Unit 5 Discussion

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How does Beverly describe her symptoms of her depression? In the video provided (Leuchter et al., 2001), the first symptom Beverly described feeling at 11 years old is not wanting to communicate with anyone. She described sitting in the dark feeling unloved and as if no one cared for her. This led her to withdraw from her family and friends and feel a sense of worthlessness. In adulthood, Beverly mentioned having crying episodes, one in specific lasting about 3 days which affected her ability to function at work. Beverly constantly felt down for no specific reason and had a loss of energy. She also described a loss of interest in doing things she regularly enjoyed, such as watching television. Beverly also described excessive sleeping as one of her depression symptoms, where all she would want to do was sleep her days away. What are some ways that people have responded to Beverly’s depression that made it harder for her to deal with her condition? Beverly hesitated telling her loved ones, or anyone around her, how she was feeling for fear of the typical response that it’s “nothing” and she should pull herself out of it. Beverly made the comparison between a physical illness, where others can visibly see a problem with you such as being unable to breathe if you have asthma, versus something going on with you mentally. She stated that since others are unable to see your thoughts and what you are feeling internally, they don’t seem to understand which translates to a lack of compassion. There was also mention of how depression is often interpreted as a weakness instead of what it really is, an illness. Beverly also described an instance where she was unable to refill her prescription for her medication due to insurance restrictions. A lack of access to affordable medical care contributed to her ability to deal with her condition. What are some of the most debilitating symptoms of depression, and how do those symptoms make it hard for someone with depression to seek help from a therapist? Some symptoms of depression include feeling sad, empty, and/or hopeless almost every day, hypersomnia, loss of energy, feelings of worthlessness, inability to think or concentrate, and constant thoughts of death or suicidal ideation (APA, 2022). An individual experiencing a depressed mood nearly every day with loss of energy may be unable to physically get out of bed to seek the help that they need. An inability to concentrate can result in getting distracted while trying to research how they can get help with their depression. When an individual is experiencing a sense of worthlessness and/or has recurring suicidal ideations, they may not be at a place mentally where they feel they are worth recovering or receiving help from someone, which reiterates their lack of reaching out for help. Symptoms of depression also impact individuals’ ability to function in social settings (APA, 2022), which takes away the possibility of friends and family noticing these symptoms in an individual and encouraging them to seek help. If you were Beverly’s therapist, would you conduct a suicide risk assessment? Why or why not? I would definitely conduct a suicide risk assessment for Beverly if I was her therapist. The most important reason to note is that “the possibility of suicidal behavior exists at all times during major depressive disorders” (APA, 2022). There is also an increased risk of suicide for individuals with a depressive illness, and women are more likely to have a suicide attempt in comparison to

men (APA, 2022). Beverly also reported feelings of worthlessness, which is associated with an increased risk for death by suicide (APA, 2022). If you were a therapist in this case, what therapeutic modality would you use to treat their disorder (e.g., cognitive-behavioral, person centered, family systems)? Use 1-2 scholarly sources to support your answer. If you have not taken a theories course, choose one theory from the above list and summary the articles: If I was a therapist in this case (Leuchter et al., 2001), I would utilize cognitive-behavioral therapy (CBT) to develop a treatment plan for Beverly. CBT utilizes behavioral activation, which helps the client understand how behaviors affect emotions, and interventions that fosters changes in the client’s belief system and cognitive restructuring (Sudak, 2012). CBT is shown to have a rate of success that is greater than or equal to that of medication in clients with mild, moderate, and sever major depressive episodes (Sudak, 2012). Clients who engage in CBT to treat their depression have a 61% chance at full recovery, compared to a 39% chance for those individuals who are only treated with medication (Sudak, 2012) References: Association, A. P. (2022). Diagnostic and Statistical Manual of Mental Disorders, Text Revision (DSM-5-TR) (5th ed.) Leuchter, A., Curran, J., McHugh, P., Strober, M., Khoshaba, D. (Academics). (2001). State of mind The human condition [Video]. Sage Knowledge. https://doi.org/10.4135/9781473956674 Sudak, D. M. (2012). Cognitive Behavioral Therapy for Depression. The Psychiatric Clinics of North America , 35(1), 99–110. https://doi.org/10.1016/j.psc.2011.10.001

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