Major Depressive Disorder Tommy Brown Study

Psychology.

Presenting Problem

Demographic information entails examining family structures and person changes into and out of different kinds of households, known as family demography. In the family of TB, it constituted of 4 in number that is TB who was the father, the wife, and their two children who were boys. TB was 39 years, and the two children were 10 and 14 years respectively, whereas the wife’s age was not indicated. TB married his wife in 2010 and separated in 2018. Comparing the age of their children with the duration they are in a marriage means they used to have sexual affairs before they were married, since the age of their firstborn is more than the duration they have been in marriage. There is no information regarding whether the family of TB has a relationship with other family members. After their eight years in marriage, they separated and divorced for three years, after which afterward the client reconciled with his wife.

Regarding the employment history of the family of TB, he was working and could provide for the family well before the divorce. Until he started being involved in affairs, he could not provide for the family well. Financial issues lead to divorce (Pace, 2019), and most spouses separate and decide to let go of their aspirations simply because coping with financial hardship in marriage has taken its toll.

There was unfaithfulness about relevant legal problems with the use of finances.  TB started setting aside some of his pay in 2018 to have a separate budget for the staff he loved, leading to greater issues. The other legal problem was when TB was involved in an affair, a passionate and emotionally intense connection with someone who was not his wife; hence this led to a three-year separation.

The history of counseling started when the client was involved in affairs and could not provide for the family. The wife tried to seek advice for the sake of her husband. This continued towards their separation when the counseling could not make sense, even after the client separated from his wife. It continued after three years upon their reconciliation time and even afterward when they could not cope together.

According to the clients, the reasons for counseling are that separation counseling is done on an individualized basis in most cases. Regret, dread, worry, melancholy, sorrow, and humiliation are common sentiments experienced by TB and his wife, who went through a separation. Seeing a therapist provided TB and his wife with a goal and reasonable viewpoint and even the necessary tools to deal with the challenges of separation they had, like the affairs and finance. Separation counseling enables the client and his wife to understand themselves better and perceive the life change as an opportunity for individual development and growth (The Family enhancement, 2021). In addition, the client thought that he might be able to understand more about their private nature and qualities through counseling and understand more about what they want and seek from a marriage. The client thought that separation counseling is also beneficial to those separated since it will help them be best equipped to dissolve their marriage (Cherry, 2021) positively. A counselor can act as a facilitator and provide advice to guarantee that the separation is completed with the least amount of hate and emotional harm possible. The client may have peace upon ending their marriage after the reunion.

The onset of concern started when the client engaged in the affairs in 2018. Time did not elapse so much because, in the same year, they separated when the wife knew that her husband had affairs and could not provide financial needs of the house. About the Frequency and the intensity of the symptoms, depression is a significant mental health disease that makes it difficult for the client to keep functioning. However, its severity varies. Depression manifested itself to the client in a gentle, intense, and frequent way since he could not even have peace after they reunited with his wife. The client had even more severe symptoms and lasted longer than someone suffering from light depression even after the reunion.

The client wanted to improve peace despite being depressed so that he might understand what motivates his existence. It will also make him set goals, be happy, and provide peace and contentment in his depressing situation. It will also help him forget what he formerly considered significant yet only ruined his life.

Family structure.

About the family origin and role within, the client’s family created a place where they learned to be who they are. His family learned how to interact, process emotions, and meet their demands. The client’s family also influenced their attitudes and ideas when they were at peace and even after the family separated. The client’s family had roles within whereby they had ethical and excellent boys. They seemed to be high performers who were the family’s delight and went overboard to prevent seeming or feeling inferior. In addition, the client also tries to maintain harmony in the family structure. He seems to be a savior whereby even after their reunion, he still lacks peace and seeks to end their marriage to regain peace; thus, he seems to be in charge of the family’s emotional work to keep the peace.

The recurring and constant methods in which the client connected with and behaved towards his wife is known as a relationship pattern. All relationships are included, starting from when the TB met his spouse his friends, who helped him with advice for his family (Preparation 2021). These patterns emerge similar to how TB and his wife taught their children to learn their language. TB and the wife taught their boys how to interact with people directly. Regarding children, marriage, and divorce, the family of TB has two children who are boys of age 10 and 14, respectively. TB married his wife in 2010 and stayed with her for eight years. In 2018, TB was involved in affairs, and they separated the same year. TB was currently reunited with his wife in 2021, and he still has no peace. Seemingly he is going through depression.

About trauma and family loss of the client, it’s natural to experience significant physical or emotional responses in the aftermath of a traumatic occurrence when the family of TB started to have problems. A traumatic encounter in the client’s family threatened their safety and jeopardized their livelihood. As a result, the client endured severe emotional, mental, and bodily suffering, which interfered with his capacity to operate normally in his daily life, resulting in the family’s loss. Regarding family mental health history, the TB family discussed any illness or psychological problems that recur in the household and understood that the client started to have depression when they separated from the wife. The family Understood their family’s emotional health and medical history, which helped them plan for a brighter future by TB taking action to divorce his wife again after reuniting. Concerning family substance abuse history,  substance misuse influenced TB’s cultural past. The family might have been involved in using a substance that had many critical characteristics that negatively affected the psychology of those associated and resulted in health concerns such as depression or behavior problems as seen in the family of TB. The history of family violence started when TB was involved in affairs and could not provide funds to his family. It resulted in contagious domestic abuse, and the family of TB   tended to regurgitate what they already comprehended. It thus mistreated their two boys frequently to abuse since their parents were not on good terms.

The stages of development of the client’s family impacted their growth (Preparation, 2021), starting with forming a shared home that’s coupling, then having their firstborn, and then the last. It was followed by divorce when TB started to have affairs and later reunited after three years, making them not have peace. All these lead to development challenges starting with unfaithfulness between the couples and financial challenges in the family.

Multicultural considerations.

Concerning race or ethnicity, the client was of the black race; hence he belonged to the group of individuals connected because of their hereditary transmission or lineage (Meyer & Zane, 2013). Therefore, it is possible that their children were linked by their common culture, dialect, and history, amongst many other things. Therefore, the children had certain physical similarities, including skin pigmentation, facial structure, or facial features.

Regarding religion, the client was a Christian. It is significant because it served as the foundation for the ideals of the client’s family. As a result, it played a crucial function or was a powerful arm in determining the Christianity membership of the community members.  Christianity and the client’s family shared a relationship and borrowed from each other; for example, the function of religion Christianity in the client’s family differed depending on the setting. Christianity was valued in the family of TB and taught and trained the children on the particular line of faiths. The client had the capabilities to excel in providing for the family, and when he was involved in affairs, he started having a disability to provide for his family.

Moreover, it went viral when they separated, making her depressed; hence he could not soundly keep his family.  Regarding sexuality, it was about the client and his wife’s sexual sensations, perceptions, desires, and behaviors toward other people. After eight years, TB started to have sexual desires by being involved in affairs. When they separated, TB became depressed and had no thought of desire for his wife. 

Socially, the client and his wife were relating well before issues of affairs cropped up. Afterward, they were not socially well since the client was stressed and could not be at peace with his wife. Likewise to the economy, after TB was depressed, he could not normally work; hence their economic status was reduced. The client wanted to remain single to have peace as several military personnel are unmarried and do not have the desired family structure. Because the family of TB was involved in problems of separation and financial issues, the criminal justice unit was the main institution for dealing with sexual offenses and issues that affected the client’s family. Concern about geographical and environmental factors, a job environment, a household environment, or other factors impacted the family of TB and thus led to their separation. About experiences of oppression and marginalization in the client’s family, his wife felt to be treated unjustly so that TB could have affairs outside to profit after cheating her. This later turned to chaos leading to their separation.

Narrative summary.

In the family of TB, which constituted of 4 in number that is TB who was the father, the wife, and their two children who were boys. TB was 39 years, and the two children were 10 and 14 years respectively, whereas the wife’s age was not indicated. Initially, upon their marriage, they lived at peace for eight years. Upon the client being involved in affairs and failing to provide for the family, the problems started to crop up in the family. This led to separation for three years. The client became depressed and could not perform his functions normally. Afterward, I think the client got involved in counseling, enabling the client and his wife to understand themselves better and perceive life change as an opportunity for individual development and growth. Therefore, a counselor acted as a facilitator and provided advice to guarantee that the separation was completed with the least amount of hate and emotional harm possible. Depression is a significant mental health disease that makes it difficult for the client to keep functioning. They reunited, and the client still did not have peace. The client, therefore, requested another separation so that they may have peace.

As per my view, factors which contributed to the problems were that the client became unfaithful in using finances.  He started setting aside some of his pay in 2018 to have a separate budget for the staff he loved, leading to greater issues. The other factor was when TB got involved in an affair, a passionate and emotionally intense connection with someone who was not his wife; hence this led to a three-year separation. I think the reason for the client to behave like this was that he wanted to satisfy himself. This means it reached a point whereby he did not love his family. Afterward, the themes and patterns that emerged were separations. Most spouses separate and decide to let go of their aspirations simply because coping with financial hardship in marriage has taken its toll and when TB got involved in affairs.

In my thinking, barriers to growth and coping in the family were because he was in a gentle, intense, and frequent depression which made him have no peace even after they reunited with his wife. The client had even more severe symptoms and lasted longer than someone suffering from light depression even after the reunion. I also think that the strengths and signs of resilience were through counseling. Seeing a therapist provided TB and his wife with a goal and reasonable viewpoint and even the necessary tools to deal with the challenges of separation they had, like the affairs and finance. Separation counseling enabled the client and his wife to understand themselves better and perceive the life change as an opportunity for individual development and growth. In addition, the client thought that he might be able to understand more about their private nature and qualities through counseling and understand more about what they want and seek from a marriage.

DSM -5 Diagnosis.

 It involves acquiring information to better comprehend a client’s situation and combining it with information symptoms like excessive guilt, weight gain, loss of interest in the marriage, fatigue, and decreased concentration (American Psychiatric Association, 2019). It assisted public servants and other mental health professionals in better understanding the clients and directing the therapies based on data symptoms the client had after they divorced his wife. It also helped goal-setting, therapy planning, and establishing a client’s outlook after separating from his wife and having a major depressive disorder.