The following is a case study of a male client, Jacob Terwilliger (Jake), suffering from a mood disorder, unspecified depressive disorder. Depressive disorder categorized unspecified is the experiencing of depressive symptoms without being able to completely fit the description of a specified depressive disorder. Individuals are usually diagnosed with the unspecified depressive disorder when the clinician does not specifically state the reasons why the individual does not meet the full criteria for a depressive disorder (LeMoult & Gotlib, 2014). The client was diagnosed and assessed with the goal of determining the distressful factors in their life. However, through psychotherapy, specifically talk therapy, this client illustrates a successful recovery. Patient Jake, overweight and ungroomed, is a nineteen-year-old male from a low socioeconomic environment. He is a calm man who loves baseball and tries to stay away from drama. He hopes to lose weight, and hopes to one day, have his own stable life with his own essential necessities (i.e., car, residence, and job.) At the age of thirteen, Jake 's father, who is a recovering alcoholic, had an affair with another woman, which he had a child with and left Jake’s mother. This left Jake’s mother alone to raise Jake and his younger brother. Jake was the oldest of the two brothers. After his father left, Jake felt obligated as a man of the house and the only male role model, to financially support his family. These difficult times
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“Oh, Jake, we could have had such a damned good time together.’ ‘Yes, Isn’t it pretty to think so?”. Their final discussion is right where they started in the back of a cab. Brett has just dug a hole even deeper into the abyss of disappointment that Brett has already given him. Jake has lost his masculinity in more ways than one. He has to live without Brett, and with his disability, denying him any chance at all with women. He has finally accepted the loveless relationship that has become of them, and will push forward knowing how it will never be.
Imagine being always on the run constantly. That is what Jake and Taylor Wilder feel present all the time throughout the whole book. The Author (Brandon Wallace) does an amazing job of creating this sense of uneasiness throughout the entire book. The Wilder boys have many problems arise throughout this book and it’s what they chose to do that brings them closer to failure. The Boys Jake and Taylor are ages 11 and 13. Jake being the older of the two and tyler the younger. Jake loves to read and is a kind older brother. I know this because on page 11 of the book he jumps in front of his little brother to protect him. Bull is their mom’s abusive and crime ridden boyfriend. Their mother can’t do much because she is always sick and in bed. Their real dad, Abe Wilder is a dreamer who left them to live off the land in wyoming.
Similarly, Jake keeps looking back in his past and resents the time's people have wronged him, particularly his father. The narrator states that “He [father] had a way of making it harder for me [Jake]” and how “always when I [Jake] was around him[father] I did things to make me ashamed”(35). So instead of learning from his past and his father’s shortcomings he latches onto them and does the same with his daughter and family. This demonstrates Jake’s unforgiving nature and how he has trouble accepting his former and current life. Throughout the story Jake is shown to be irresponsible as he spends his wife’s support check getting drunk, he constantly comments on everybody’s negative nature but never seems to embrace their positive side. He is heedless of his daughter’s life and is seen when he asks her how school is and she replies by saying that “It’s holidays”. Jake is an ironic character in the way that he doesn't like to communicate with people but he works as a salesman, he wants people to remember him but he keeps doing things that would make one forget him. Jake is very morose and has suicidal thoughts, one instance is when he thinks of his beer bottle as a gun. “His hand taking the gun to his mouth because he had nothing left to say and no reason to go on living”. Jake’s telephone symbolizes a choice, he can use the phone to reach out to people or have it disconnected which would mean him giving into his solitary life and perhaps commit suicide. But things seem to change when Jake has to save his drowning daughter’s life and he himself has a near death experience while trying to save her. This causes Jake to have an epiphany and rethink his approach to life, he decides that the time has come where he has to choose between hiding behind his telephone or using it to reach
How a counselor assesses a client with major depressive disorder, they must take note of the client’s severity level, variety of symptoms occurring, and the duration of symptoms. After gathering this information, an appropriate treatment plan can be developed that best suits the client’s needs. Broderick and Blewitt (2015), list the following as effective forms of treatments when working with young adults with MDD, “pharmacological, cognitive-behavioral (CBT), interpersonal (IPT), and mindfulness-based cognitive” (p.434). For example, a young adult who is experiencing a family relationship challenges can benefit from interpersonal therapy. In addition to experiencing relationship challenges, a counselor can recommend family counseling. Furthermore,
In Dad, Jake must learn to become independent and live, without relying on others. Jake’s failure to achieve autonomy is first seen by his relationship with Betty. Everyday Betty must wake up and dress Jake, even
At first, I saw this as equality in the boy’s lives. Yet as I read on and listened to more of their stories I realized how different the situations were. The first difference I realized was the reason why each of the fathers weren’t present. As the other Wes states, “Your father wasn’t there because he couldn’t be, my father wasn’t there because he chose not to be” (1). Though both boys grew up without fathers, how each boy’s family reacted made the huge difference. Wes’s older brother, Tony, appeared as a great role model. He was always encouraging his younger brother to continue on his education and avoid the path in life that he took. But as most say, actions speak louder than words. And with Tony being “a veteran of the drug game at eighteen”, he didn’t provide the best example for his little brother (57). On the other hand, the other Wes found his need for a male figure in his grandfather. What Wes didn’t realize was that he grandfather’s “strict” rules would ultimately pave the right path for
Jake is consciously aware that there is a problem, which is more than can be said about his friends. Perhaps the people that surround Jake are the issue, though. His close friends and the people whom he travels with include Lady Brett Ashley, Robert Cohn, Bill, and Mike. Brett, the target of Jake’s unrequited affections, is likely someone whom he should stop spending time with; however, it seems that he just can’t get away from her. She is a very strong and independent woman who isn’t known to behave in a traditionally feminine way. Jakes does remark that although she is very independent, “She can’t go anywhere alone.” Robert Cohn is a Jewish, wealthy expatriate; but unlike many of his friends, did not spend any time in the war. Cohn also falls head over heels in love with Brett, who soon rejects his affections as well. As a wealthy, Jewish, non war veteran Cohn stands out in the group and his fumbling attempts to court Brett are the source of much mockery and leads to many fights. Bill is also an American veteran who seems to be always drinking. He tends to use humor to try and deal with the emotional scars of war; however, is not immune to the immaturity and cruelty sometimes characterized by Jake and his friends. Finally, Mike is a very heavy drinking Scottish war veteran who is completely bankrupt. He is seen to have a terrible temper, which most often displays while he is drunk. Mike is also not comfortable with the
However, Jake is not married, nor does he live with a woman in Paris. The characters of the
The following essay is a case study of a client named John who is suffering from major depression and was sent to see me for treatment by his concerned wife. I will provide brief background information about John then further discuss interventions and strategies I believe can be applied in each session with my client in order to make John's life more manageable. In the essay, I will be writing as the therapist, and the sessions are based on a ten week period.
Also, when Jake was little, “I was a sickly kid, lousy at sports, anything physical, but he had a way of making it harder for me. Just stand there politely smiling at my attempts. He never laughed. Just that damn polite smile. And sometimes, now I remembered, not even that. He wasn’t always around when I tried my stunts; the day I finally made the hockey team and actually scored a goal.”(36). This paragraph tells how Edith doesn’t interact in Jake’s life, like what Jake is doing right now to Bernice. “ My trouble is I want to be remembered so much and yet I spend my time trying to forget.”(36). This line is when Jake notice that he needs to change himself and get into Bernice’s life more, he realizes that “That’s what my life is about these days; trying to forget. My wife. The kid. Mother. Everyone including the old
Because of this injury, Jake cannot be with the woman he loves- and this plot line serves as a catalyst for the larger and far more important theme about the American Dream - and chasing everything desired, but never truly being able to achieve these dreams to satiation.
In this case study Chip uses a leadership style of forcing and competing in order to meet his desired needs. This gives him the delusion of power and superiority both by using intimidation and condescending remarks coupled with situational abuse. These characteristics are the shark style of conflict and never questioning a leaders’ authority. If an opinion is desired it will be formulated and given to the other party. Chip manages his employees and associates with ridicule, put downs, and threats to obtain the desired objectives. An immediate reaction might be to fight fire with fire but there may be more to this case than the initial burn of a shark bite.
When Jane and Jake meet up to attend their son’s graduation, the two begin to have an affair. At the same time, she begins to fall in love with another man that she is seeing. Not knowing what she wants, Jane must decide whether she wants to rekindle her relationship with her ex or move on to the newer man in her life.