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Presenting Problem Ms. W, a 34-year-old lady,…
Presenting Problem
Ms. W, a 34-year-old lady, came to the counseling clinic at her boyfriend’s urging. She explains that for as long as she can recall, she has suffered from chronic depression. She views life as hopeless and depressing.
Background Information
Ms. W., who has been divorced twice, suffers from persistent depression. She believes that life is a succession of hopelessness and devastation. She does not feel that therapy can assist her, and she has never sought counseling until her current boyfriend’s urging. She has never attempted suicide, but she occasionally experiences hypersomnia and an uncontrolled appetite. She is currently somewhat obese.
Family Information
Ms. W describes her relationship with her father as mixed. Ms. W and her brother were violently beaten with a belt until they reached puberty, and Ms. W’s father called her a “stupid slut” and a “waste of sperm” She believed that her father could only be polite, affectionate, and repentant while intoxicated. Ms. W. never understood her father’s thinking while he was intoxicated. She was unclear as to whether he was expressing sincere feelings or merely intoxicated. She was also cognizant of her father’s preference for her brother and remorse at having a second child. Her father died when she was 17.
Developmental and Social History
Ms. W had a sexual relationship with her uncle between the ages of 12 and 14. It was once or twice a week and evolved from sitting in his lab through masturbating and oral sex but his attempt at intercourse it ended, however, she eventually gave up due to his pleading, rationalizations, arguments, and threat of exposure. She was especially concerned about what her father would do if he found out. She felt remorse and guilt for not saying no to this. She never revealed her secrets to her parents.
Ms. W. married her first husband after high school graduation. Although she realized he was not the best candidate because he was considerably older than she was and had a poor employment history, she believed she could make it work with her husband and children. They were married for eight years and had two children, the first two of which were wonderful, but he gradually became physically and sexually abusive. Despite the efforts of her friends and agencies, she remained with her husband. She disliked their assistance and believed they were attempting to end her marriage. The eventual dissolution of her marriage occurred after her spouse was sentenced to prison. She now understands that she should have left him sooner.
Ms. W. met her second husband while working as a waitress in a small pub, and she later became a topless dancer when her second husband recommended it. She was humiliated, but she couldn’t resist him. He was verbally but not physically abusive. After two years, she divorced him.
Academic Information
She received an average grade in high school with no disciplinary or drug problems. Her high school counselor thought her academic performance was much below her ability, but she disagreed. She felt she deserved to be a C student because she was the best at it. She took some secretarial skill course in technical school but never utilized.
Assessment of Present Functioning
Ms. W. and her boyfriend have been together for more than two years, and she wants to marry him, but she has her suspicions that he is still in a relationship with his ex-girlfriend. Additionally, Ms. W frequently drives by boyfriend’s former residence to catch them together, even after she leaves the state. Once she discovered an old love letter, she became so depressed that she was unable to leave her bed for a week. However, she refused to discuss the letter with him and stayed depressed for some time.Ms. W is unable to comprehend why her boyfriend loves her, as she considers herself uninteresting and unattractive. She frequently does not like her time with him despite her anticipation of being together. She becomes despondent or anxious and requests to return home, which leaves her feeling extremely guilty. She is aware that this relationship would not exist without his persistence.
Question 1. What are her diagnosis
Question 2. What are her treatment Objective
Question 3. What are her Treatment Actability
