Sign In
Not register? Register Now!
Essay Available:
Pages:
5 pages/≈1375 words
Sources:
3 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Case Study
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 24.3
Topic:

Psychotherapy in Depression: The Case of Mark

Case Study Instructions:

Case Study
Mark, a 50-year-old man who came to see you reporting history of depression starting when his 2 nd marriage of 15 year ended. Mark was referred for treatment his primary care physician. HPI: Mark report history of recurrent depression, this time the symptoms have persisted without remission for 3 years. Mark is also an alcoholic. His early alcohol abuse had caused significant problems in Mark’s first marriage, which ended in divorce when he was in his early 20s; however, alcoholism is not a cause of current concern. He feels lost and alone. He reports history of treatment with medication and had also received talk therapy when his marriage was starting to deteriorate 4 years earlier. He stopped medication because it made him feel like a “zombie” and also discontinued attending talk-therapy after only a few sessions complaining that it was unfocused and lacked structure. Mark reported that he had had periods of depression for “as long as I can remember.” His parents fought constantly. Age 9 his father left the house abruptly while mark was in house have never seen him again. Mark blamed himself, believe his parents separation were because he was not worthy of his father’s love and since then he had a love-hate relationship with his mother. He describes his adolescence and adulthood as moody, reporting mood changes “I have periods when I’m able to function OK. I go to work and all that, but I’m never really happy.”
He complains of loss of pleasure in nearly all activities, excessive guilt, fatigue, difficulty concentrating, and occasional passive thoughts of death. Mark has no prior history of psychiatric hospitalization or suicide attempts. He admits to self-harmful behaviors in the past “I used to cut on my thighs where no one could see” Social hx: Mark is born and raised in California. He is an only child. He lived alone, although he had joint custody of his twin adolescent daughters; he and his ex-wife alternated parenting every other week. Mark had had a social network that revolved primarily around his former marriage, but he had been withdrawn from that network since his separation and divorce. Currently, he spent most of his time alone, with the exception of caring for his daughters. Mark was college educated and worked as an accountant for a local manufacturing company. He also wrote children’s stories and, prior to his most recent episode of depression, was working on a number of stories as a member of a local writer’s group.
What are Mark vulnerabilities (should be half page long)
What are his triggers (should be half page long)
What are his core believes? (Should be half page long)
What are his central feelings? (Should be half page long)
Differential diagnosis the diagnosis should be in F codes and should also be explained in full based on the DSM criteria
Main diagnosis
Coping strategies
Write a case conceptualization and overview on the Treatment plan, (Should be at least 2 pages -therapy based treatment e.g., session 1 of CBT, session 2 of CBT)
There should at least 3 references

Case Study Sample Content Preview:

Psychotherapy
Student’s Name
Institutional Affiliation
Course Code and Date
Instructor’s Name
Date
Psychotherapy
Depression is one of the mental disorders affecting many people across the world. The condition is characterized by a lack of pleasure in life activities and persistent sadness. The symptoms of depression vary from one person to another, depending on their level of depression. For instance, people with extreme depression tend to be suicidal, while those with mild depression are not. This paper will focus on Mark’s case of depression to identify a treatment plan based on his vulnerabilities, triggers, and coping strategies.
Mark’s Vulnerabilities
The main vulnerability of Mark is a parental discord that occurred when his father left. He claims that he has had depression since this time, indicating the impact of the parenting discord in Mark’s life. Mark’s marital discord is also another vulnerability because it has increased his chances of being depressed. The marital discord has ripped him off the social life that would prevent him from being alone. He also alternates parenting with the ex-wife every week, making him feel alone whenever the children are not around. Mark is an alcoholic, and this makes him more vulnerable to getting depression episodes. His childhood memories are also a vulnerability because he remembers having depression for the longest he can remember. He has expressed harmful behavior such as cutting himself on the thighs, making him more vulnerable to being depressed. His passive thoughts of death also put him at a higher risk of being depressed.
Mark’s Triggers
One of Mark’s triggers is the love-hate relations he has with his mother. He blames himself for the fact that their father left and never came back. His begging of depressive episodes began after his father left them. He has been alone since he was an only child, and this triggers his depression. He used to have a social network that came to an end after his divorce. Mark’s work is also a trigger for depression because he has lost pleasure in all activities, and the recent episode of depression occurred while he was working. Another trigger for Mark’s depression is alcohol. Although alcohol is considered not a cause of concern, it can cause an individual to relapse into depression. Alcohol enables an individual to experience extreme emotions. In the case of Mark, the alcohol would make him feel extreme sadness. Therefore, alcohol would increase his chances of being depressed.
Mark’s Core Beliefs
Mark’s core belief is that he is lost and alone. Mark is not alone because he alternates parenting every week with the ex-wife. This shows that the family is in the picture, and therefore, Mark only believes to be alone, yet he is not. Mark believes that the medication used to treat depression makes him feel like a “zombie.” Such medication aims to reduce the levels of depression in an individual, and the fact that he has quit taking them shows his negative beliefs about the treatment. Mark also believes that talk therapy lacks structure and is unfocused, yet it has been used over the years to manage depression. He also believes that h...
Updated on
Get the Whole Paper!
Not exactly what you need?
Do you need a custom essay? Order right now:
Order

You Might Also Like Other Topics Related to depression essays:

HIRE A WRITER FROM $11.95 / PAGE
ORDER WITH 15% DISCOUNT!
Order Now