Client Case

Presenting Issues

The client, a 29-year-old individual, sought therapy for persistent depression, which had recently been exacerbated by increasing anxiety symptoms.

Background Information

The client had been experiencing depression for several years, with symptoms including chronic sadness, low energy, and feelings of hopelessness. Recently, the client also began experiencing anxiety symptoms such as constant worry, restlessness, and difficulty concentrating. These combined issues were affecting the client's work performance and personal relationships.

Assessment

The initial assessment involved clinical interviews, standardized questionnaires for depression and anxiety, and behavioral observations. The therapist identified moderate to severe levels of depression and high levels of anxiety. The client's history of depression and recent onset of anxiety were closely examined.

Therapy Plan

Goals

1. Alleviate symptoms of depression and reduce anxiety levels.
2. Improve emotional regulation and develop healthy coping mechanisms, And Enhance overall quality of life and daily functioning.

Intervention Strategies

1. Cognitive-Behavioral Therapy (CBT) to challenge and change negative thought patterns contributing to depression and anxiety.
2. Relaxation techniques, such as deep breathing and progressive muscle relaxation, to manage physical symptoms of anxiety.
3. Establishing a regular exercise routine and promoting healthy sleep habits to improve overall well-being.

Frequency and Duration

Weekly 60-minutes therapy sessions for the first 7 months, with progress reviews every 1 month.

Results

1. The client reported a significant reduction in both depression and anxiety symptoms, leading to improved mood and increased energy levels.
2. Emotional regulation and coping strategies improved, enabling the client to handle stress more effectively.
3. Enhanced daily functioning and quality of life, with positive impacts on work performance and personal relationships.