YP, a 38-year-old single Caucasian woman, presented to her primary care physician with symptoms of depression.
These symptoms included feelings of sadness, anhedonia, significant loss of energy, psychomotor retardation, recurrent suicidal ideation, and difficulty sleeping.
YP denied any significant medical issues and reported that these symptoms began when her romantic relationship of eight years ended a year ago.
She reported that these symptoms have been present for the last year, and have affected her ability to maintain relationships and function at work as a cashier.
As a result, YP is currently unemployed, and has become increasingly isolated.
Upon additional inquiries YP mentioned no prior psychiatric or pharmacological treatment for these symptoms and denied a history of depression or other psychiatric disorders.
After talking with YP about her medical history, which includes obesity and hypertension, the physician then ended the exam by discussing options for the diagnosis and treatment of depression.
Considering this information and the patient’s medical history, the physician recommended that YP undergo diagnostic testing for depression.
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Cognitive Behavioral Therapy (CBT) was developed by Aaron T. Beck in the 1960's to first reduce the symptoms associated with depression. The premise of this form of therapy is to help clients recognize negative thinking patterns and then perceive these thoughts as hypotheses, rather than accepting them as facts. This alternative thinking method can replace the original distorted depressing thoughts, create more self-efficacy, and balanced state of mental health. As an information processing model, clients are shown that it is not what they experience, but how they construe it which establishes their manifested behaviors. CBT in the management of depression has statistically proven to alter the brain's chemistry without medication ("Cognitive-Behavioral Therapy, " n.d.)....
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