For this project, I would like you to read through the following case vignette. I would like you to...

Question

For this project, I would like you to read through the following case vignette. I would like you to analyze the case and think about how you would work with the client in a counseling capacity. Think about how you would approach the case theoretically as well as what specific microskills you would use.

“Terry is a 28 year old single, African-American male. He is a government employee and was referred by his family physician for evaluation. He reports a 3 month history of worsening anxiety that is especially bad early in the morning. In describing this anxiety, Terry stated “I wake up at 3 in the morning and I can’t get back to sleep. My thoughts torment me.” He also reports decreased energy, inability to concentrate at his job, decreased appetite with a 10 pound weight loss, and suicidal ideation. “I feel so hopeless that suicide seems like an option.” When asked to expand on his emotions, Terry reported feeling confused by his emotions and frustrated that he couldn’t describe how he feels. He also states, “There is nothing in my life that I enjoy. There just doesn’t seem to be any meaning in my life.” He also indicated that he is highly dissatisfied with his lack of social relationships. Terry commented “People just don’t want to be around me. They walk all over me. I must make them hate me. I guess I am just a worthless piece of crap.” Terry also described a difficult relationship with his family. He reported that he feels “persecuted” by his family and that they argue frequently. He described a particularly difficult relationship with his father. Terry is tearful during evaluation. He lacks animation and his mood is quite depressed. He rarely makes eye contact with the interviewer. A thorough mental status exam revealed slowed thinking and no evidence of psychosis.

Terry reports experiencing two previous depressive periods, one in late adolescence and another during his senior year in college. During the latter episode, his symptoms were severe enough that he was unable to attend classes. “I almost failed that semester. I just did not see the point in going.” Both depressive episodes remitted in a few months without treatment; he “felt like normal” during remission. He denies drug abuse or use and has no medical problems. His family history is positive for depression in a paternal grandfather, and in his father, and he reports that a depressed uncle committed suicide about 10 years ago.”

I would like you to write a 6-8 page, typed, double spaced paper describing your theoretical approach with the client. In this discussion, please include information about the theory and empirical evidence that the theory works.

Taruna · Accepted Answer

7
Examination of Given Case Vignette and Cognitive Behavioral Therapy: An Overview 
	Name 
	Course 
	Date 
	Instructor 
Introduction
	The theoretical frameworks are designed for understanding the needs and expectations of clients in psychology. The experts pursue cases of clients in the light of available researches and then, they determine the course of action which is clinically driven (Gursky et al, 2016). In this context, studies related to depression are many and they have strong foundations laid over some basic principles. To define depressions, experts perceive it as some disorder in which, the suffering individual feels unable to take pleasure in any physical or mental activity, a sudden rise in the sadness, development of suicidal tendencies in extreme cases as well as a constant tiredness dominating the personality of client (Gursky et al, 2016).   In the given case of Terry, he clearly suffers from depression as extreme mood swings happen with him frequently. In his course of treatment, behavioral and cognitive therapies will be useful as they will help in monitoring not only his behavioral patterns but also cognitive therapy will be useful in creating healthy and positive environment to open him up to a large extent. 
Overview of the Case Vignette 
	At first, before determining the plan of psychological counseling, a formal understanding of the case is anticipated. Terry, the African American twenty eight years old male is suffering from depression. He shows symptoms of depression because he does not take interest in social activities. Rather, he is more like ‘to be hated’ by people around him. He has lost his confidence in work and in personal life as well. His confidence level is so low that he does not make eye contact while discussing his issue with the counselor. Twice in the past, he has suffered from depressive attacks out of which, when he was in college, he even decided to end his life. There is a family history of depression in Terry’s life; his grandfather and father both have already gone through the tough phase of depression. He seeks permanent cure of his problem. 
Terry’s Examination and Intervention through Cognitive Therapy
	The Diagnosis and Statistical Manual of Mental Disorders fixes some criteria to determine whether or not, someone is suffering from depression. There are some specific symptoms that must be present in the behavior of person for at least couple of weeks. There are mainly two kinds of depressive states; the mood based depression and anhedonia, a state when person lacks pleasure in physical activities (Roubal 2007). The other symptoms of depression include sleep disturbances, visible changes in the weight of the suffering person, lack of concentration, frustration, emotional disturbances, a sense of guilt or feeling worthlessness, retardation and recurring thoughts of death and suicide. 
	As per the symptoms mentions above in the manual, Terry shows prominent symptoms of severe state of depression. At first,

For this project, I would like you to read through the following case vignette. I would like you to analyze the case and think about how you would work with the client in a counseling capacity. Think...

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