Depression: A Case Study
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This clinical case study regards a 22-year-old male who suffers from depression. This client was chosen for this case study since he presented with issues of adult depression, a disorder for which the use of cognitive-behavioral theory with brief treatment has been shown to be effective. The use of a cognitive perspective allows for the inclusion of emotional and behavioral reactions in the change process. Cognitive-behavioral therapy concepts and procedures are short-term, problem focused, and straightforward. The goal of this therapy is to change dysfunctional thoughts, replacing them with positive and coping thoughts which then changes negative emotional and behavioral reactions. Although this approach is problem oriented rather than based on psychodynamic aspects, a review of early and current attachment processes can assist in uncovering resulting dysfunctional thoughts and emotions (Shean, 2003). Thus the case study will utilize the theoretical approaches of Beck's cognitive-behavioral theory and treatment, Greenberg's emotion-focused theory of emotional schemas and treatment, and Bowlby's attachment theory. Presentation of a brief therapy approach allows for a more comprehensive examination of therapy sessions and their content. This analysis further allows for examination of the application of theory within the sessions and the session outcomes. The client referenced above, Angel, is of average he
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reported to be "fine." He reported no trouble concentrating. He reported current suicidal ideation without a specific plan but these thoughts were not recurrent. He reported that he hated his life and cried constantly. He reported that he felt hopeless and unaware of future opportunities or choices in life. He felt "stuck" and "lost." He reported that while he felt "depressed" he was able to get up and continue functioning.
Therapist's Observations of Symptoms
The client presented with depressed mood and a lack of delusional or disorganized thinking. He appeared to be of average intelligence with cognitive awareness of his depressive state and resulting negative behaviors. While he was able to view his inability to obtain emotional support and function as an individual and a parent, he was also unable to understand how to help himself. He presented no sense of personal identity. He had no father figure and no idea of his own role as a father. He appeared to have problems with anger management and lacked motivation, goals, and self-worth. He also had no mother figure and was unable to participate in relationships females or with others. He showed difficulty expressing feelings and emotions, beyond the report of bei
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Some common words found in the essay are:
Client Description, Psychotic Disorders, History Angel, Overview Study, Observations Symptoms, Subjective Experience, Problem/History Current, TAT Bender-Gestalt, Record Dysfunctional, Psychiatric/Psychotherapeutic History, reported history, client reported, depressed mood, physical emotional, depressive disorder, emotional abuse, physical emotional abuse, history physical emotional, suicidal ideation, history physical, markedly diminished pleasure, emotional support, feelings worthlessness recurrent, lack delusional, reported history physical,
Approximate Word count = 2332
Approximate Pages = 9 (250 words per page)
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