: “What will a therapist need to consider when planning the treatment of a depressed client? Use the case study in the module to develop a plan of treatment for the client and explain your goals at each stage.” ABSTRACT For this assignment, I am going to look at the main points regarding Mr. P’s case using given information whilst also giving a brief about depression of the reactive types followed by recognised treatments, developing a plan of treatment with set goals at each stage, respecting his Individuality, Dignity, ensuring Confidentiality, using a Non-Judgemental and Fair approach. INTRODUCTION Reading through the information provided in Mr P’s case, I do feel that there are different ways to tackle the presenting …show more content…
After the loss of a central object, such people react with anger and bitterness, but, because such tactics are unlikely to be effective in restoring the object, they soon adopt the strategy of self-punishment, repentance, and guilt in an attempt to gain the object 's sympathy and love ultimately, restoring their sense of self-worth. The Control Perspective The control perspective on depression emphasizes life changing losses as a primary factor in the onset of depression due to an absence of contingency between behaviour and outcomes. Seligman (1975) argued on the relation between learned helplessness and depression which impacted on explaining depression. Although there have been many variations (e.g., Abramson, Seligman, & Teasdale, 1978; Klinger,1975; Wortman & Brehm, 1975), the general notion is that after experience with uncontrollable outcomes, the individual develops low expectancies for exerting control over later outcomes that could, in fact, be controlled producing a wide range of motivational, cognitive, and affective deficits that constitute the state of depression. . Kuiper, Derry, and MacDonald (1982) proposed that depression exerts a negative influence on a wide range of cognitive activities, including memory, inference, and perception with the depressive phase emerging gradually as the depressive
296.32 (F33.1) Major Depressive Disorder, recurrent episode, moderate severity, with anxious distress. Ms. Client meets eight of the nine diagnostic criteria for Major Depressive Disorder (MDD). Specifically, during several periods of time she experienced depressed mood, diminished interest in things she enjoyed to do, hypersomnia, psychomotor agitation, fatigue, feelings of worthlessness, decreased concentration, and suicidal thoughts without intent. Additionally, as Ms. Client expressed, these symptoms are source of continuing distress and interfere with her academics and social functioning. Also, her symptoms started four years prior to the psychological assessment and persisted intermittently since then, lasting for several weeks to several months, with the most recent period of extended length (enduring two weeks) approximately one year ago. Since the last episode she has experienced these symptoms for two to three days at a time. Although the last episode that met the criterion of two weeks duration occurred approximately a year ago, the symptoms have not disappeared, but they occur periodically since then and when they do, they cause considerable distress and impairment in functioning. Thus, the disorder cannot be coded as ‘in partial or full remission’. The specifier ‘with anxious distress’ was given, because Ms. Client reports feelings of difficulty in concentration because of worry and restlessness.
These three cognitive patterns, Beck argues, lead to the depressed mood, the loss of drive, the suicidal feelings and the increased dependency that are features of depression.
Conclusively, Seligman’s helplessness theory of depression needs further research and elaboration on human participants to show more adequate validity and utility in explaining the cause and persistence of
The intervention was effective by lowering Kelly’s depression level from 14 to normal range scale of 0-7. There are several strengths and weaknesses of the practice intervention and evaluation. Kelly attended three days in a week for a month intervention and it was effective to bring her depression level of 14 to 7 as a normal range. She was able to sleep in the night without being stressful. It indicated that the problem of high range of depression has been solved. Kelly has now recovered from depression. As a social worker, it provided evidence how to monitor client’s progress and downfall. The weaknesses are the therapeutic treatment that works for Kelly might not be exactly what will work for other clients. The threat to validity
The results of this study highlight the importance of setting person centered goals; addressing one of the most pressing treatment goals for clients and their families improved functioning and quality of life. The use of team- identified and client-identified problems assists in prioritizing and identifying targets. The use personalized treatment goals increase the clinical utility; by allowing for benefits that could be missed with standardized measures. The book defines clinical utility as the extent to which a technique benefits the clinician and the client in some meaningful way. The possible benefits of setting personalized goals in clinical practice go beyond the accurate effectiveness of psychotherapy, impacting its overall usefulness and client’s satisfaction.
The research question of this article, Updating Positive and Negative Stimuli in Working Memory in Depression, is based on the working memory (WM) is the key factors of cognition and emotion principles of the mind. In the study that was taken by Levens and Gotlib in 2010, was based on the ability to renew and undo information with the WM. As we know, WM only gives a limit access to certain components in the cognitive process. But how do depressed people process negative
Diagnosis, case conceptualization, and treatment plan are the main key points that includes all the contents and procedures needed in addressing the mental health issues of clients. The information provides directions on how to implement the best intervention plan for client. Diagnosis, case conceptualization, and treatment plan relates with one another in providing essential accurate detail about a client illness or other problems, where the information received helps in determining the next procedure to take in relationship to the client needs. Assessing the situation, by placing the primary needs or problem of the client as the number one focus of attention. With the knowledge obtained I can assist in improving the outcome of my future client,
Client A will benefit from Individual Therapy, Family Therapy, and Group Therapy. Client will attend a cognitive-behavioral group for individuals with Major Depressive Episode who have been victims of Depression. Client reports that he has not
During these periods the client is less able to cope with stress and this impacts greatly on them.
When asked, client expressed that her goal for treatment would be that her mother leaves her alone, and her father stops criticizing her. In order to attain client’s expected goal for treatment, the goal for treatment should be decreasing client’s depressive symptoms while creating clear boundaries with her family. To achieve the goal of treatment, the objectives of treatment are the following: The client will learn at least one coping skill to express her emotions of discomfort with her parents twice a week; the client will be assisted to build a list about which behaviors from her parents are appropriate or inappropriate to do with her; the client will be introduced to at least one community activity or resource that would allow client to spend time with her parents and brother; the client will learn at least one skill to use positive self talk; the client will increase the frequency of
How is depression established and sustained? When looking at the cognitive perspective on depressive disorders, depression is simply developed and maintained by a client’s way of learning, thinking, and problem solving. One study proposes that there are three qualifiers when looking at the relationship between cognitive processing and depression and they are as follows: “inhibitory processes and deficits in working memory, ruminative responses to negative mood states and negative life events, and the inability to use positive and rewarding stimuli to regulate negative mood” (Gotlib & Joormann, 2010). Depressive disorders and cognitive processing are uniquely intertwined. Cognitive theorists that study depression suggest that “people’s thoughts,
In this essay we plan to formulate the conceptualization of treatment for Erin, a client experiencing Severe Depression. Erin, 32 year old woman, educated, bright, and independently referred herself to the psychologist through the GP practice. She was previously employed as a GP part-time though now taking time off to raise her children.
Beck considered the self, environment, and future to be the cognitive triad. He theorized that these indications for depression can clarify the correlation between one 's interpretation of events, the trigger of negative self image, their environment, and the future ( McCleod, 2008). With a client that is depressed, negative thought
The client his counselor met for his 1x1 session discuss it client is on track with his treatment plan. The client has been on track and is working on his third step. The client as well has completed every treatment plan assignment that was given. The client has been in compliance with the program rules was well. The client continues to attend the family group meeting each with his girlfriend even though he does not speak up about any issues that she may haves issues with, however She comes and sits and listens and appears to be trying to understand what was happening with the client at that time. the client has phased up and now going on weekend passes . The client has been taking care of his legal issues , getting his ID, going to his
We do not know entirely how and to what extreme depression and working memory effect each other, but some promising research has shown that they do influence one another greatly. According to Owens, Koster, and Derakshan (2011), working memory has been shown to be affected by depression and primarily its ability to filter out irrelevant information from information relevant to goal directed behavior. As the irrelevant information takes up working memory capacity, the ability to recollect necessary information is hampered which leads to a cognitive deficit manifested in working memory impairment. The study can give us one of two conclusion, how depression affects the ability of the brain to filter out information or how the inability to efficiently filter out the irrelevant information, can predispose an individual to be at risk for depression; the study is not conclusive on this matter (Owens et al., 2011).