Roger is a 21 year old male; 3rd generation Hispanic American. University of Mississippi student-Senior in business. Low academic performance hence on academic probation - mandated for EDHE Signs of depression. Reported lack of appetite, weight loss, lack of sleep. No friends and doesn’t feel like making friends. Mentioned highlight of his week as EDHE group as he can have some social contact only then. Roger admitted that “I feel like a loser! Like there is nothing left for me!”
Beck’s Depression Inventory (BDI –II) To determine the presence, severity and depth of depression. The root cause of depression as Roger exhibits pessimism and sense of failure in his talks and confirmed being a loner and depressed since 2009. Basis –A (Kern) Understand the way client perceives himself. Client Contradicticts himself in his talks and actions. Explore problem solving strategies
Basis – A (Kern) 2nd Meeting Purpose explained to client 65 questions Self scored Dual scale (Life-style Themes & supporting scale - HELPS) Discussed the relevance of results Beck’s Depression Inventory (BDI –II) Roger was in my group after 2 months he requested to meet individually 4th Meeting 21 questions Explained the purpose and relevance to client
No medical/developmental or family psychiatric history found. Both parents and most family (extended) obese. Has reported depression and low self esteem admits being a loner and sad most of the times. Due to cultural differences has never approached anyone to talk.
Roger was the captain and a star player of his high school football team. He came to Ole Miss dreaming of getting into the football team but has not been contacted by the coach in spite of being promised. Grades deteriorated in Ole Miss due to feelings of failure. Feels less motivated and admits lack of focus. Believes can do well but not motivated enough and a pessimist.
Roger’s family has many financial problems. Older brother (22 years) is a drug addict and jobless and lives with parents. Roger was in a serious relationship but girl friend cheated on him. The first week at Ole Miss (2009) was asked to leave a fraternity party because of his ethnicity. Since then has been a loner has no friends in Oxford. Low –self esteem, very defensive about self and family and suspicious of others. Very worried about losing parents as both parents are over-weight. Dreams of being rich and buying parents a new home and new cars and giving them a good life at the same time scared might turn like brother or uncles who are addicts/jobless.
Basis – A (Kern) understand how childhood experiences influence current functioning and increases awareness and problem solving skills. Reliability and Validity has been established. Internal consistency on the five major scales yield alpha coefficients ranging from .82 to .87. Beck’s Depression Inventory (BDI –II) Highly reliable (Test retest) and valid (construct, content). Total of 21 items which correspond to give a single score.
Basis – A (Kern) Belonging social Interest (BSI) - perceives himself as co-operative and empathetic. Going Along (GA) - individualistic and independent and may be aggressive when stressed. Taking Charge (TC) - Focused and task-oriented, assertive and forceful. Wanting Recognition (WR)– comfortable when people respect and recognise success Being Cautious (BC)– very cautious and sensitive to cues from others and good at reading non verbals. Beck’s Depression Inventory (BDI –II) Total score 18 – mild depression.
Axis I:None Axis II: V71.09 – No Diagnosis Axis III: None Axis IV: Financial issues Graduation delayed due to low academic performance Dreams of being in the football team seem unachievable Trust issues with friends. Axis V: GAF score 65 (current)
Continue individual meetings but also encourage to come to group as that is the only social contact Grooming (haircut & shave) Maintain journal thoughts and feelings. Home work: Do two things that makes client happy, note down things client is grateful for in his life. Look back on past success’ (popular in high school) Discuss and monitor academic performance Confront irrational fears and contradictory thoughts and actions. Reflect feelings, meaning and unconditional positive regard, empathy and be multicultural sensitive. Encourage client to continue therapy.**Roger reported being motivated, positive and more confident in the last session, has had a haircut and shaved and has successfully done most of the home work given.
Beck, A. T., Steer, R. A. & Brown, G. K. (1996). Beck Depression Inventory-II. San Antonio, TX: Harcourt Brace. Beck, A.T., Ward, C., & Mendelson, M. (1961). Beck depression inventory (BDI). Arch Gen Psychiatry 4: 561– 571. Kern, R. (1998). BASIS-A interpretive key and guide for clinicians. Highlands, NC: TRT Associates, Inc. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders: DSM-IVTR. Washington, DC: American Psychiatric Association Curlette, W. L., Kern, R. M., & Wheeler, M. S. (1996). Uses and interpretations of scores on the BASIS-A Inventory. Individual Psychology, 52(2), 95-103.