Roger is a 21-year-old Hispanic American college student on academic probation who is exhibiting signs of depression like lack of appetite, sleep, and friends. Assessment tools determined he has mild depression and a personality focused on cooperation and empathy. Treatment goals include continuing therapy, maintaining a journal, focusing on past successes, and monitoring his academic and self-care. His last session showed increased motivation and confidence.
2. Roger is a 21 year old male; 3rd generation Hispanic
American.
University of Mississippi student-Senior in business.
Low academic performance hence on academic
probation - mandated for EDHE
Signs of depression.
Reported lack of appetite, weight loss, lack of sleep.
No friends and doesn’t feel like making friends.
Mentioned highlight of his week as EDHE group as he
can have some social contact only then.
Roger admitted that “I feel like a loser! Like there is
nothing left for me!”
3. Beck’s Depression Inventory (BDI –II)
To determine the presence, severity and depth of depression.
The root cause of depression as Roger exhibits pessimism and
sense of failure in his talks and confirmed being a loner and
depressed since 2009.
Basis –A (Kern)
Understand the way client perceives himself.
Client Contradicticts himself in his talks and actions.
Explore problem solving strategies
4. Basis – A (Kern)
2nd Meeting
Purpose explained to client
65 questions
Self scored
Dual scale (Life-style Themes & supporting scale - HELPS)
Discussed the relevance of results
Beck’s Depression Inventory (BDI –II)
Roger was in my group after 2 months he requested to meet
individually
4th Meeting
21 questions
Explained the purpose and relevance to client
5. No medical/developmental or family psychiatric history
found.
Both parents and most family (extended) obese.
Has reported depression and low self esteem admits being
a loner and sad most of the times.
Due to cultural differences has never approached anyone
to talk.
6. Roger was the captain and a star player of his high school
football team.
He came to Ole Miss dreaming of getting into the football
team but has not been contacted by the coach in spite of
being promised.
Grades deteriorated in Ole Miss due to feelings of failure.
Feels less motivated and admits lack of focus.
Believes can do well but not motivated enough and a
pessimist.
7. Roger’s family has many financial problems.
Older brother (22 years) is a drug addict and jobless and lives with
parents.
Roger was in a serious relationship but girl friend cheated on him.
The first week at Ole Miss (2009) was asked to leave a fraternity
party because of his ethnicity. Since then has been a loner has no
friends in Oxford.
Low –self esteem, very defensive about self and family and
suspicious of others. Very worried about losing parents as both
parents are over-weight.
Dreams of being rich and buying parents a new home and new cars
and giving them a good life at the same time scared might turn like
brother or uncles who are addicts/jobless.
8. Basis – A (Kern)
understand how childhood experiences influence current
functioning and increases awareness and problem solving
skills.
Reliability and Validity has been established. Internal
consistency on the five major scales yield alpha
coefficients ranging from .82 to .87.
Beck’s Depression Inventory (BDI –II)
Highly reliable (Test retest) and valid (construct, content).
Total of 21 items which correspond to give a single score.
9. Basis – A (Kern)
Belonging social Interest (BSI) - perceives himself as
co-operative and empathetic.
Going Along (GA) - individualistic and independent
and may be aggressive when stressed.
Taking Charge (TC) - Focused and task-oriented,
assertive and forceful.
Wanting Recognition (WR)– comfortable when people
respect and recognise success
Being Cautious (BC)– very cautious and sensitive to
cues from others and good at reading non verbal's.
Beck’s Depression Inventory (BDI –II)
Total score 18 – mild depression.
10. Axis I:None
Axis II: V71.09 – No Diagnosis
Axis III: None
Axis IV:
Financial issues
Graduation delayed due to low academic performance
Dreams of being in the football team seem unachievable
Trust issues with friends.
Axis V: GAF score 65 (current)
11. Continue individual meetings but also encourage to come
to group as that is the only social contact
Grooming (haircut & shave)
Maintain journal thoughts and feelings.
Home work: Do two things that makes client happy, note
down things client is grateful for in his life.
Look back on past success’ (popular in high school)
Discuss and monitor academic performance
Confront irrational fears and contradictory thoughts and
actions. Reflect feelings, meaning and unconditional
positive regard, empathy and be multicultural sensitive.
Encourage client to continue therapy.
**Roger reported being motivated, positive and more
confident in the last session, has had a haircut and shaved
and has successfully done most of the home work given.
12. Beck, A. T., Steer, R. A. & Brown, G. K. (1996). Beck
Depression Inventory-II. San Antonio, TX: Harcourt Brace.
Beck, A.T., Ward, C., & Mendelson, M. (1961). Beck
depression inventory (BDI). Arch Gen Psychiatry 4: 561–
571.
Kern, R. (1998). BASIS-A interpretive key and guide for
clinicians. Highlands, NC: TRT Associates, Inc.
American Psychiatric Association. (2000). Diagnostic and
statistical manual of mental disorders: DSM-IVTR.
Washington, DC: American Psychiatric Association
Curlette, W. L., Kern, R. M., & Wheeler, M. S. (1996). Uses
and interpretations of scores on the BASIS-A Inventory.
Individual Psychology, 52(2), 95-103.