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Dawn's presenting problems, such as a sleep-related disorder and anxiety symptoms, it is possible that she may be diagnosed with a mild depression, or to use the DSM-V code, F32.0 Major depressive disorder, single episode, mild. Measured on the Ham-D scale of depression, Dawn's score will likely fall between 9-12 (Weissman, Markovitz & Klerman, 2007). However, monitoring Dawn over time will be necessary to see if the depression is recurrent.It is unclear when her "feeling stressed" about her grades began, exactly, or when her sleep patterns started to be disrupted. Therefore, if a DSM-V diagnosis is necessary, the F32.0 diagnosis is the most sensible for now. As Hayes, Pistorello & Levin (2012) also point out, the DSM diagnoses are limited in applicability and accuracy. They have "failed to give rise to functional diagnostic entities, which is a major goal of syndromal diagnosis," (p. 976). The process of diagnosis also occurs in the absence of theory. Theories like Acceptance and Commitment Therapy (ACT) offer "a unified model of behavior change applicable to human beings in general, not just those fitting certain diagnostic criteria," (Hayes, Pistorello & Levin, 2012, p. 978). ACT also avoids overreliance on diagnoses (Hayes & Lillis, 2012; Twohig, M.P., 2012).
In Dawn's case, Interpersonal Therapy (IPT) might be indicated due to the proven efficaciousness of the modality: deMello, Mari, Bacaltchuk & Neugebauer (2005) performed a meta-analysis and found...
75). IPT also offers a "time limited" method of helping Dawn, who may benefit from a targeted and brief approach. deMello, et al. (2005) also found that IPT proved more efficacious when treating depression versus cognitive behavioral therapies. Because IPT has proven results with depression specifically, it is recommended to proceed with Dawn's treatment using IPT.
Dawn's treatment plan within an IPT framework will begin with a brief explanation of the treatment and theory. The therapist can explain what depression is and why it is believed Dawn exhibits symptoms. Dawn's use of alcohol to fall asleep should not be viewed as a sign of substance abuse at this time; she only "discovered" her appreciation of alcohol's ability to relax her recently. The therapist's goal is to prevent Dawn's use of alcohol from becoming habituated, to impede the goals of therapy, or to lead to her reaching for other sleep aids that may contain opioids. All this should be told to Dawn immediately, and her responses solicited. Medication is contraindicated, not only because of the deMello, et al. (2005) study showing that IPT is more efficacious than medication, and does not lead to improved results when used concurrently with medication.
Reviewing Dawn's "interpersonal inventory," as…
client is a 28-year-old, recently divorced single mother with a six-year-old daughter. She is the primary caregiver, as the father lives out of state and visits every 6-8 weeks. The father pays no child support. The divorce was due to drug abuse and infidelity on the father's part. The client is limited in social support resources; her parents are restricted from babysitting the child because of a child molestation
Depression, Diabetes and Obesity This is a case study on a 58-year-old male, Mr. H.Y. who worked at a supermarket and is now retired. He has a supportive wife who works full time and children who are all independent .He has a history of smoking, but quit 10 years ago and drinks alcohol twice a week. He is obese and a known case of diabetes for one year. He has gained
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Postpartum depression or postnatal depression is a term that describes the occurrence of moderate to severe depression in a woman after she has given birth (although sometimes men are given this diagnosis when severe depression occurs after the birth of a child). This depression may occur soon after delivery and may linger up to a year or longer. In the majority of recognized cases the depression occurs within the first
It will focus discovering the treatment option, or combination of options that results in the lowest incidence of recidivism for the longest period following the treatment. It is difficult to predict future events, therefore the research will take a historical perspective on the problem. This study will compare recidivism rates for the four most common treatments used for pedophile offenders. It will only consider treatment for those that were convicted
Figure 1 portrays three of the scenes 20/20 presented March 15, 2010. Figure 1: Heather, Rachel, and Unnamed Girl in 20/20 Program (adapted from Stossel, 2010). Statement of the Problem For any individual, the death of a family member, friend, parent or sibling may often be overwhelming. For adolescents, the death of person close to them may prove much more traumatic as it can disrupt adolescent development. Diana Mahoney (2008), with the