This case study presents a detailed analysis of a 23-year-old Somali woman's experience with mental health issues, specifically post-traumatic stress disorder (PTSD), stemming from female genital mutilation (FGM), forced marriage, domestic violence and immigration. The paper outlines the nursing interventions undertaken, including the process of engagement and relationship building, identification of specific needs and strengths, and the application of rehabilitation and recovery principles. The study highlights the cultural factors that influenced the patient's condition and the barriers to effective engagement. The interventions recommended include physical exercises and trauma-focused counseling, with cognitive processing therapy as the specific trauma-focused treatment. The case underscores the importance of cultural sensitivity, therapeutic listening, and patient-centered care in mental health nursing, particularly when dealing with immigrant populations who have experienced trauma.