Table of Contents
- Assessment of D.R and Signs of Depression he is Experiencing
- Questions I would ask D.R TO Conduct Further Assessment
- Treatments Offered and their Pros and Cons
- Cognitive Behavior Therapy
- The Major Areas of Cognitive Behavior Therapy I would Address When Seeing D.R are:
Assessment of D.R and Signs of Depression he is Experiencing
D.R can be said to be suffering from major depression based on his symptoms. This is because he feels depressed most of the time, and three times, he has tried to finish college in vain. One of the symptoms of major depressive disorder is the loss of interest in activities. This is precisely what D.R is experiencing as he does not have the motivation to go to college or engage in activities he previously liked, such as biking and hiking. Feelings of restlessness and sluggishness are also part of D.R’s symptoms as he is always in bed and never wants to perform any activities. D.R also feels worthless and guilty, and he still thinks that he has let his family down. He further has trouble concentrating hence the reason why he cannot pass his exams in college and gets failures. The fact that the government can no longer support his education may also be a significant contributor to his major depressive disorder.
Questions I would ask D.R TO Conduct Further Assessment
- What triggers you to leave college and not to go on with classes?
- How do you feel when doing your homework?
- Do you have trouble falling asleep?
- Do you always feel tired or lack energy?
- Do you ever feel suicidal?
- Have you ever thought about hurting yourself?
- Do you lose interest whenever you think of doing anything?
- How often do you feel bad about yourself or that you have let down other people?
Treatments Offered and their Pros and Cons
Continue Adding/Changing Antidepressants
|Will help improve mood||If not issued consistently may not help|
|Will help D.R to sleep better||Weight gain|
|Will increase D.R’s concentration||If taken with alcohol may worsen depression symptoms|
Adding Lithium to Medication Regime
|Reduction of anger||Nausea|
|Gets rid of any suicidal thoughts||Edema due to a lot of water intake (Vitagene, N.d)|
TMS (Transcranial Magnetic Stimulation)
|Improves depressive symptoms||Headache|
|Effective where other treatments may have failed||Discomfort in the scalp|
ECT (Electroconvulsive Therapy)
|Effective for treatment-resistant depression which fails to respond to other forms of treatment||Confusion|
|Reduces symptoms of severe depression||Loss of memory|
|May not work for everyone (Mayo Clinic, N.d)|
|Takes care of the whole person in terms of diet, therapy, and medication||If one does not stick to the treatment plan, it will not work|
|Greatly improves mood|
|One becomes active once again (Mayo Clinic, N.d)|
Based on the above tables of various treatment options for major depressive disorder, I would recommend the holistic approach. D.R is also suffering from feelings of guilt and worthlessness; hence, only giving him antidepressants will not work. He must undergo therapy too. The holistic approach is excellent as it will include medication, treatment, and D.R will further get advice on taking the right diet and exercising. The holistic approach therapy can also involve those close to D.R, and they can, therefore, be intentional about helping him to get out of depression since they will have understood what has been affecting him.
Steps Recommended for D.R
- Open up to his family about what he has been going through
- Open up to his roommates about how he feels
- Visit a psychologist with a family member and the roommate
- Attend therapy sessions both alone and with his family/roommate
- Be consistent with his medication by ordering earlier
- Be intentional about his diet and avoid foods which may trigger depressive symptoms
- Engage in exercise through previous activities he loved, such as hiking
- Involve his family/roommate in the recovery journey
- Stop taking alcohol and smoking
- Once well to go back to college but be aware of any depressive symptoms
Cognitive Behavior Therapy
The Major Areas of Cognitive Behavior Therapy I would Address When Seeing D.R are:
Coping with stress- D.R should learn to open up and not let life stress put him down. He should try and identify the issues that lead him to fail in school to tackle them. While in school, he should think of using the tutors provided in school and approaching his teachers and friends.
Managing Emotions- D.R should learn how to manage emotions and learn how to cope with situations. This will help him to cope better when he faces challenges.
Learn better ways to communicate-D.R should be more open to his roommates and family. This way, he can get support and help whenever he feels that he is getting into a depressive episode. They will also keep him in check when he goes for therapy; he should learn to be more open about everything.
- Mayo Clinic. (N.d). Electroconvulsive Therapy. Retrieved from https://www.mayoclinic.org/tests-procedures/electroconvulsive-therapy/about/pac-20393894
- Vitagene. (N.d). 5 Ways Lithium Impacts Your Depression. Retrieved from https://vitagene.com/blog/lithium-for-depression/