BANDALAN, Robie Mae S.

BSN-3A

Depression

Situation: Lucy has been experiencing low mood and symptoms of depression. She described
these to her GP, who referred her for psychological therapy. This is her first session.

1. Assessment
a. Depression mhGAP master chart assessment
i. For at least 2 weeks, has the person had at least 2 of the following core
depression symptoms: (applicable to the client)
1. Px has been experiencing low mood.
2. Px has low interest or pleasure in doing activities.
3. Px feeling down, sad & no motivation.
4. Px lived with her friends but she can’t talk to them.
i. During the last 2 weeks has the person had a least 3 other features of
depression: (applicable to the client)
a. Ideas of guilt and unworthiness
b. Px reduced concentration and attention in school
c. Px reduced self-esteem and self-confidence for herself.
ii. Does the person have difficulties carrying out usual work, school,
domestic, or social activities? Yes
iii. Does the person have bipolar disorders? No
iv. Does the person have depression with psychotic features (delusions,
hallucinations, stupor)? No
v. Concurrent conditions? None
vi. Person is female of childbearing age N/A
vii. Person is a child or an adolescent? Yes
2. Intervention
a. Cognitive Behavioural Therapy (CBT) – based on the idea that feelings are
affected by thinking and behaviour. CBT typically has a cognitive component
(helping the person develop the ability to identify and challenge unrealistic
negative thoughts) and a behavioural component.
• Identifying troubling situations or conditions
• Become aware of own thoughts, emotions, and beliefs about these problems.
• Identify negative or inaccurate thinking. 12:40
• Reshape negative or inaccurate thinking.
b. Family counselling or therapy - Family counselling or therapy should include the
person if feasible. It entails multiple (usually more than six) planned sessions
over a period of months. It should be delivered to individual families or groups of
families. It has supportive and educational or treatment functions. It often
BANDALAN, Robie Mae S. BSN-3A

includes negotiated problem-solving or crisis management work. This

therapeutic intervention will make recognize their relationship as a family since
according to the patient, her family is experiencing some marital conflict. By this
intervention, they can express their feelings and perceptions to one another.
Hence, their daughter or the patient’s perspective about their current situation.

3. Process Recording
Clinical Psychologist Patient Analysis
Verbal Nonverbal Verbal Nonverbal Themes Therapeutic
techniques
Hi Lucy, nice Sits in front Hi Quick smile Content: Establish
to meet you of the oriented to rapport.
patient in person
eye-level Interaction:
and smiles Greets the
px in a
pleasant
manner.
So I Has a pen Yeah I Smile, looks Content: Accepting,
understand in hand, thought I down, eyes Agreeing General
that you the should I’ve look and leads, Giving
referred notebook is been around. admitting information
here by your on the lap. feeling current
GP because Nods. quite bad situation.
you’ve been for quite Mood:
feeling quite while so I accepting
down thought Interaction:
recently maybe it’s Accepting
time to see and
someone voluntary
about it seeks for
because I help when
don’t want realizing her
to feel like current
this situation.
anymore
BANDALAN, Robie Mae S. BSN-3A

Okay so um Has a pen yeah Smile, looks Content: Giving

from your in hand, down, eyes Agreeing recognition
notes I saw the look and
that you saw notebook is around. admitting
the GP on the lap. current
about three Nods. situation.
months ago Mood:
accepting
And how Has a pen Quite a few Maintains Content: Seeking
long have in hand, months eye contact Explains information
you been the before that while current
feeling notebook is as well explaining. situation
down on the lap. actually but well.
altogether Nods. it’s gotten Mood:
pretty bad Calm.
these past Interaction:
few months Accepting
so that’s and
kind of why voluntary
I came seeks for
help when
realizing her
current
situation.
Okay so as it Has a pen Yeah Maintains Content: Verbalizing
got worse in hand, eye contact Agreeing the implied
since you the while and
saw your GP notebook is explaining. admitting
on the lap.
Nods.
Okay so tell Has a pen Well it kind Maintains Content: Broad
me how are in hand, of started eye contact Seeks openings,
things at the the just feeling while information Seeking
moment notebook is a bit low explaining. and the information
on the lap. and wound client starts
Nods. up about verbalizing
things but I her
don’t know perceptions.
BANDALAN, Robie Mae S. BSN-3A

just
recently I
just can’t
really be
bothered to
do anything
at all it kind
of find it
hard to get
motivated
for things
and I want
to be really
want to be
better but
it’s just kind
of reaching
the hem
now or I
just I want
to do
something
about it
Okay so you Has a pen Yeah Maintains Content: Reflecting,
said that in hand, eye Agreeing Restating,
you’re the contact. and
feeling really notebook is Nods. admitting
down really on the lap.
sad Nods.
And you feel Has a pen Yeah Laughs Content: Restating,
like you in hand, Agreeing encouraging
haven’t got the and expression
any notebook is admitting
motivation on the lap.
um but are Nods.
you okay
Okay and Has a pen Yeah I just Maintains Content: Exploring
you haven’t in hand, it’s kind of eye contact Seeks
BANDALAN, Robie Mae S. BSN-3A

got any the hard as well while information

motivation notebook is because explaining. and the
but it on the lap. there’s not Nods. client starts
sounds like Nods. really verbalizing
you’ve put anyone to her
quite a lot of talk about perceptions.
pressure on some it just
yourself to kind of stay
try and feel on my own
a bit better try to I
don’t like to
think about
it but
actually
So you say Has a pen Yeah no Maintains Content: Restating,
you’ve been in hand, one I can eye Agreeing Accepting
feeling quite the talk to contact. and
isolated notebook is about it Nods. admitting
there’s not on the lap. don’t listen
many Nods. I
people understand
around anyway

Okay so I’m Has a pen Yeah Nods. Content: Seeking

just going to in hand, Maintains Agreeing information,
try and find the eye and Exploring
out a little notebook is contact. admitting
bit more on the lap.
about you Nods.
so I
understand
that you’re
an English
student at
uni
And you live Has a pen Yeah I live Nods. Content: Seeking
away from in hand, here Maintains Agreeing information
home with the
BANDALAN, Robie Mae S. BSN-3A

some notebook is eye and

friends is on the lap. contact. admitting
that right Nods.
Okay so you Has a pen Yeah I Maintains Content: Verbalizing
don’t live far in hand, mean eye contact Agreeing the implied
from the uni the they’re while and
and but you notebook is lovely I get explaining. admitting.
say you feel on the lap. on really Nods. Client starts
like you live Nods. well with verbalizing
with your them but I her
friends but don’t know perceptions.
you don’t I just
feel like you recently
can talk to whenever
them they want
to go out or
stuff I just I
don’t want
to bring
them down
I can’t they
don’t
understand
what I’m
going to
they kind of
I didn’t they
didn’t make
fun of how I
feel but you
don’t really
understand
what it’s
like I don’t
want to go
out with
them and
bring them
BANDALAN, Robie Mae S. BSN-3A

down or
stuff
Okay so it Has a pen I guess I Maintains Content: Translating
sounds do in hand, mean it’s eye contact Client starts into feelings,
you try and the easier to while verbalizing Verbalizing
hide the notebook is hide it than explaining. her the implied
way you’re on the lap. to try to Nods. perceptions.
feeling from Nods. explain it all
them the time no
one really
wants to
know
Okay so it Has a pen No I don’t Maintains Content: Restating,
sounds like in hand, really talk eye contact Client starts Summarizing,
you’ve been the to my while verbalizing Verbalizing
feeling notebook is parents explaining. her the implied
down you’ve on the lap. about perceptions.
been feeling Nods. either so
unmotivated it’s kind of
and you feel hard
like you
want to be
better but
actually it
sounds like
you can’t
reach out
for help you
can’t speak
to anybody
Okay I’m Has a pen Yeah um I Maintains Content: Placing event
just going to in hand, guess it eye contact Agreeing in time or
go back in the kind of while and sequence,
time notebook is started explaining. admitting. seeking
another on the lap. when I was Nods. Client starts information
suppose I’m Nods. actually verbalizing
just when I was her
wondering revising for perceptions.
BANDALAN, Robie Mae S. BSN-3A

when did all my exams

of this start um I guess
you said it’s the stress I
been going put a lot of
on for quite stress on
a few myself I
months think I’ve
always
wanted to
do well for
me and I
guess my
parents so
the stress
of exams
and it was
also kind of
hard
because my
parents
were going
through a
little bit a
troubled
time limit
so