Analysis of a Client System

Ms. Ann Jones (not her real name) was referred to counseling after the birth of her third child in a five year period, having been assessed at a local public health clinic where she and her infant received medical care as likely to be suffering from a severe case of postpartum depression. Epperson (1999) commented that postpartum major depression occurs in approximately one of every 10 childbearing women and is often underdiagnosed, leading to inadequate treatment and prolonged manifestation of symptoms and, in some instances, the onset of comorbid anxiety disorders and somatic complaints. Ms. Jones has previously complained of depressive symptoms (e.g., chronic fatigue, anxiety, sleep disturb

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mary goals as: 1) acquiring some personal time away from her children to take care of personal matters; 2) weight loss to return to her pre-pregnancy weight; 3) a reduction in her sense of sadness and isolation; and 4) the development of a network of alternative caregivers or identification of an affordable daycare service that would permit her to return to school or to work. These goals were identified by Ms. Jones as vital to her sense of self-esteem and her need to feel that she was in greater control of her own life. Ms. Jones also agreed that for the present, she would continue to take Elavil and that she would also take any hormonal medication prescribed by her physician. She voluntarily entered into a contract in which she agreed to follow up in a timely manner on medical visits and on contacting a local church-based daycare center proving low cost or no cost services to low income women. She initially rejected the idea that group therapy might be useful but ultimately agreed that participating in a mothers' support group would be useful in helping her to develop the type of support system that she admittedly lacks. In tandem with these contractual agreements and goals, interpersonal therapy was initiated. The
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Approximate Word count = 3491
Approximate Pages = 14 (250 words per page)

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