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The study demonstrates the case of a 45 year old man. He was brought to the psychiatry ward on account of depressive behavior;such as agitation, dryness of mouth, isolation, loss of appetite, loss of sleep, weight loss, lack of energy, loss of pleasure, feelings of worthlessness, deterioration from previous level of functioning,andinactivity. His symptoms fulfilled the DSM-IV-TR criteria of Major depressive Disorder (recurrent), and relational problems with primary support group (DSM-IV-TR, 2000). The recent episode triggered before thewedding of his daughter. He was assessed informally (withMental Status Examination and subjective rating on several depressive symptoms) and formally (withBeck depression Inventory, Hamilton Rating Scale, House Tree Person Test, and Rotter’s Incomplete Sentence Blank). These measures revealed severe depression, severe maladjustment, acute interpersonal conflict, suicidal ideation and feeling of loneliness. The intervention plan comprised of Cognitive Behavior Therapy (e.g., Cognitive Restructuring, Graded Task, Mastery and Pleasure Technique), physical exercise and family psycho education. The client showed marked improvement in his areas of dysfunctioning and significant decrease in severity of depression.
SyedaShahidaBatool . (2012) A Case Study of Major Depression: Conflict with Primary Support Group, Pakistan Journal of Social and Clinical Psychology, Volume 10, Issue 2.
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