risky or destructive behavior
Hypervigilance
Heightened startle reaction
Difficulty concentrating
Difficulty sleeping

10. CRITERION F (required)
Symptoms last for more than 1 month.

11. CRITERION G (required)
Symptoms must create distress or functional impairment (e.g., social, occupational).

12. CRITERION H (required)
Symptoms are not due to medication, substance use, or other illness.

13. CRIETRIA HOWARD MET
 Criterion A: Howard witnessed the death of his 6 year old daughter (Olivia) from a rear case of cancer called glioblastoma multiforme (GBM).
 Criterion B: Howard experience flashbacks and nightmares of when his daughter was alive, followed by emotional distress.
 Criterion C: He tried to distance himself from his wife. This was as a result of the constant reminder she was of his daughter.
 Criterion D: He had overly negative thoughts and assumptions about the world (time, love and death) because he believed that these concepts betrayed him. He also
blamed them for the death of Olivia. Howard further had a decrease in previous activities of interest (going out with friends).
 Criterion E: He was more aggressive, exhibited risky behavior, difficulty in sleeping (6-7 hours a week

18.  Howard presents a breakdown in his cognitive function
through his lack of response to anything anymore. By the end
of the film, he reveals that he knew the company was
suffering and so were his friends, but he simply had no
reaction to their experiences and would not interact with
anyone.
 He just goes through the motions without actually existing.
He cannot bare to say his daughter’s name or acknowledge
her disease until the end of the film. This here would be one
of the defining characteristics of PTSD where Howard
experiences emotional numbing/avoidance or the persistent
avoidance of stimuli like removing those reminders of his loss
from his like being estranged from his wife because they are
painful to remember.

20.  Howard’s social life was once bright and due to this tragic loss, the varying aspects
of his life have now become distressed. His daily routine is consistently shown
throughout the film where he finishes his day with some form of progress with his
dominos, then heads home and sits in silence and barely sleeps.
 Sleep is drastically reduced where he only gets 6-7 hours of sleep every week.
 Occupation: His ad agency is on the brink of bankruptcy as the relationships he
built with his clients are hanging on a thread with his lack of any emotion or
interaction with them and they now feel abandoned by Howard.
 Socially: Howard refuses to interact with his friends or even the abstracts as they
appear. His once bubbly and charismatic demeanor is one that shows little to no
change in his emotions. He also becomes a recluse - he hides in his apartment,
misses out on paying any bills, rarely eats and refuses to do much of anything
except build, destroy and then rebuild his domino structures.

22.  It is not culturally expected for a person to ride their bicycle across
oncoming traffic, but the state in which Howard exists during the
movie, gives him no qualms about his actions on the road. There is
no care for safety and security with him in that sense. However,
Howard is seen riding through traffic and walking across the road
with oncoming traffic as if it is the most normal part of his day like
waking up to use the bathroom.
 Also, it is not considered “normal” behaviour for someone who is an
executive of a company and who is expected to lead a team of
skilled individuals each and every day at work to come in daily and
build a domino structure to have it be destroyed after. His work day
begins and ends with those dominos and not with his work he is
ignoring.

24.  Cognitive Processing Therapy: By going to a therapist to
understand how your thoughts can lead to your stress.
 Long Term Outcome: Identify and understand the thoughts of
yourself and your environment while at the same time
acknowledging ways to overcome them and replace negative
thoughts with positive/less distressing thoughts.
 Prolong Exposure Therapy: If you've been avoiding things that
remind you of the traumatic event, PE will help you confront
them. It involves eight to 15 sessions, usually 90 minutes each.

25.  Medications: They help you stop thinking about and reacting to what happened,
including having nightmares and flashbacks. They can also help you have a more
positive outlook on life and feel more "normal" again.
Several types of drugs affect the chemistry in your brain related to fear and anxiety.
Doctors will usually start with medications that affect the neurotransmitters
serotonin or norepinephrine (SSRIs and SNRIs), including:
 Fluoxetine (Prozac)
 Paroxetine (Paxil)
 Sertraline (Zoloft)
 Venlafaxine (Effexor)
NB: The FDA has approved only paroxetine and sertraline for treating PTSD.

26. Because people respond differently to medications, and not everyone's PTSD
is the same, your doctor may prescribe other medicines "off label," too. (That
means the manufacturer didn't ask the FDA to review studies of the drug
showing that it's effective specifically for PTSD.) These may include:
 Antidepressants: Antidepressants are medications that can help relieve
symptoms of depression
 Antipsychotics: Antipsychotics, also known as neuroleptics or
major tranquilizers, are a class of medication primarily used to manage
psychosis (including delusions, hallucinations, paranoia or disordered
thought).
 Beta-blockers: Beta blockers work by blocking the effects of the hormone
epinephrine, also known as adrenaline
 Benzodiazepines: Benzodiazepines are useful for treating insomnia and
anxiety.