Conceptualization Of Treatment For Erin

This essay will explore the counselling relationship along with the benefits and limitations as well as discussing other factors that have an important impact in relation to the outcome of counselling. Counselling is an interpersonal relationship between the client and qualified therapist, the relationship involves communicating with the client and using skills to explore the client's feelings. The counselling/ therapeutic relationship can be used in all types of counselling such as psychodynamic, humanistic, behavioural, person centred and cognitive therapy. As mental health disorders increase so does the need to deliver effective counselling, which means that the therapeutic relationship is more crucial than ever. (Miller, Hubble, Duncan and Wampold 2010; Norcross and Lambert 2011).

A major depressive episode is not a disorder in itself, but rather more of a description or symptoms of part of a disorder most often depressive disorder or bipolar. A person suffering from a major depressive episode must have a depressed mood or a loss of interest in daily activities consistently for a minimum of a two-week time span (Psych Central, 2013). In diagnosing the mood must reflect a change from the person’s normal mood. A person’s daily activities and functions, such as work, social routines and friends, education, family, and relationships must also have been negatively impacted by the change in their mood. A major depressive episode is also identified by presence of five or more of the following symptoms. The patient can show signs of significant weight loss or weight gain even not dieting or trying to lose or gain weight. The patient will also display a change in appetite almost everyday, either with an increase or a decrease in their normal eating habits. The weight change is typically set at an increase or decrease in weight of more than 5% per month. The patient will display a depressed mood almost the entire day and this sadness, emptiness, loneliness, crying, and distant is observed by others or indicted by the patient, is typically

“WHAT WILL A THERAPIST NEED TO CONSIDER WHEN PLANNING THE TREATMENT OF A DEPRESSED CLIENT?”

Based on the DSM-V (2013) diagnostic criteria Keisha experiences Persistent Depressive Disorder 300.4 (F34.1), recurrent, moderate, with early onset. The client experiences the following symptoms: depressed mood for most of the day, for more days than not, as indicated by either subjective accounts (e.g., feels sad, worthless and hopeless) or observation by others (e.g. appears sad, cries), for at least one year (she is an adolescent). In addition, while depressed, there is a presence of the following symptoms: the client experiences poor appetite, she is eating one or two meals per day and lost ten pounds in one year. Keisha also experiences hypersomnia nearly every day by sleeping twelve or more hours per night. The client reports low energy/fatigue very often, even though she is sleeping well during the night. During the one year period of disturbance, the individual has never been without the symptoms in criteria A and B for more than two months at a time. In addition, the criteria for a major depressive disorder has been continuously present for one year. There has never been a manic episode or a hypomanic episode, and criteria have never been met for cyclothymic disorder. Furthermore, the disturbance is not better explained by a persistent schizoaffective disorder, schizophrenia, delusional disorder, or other specified or

The practice that assist a therapist in determining a client diagnosis and the proper treatment plan that would resolve the issue surrounding the clinet’s diagnosis is Case Conceptualization and Treatment Planning. The clinet’s treatment plan must be appropriate and relational and this will alow any type of medication and adaptions to be adjusted if needed so that modifications and adaptations can be adjusted as needed (Altman, Briggs, Frankel, Gensler, and Pantone, 2002). The ultimate goal of case conceptualization and treatment planning is to discover complete findings in relation to the client. One approach is Existential Therapy. The human

This assignment is based on a scenario of a 45 year old man named John. He has been referred to the Mental Health Team by his General Practitioner (GP). This assignment will be covering different range of health needs and services that can be accessed. It will also identify other professionals who might be involved in John’s care as well as considering the impact of the health condition on his family. Furthermore a framework/model of care will be taken into consideration to show how it can promote effective communication and a partnership approach to a person-centred care.

Rationale: Jennifer has been presenting with symptoms for unspecified amount of time. Jennifer meets six of the criteria for symptoms being present during the same 2-week period and represents a change from previous functioning. Jennifer is depressed most of the day, nearly every day, has diminished interest in all or almost all activities most of the days, nearly every day, has fatigue or loss of energy nearly every day, feelings of worthlessness, and diminished ability to think or concentrate, is having recurrent thoughts of death, recurrent suicidal ideation without a specific plan. The symptoms have cause clinically significant distress or impairment in social, occupational, and other functioning areas. There is no know substance or medical condition and occurrence is not better explained by Schizophrenia Spectrum or Psychotic Disorders. Jennifer has never had a manic episode or a hypomanic episode. Possible family history of depression - mother.

Molly is a 29-year-old woman unemployed, living with her parents. She presents to the therapist looking sad, stark and exhausted with lethargic movements. She expresses concerns with feeling down for 2 ½ years after a job loss from an exciting IT career. She is unmarried and currently using marijuana regularly and moderate amounts of alcohol to cope with her sadness. She can no longer find pleasure in things, her mood can be described as depressed, and she has poor sleep hygiene, difficulties with concentration, no appetite, and no interest in sex. She also has concerns about feeling irritable and nervous. She has recently unintentionally lost 15lbs. While talking with the therapist she frequently is tearful. This is her first experience with a

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.

The Beck Depression Inventory is a 21 item test that looks to assess the depressive symptoms and severity of those symptoms in clients. There have been three versions of this test; BDI, BDI- 1A and the BDI-II. The questions are asked on a scale from 0-3 The test can be scored from a score of 0-63, with multiple ranges equating to different severities of depression. This test typically takes 10 minutes when self-administered and about 15 minutes when administered by interview. This is both good and bad.

Jane describes having heightened sense of self-importance, exaggerated positive outlook, significantly decreased need for sleep, increased speech, flight of ideas, impulsiveness, having ideas that move quickly from one subject to the next, poor concentration, has been easily distracted, has had increased activity level, excessive involvement in pleasurable activities, and excessive irritability. I would diagnose this as a manic episode, and along with the feelings of sadness or hopelessness, loss of interest in pleasurable activities, difficulty sleeping, loss of energy and constant lethargy, difficulty concentrating, negative thoughts about the future, weight loss, and beginning to think about suicide; this is a classic case of manic depression. Jane has gone back into a state of depression and continues to worsen. I did ask Jane if this was the first time this had ever happened, and while this was the first manic episode she ever had, she had experienced high levels of energy and irritability but not to the extreme extent that this has gotten to. I also asked if this was the first time she has had a major depressive episode. She told me that it was not her first, but it was the most severe. Jane explained that while she would have periods of sadness, it never became so bad that she wasn't able to get out of bed. I diagnosed this as series of hypomania and minor depressive episodes. If she had caught it earlier, we could have diagnosed it

The Beck Depression Inventory was based on depression symptoms that were self-rated/self-report. Participants responded to their frequency and intensity in their headache symptoms. This was based on a 4 point scale that ranged from 0 to 3. The total scores of the Beck Depression Inventory ranged from 0 to 63. The lower scores showed less depression and higher scores showed greater depression. (Eskin, Akyol, Yilmaz-Celik, Kadri-Gultekin, 2013, August, pp.

In this assignment am going to identify the services available for people suffering with depression in . I will also identify statutory and non-statutory services available to meet the needs of people experiencing depression; examine the contribution of different professional groups and support staff and their impact on inter-professional working. Identify the relationship between primary, secondary and tertiary service provision and a conclusion.

The Beck Depression Inventory is a self-administered test, administered in a group setting or individually, that measures the severity of depression symptoms and attitudes of depression (pg 1 of manual). The revised Beck Depression Inventory was specifically designed to assess the severity of depression in clinically diagnosed patients. However, the revised Beck Depression Inventory was not specifically developed to be used as a screening instrument in normal populations or to reflect any specific theory of depression. Although the BDI is oftentimes used for screening in normal populations, it should be used with caution because high BDI scores do not necessarily indicated depression. This provides an indication of the level of intensity a patient’s depression is for the past week including the day of administration for clinicians.

The Beck Depression Inventory-II is the revised version of the BDI. The revised version of the Beck, the BDI-II, represents a significant improvement over the