Marital and Family Therapy

Category - Practice

You assess a client for treatment and she falls into a mood disorder. However, as treatment progresses, she does seem to show outward signs of depression. Instead, she appears upbeat and cheerful, despite the stories she’s told you. How does your hypothesis change now that you’ve been in therapy for a few weeks?
  1. She is in a context where she feels comfortable discussing her mood
  2. Ruling out your less severe diagnosis in favor of better treatment
  3. The client is only depressed when certain work obligations are not met
  4. The client feels the need to put on a front of strength and power
Explanation
Answer - A - While she may feel the need to put on a face of strength and power in the community, she certainly doesn’t feel that way with her therapist, who can see a clear and present mood disorder. Assuming that the diagnosis is correct, there is no need to rule out if you are on track with appropriate treatment, including assessment for context. Contextually, it could be that she does not feel comfortable discussing her mood in proximity to the community, so she brings her issues to your office, where things are progressing, even if slowly.
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