Case study clinical example CBT: First session with a client with symptoms of depression (CBT model)
Case study example for use in teaching, aiming to demonstrate some of the triggers, thoughts, feelings and responses linked with problematic low mood. This section here represents the first 14 minutes of an initial therapy session, but in order to try and outline the vicious cycle, it moves faster than an average session might. The video features an actor playing the character of Lucy, but the dialogue is not scripted, and as such represents a natural therapeutic exchange. I myself am a qualified Clinical Psychologist, but would definitely not suggest that this is a perfect example of therapy!
This video was produced as a collaboration between the University of Leeds and Leeds Trinity University (Ricardo Barker).
21 Comments
– [00:18] 🩺 Lucy was referred by her GP due to feeling down recently and wanting to address it.
– [01:02] 🤔 Lucy's feelings of being down have worsened since her last visit to her GP.
– [02:09] 🏡 Lucy feels isolated and finds it hard to talk about her feelings with others.
– [03:30] 📚 Lucy's low mood began around the time of her exams and was compounded by her parents' marital problems.
– [05:15] 💔 Lucy feels guilty for not performing well academically and blames herself for her parents' issues.
– [07:19] 🛌 Lucy's mood has deteriorated, leading to a lack of motivation, difficulty attending lectures, and preference for staying in bed.
– [09:20] 😞 Lucy experiences negative thoughts, feeling unworthy and comparing herself unfavorably to others.
– [11:02] 😔 Lucy feels embarrassed discussing her emotions but acknowledges feeling sad, angry, and frustrated.
– [12:00] 😩 Physically, Lucy feels drained, lethargic, and experiences sleep problems.
– [12:23] 🔄 Lucy dwells on negative thoughts, leading to a cycle of feeling worse and then becoming emotionally numb.
This is a totally immersive experience vis-a-vis what it is like to come clean about depression. In the patient’s voice there is all the uncertainty of the disease. There are also allusions made to all the classic depression symptoms. Apathy, a lack of motivation, self-criticism, things spinning out of control, social withdrawal, etc., etc., been there and done that, and lots more.
I remember my uni showing this video.
I don't think it prepared me for the things I would hear in my first job (my first client was a convicted child sex offender).
Sorry for my English. I will try to best format what I’m feeling.
It’s relatable what I’ve seen in the video because I feel like depression is in me for many years now. Have I talked about it to my parents, friends or teachers? All three I could say and I ended up with them saying that it will be fine, deep talks about what I’m struggling or hell, idk what’s up with my life. Oh for my parents (in a good matter), I might’ve failed them in a academic matter since I went way downhill for my first year in college. For what I’m feeling throughout the day, it’s like two versions of me. Whenever no one is around, me (the real living me) is all act up in a “narcissist “ , or opposite I should say for heading through the pathway of my future. The other me is a version kind , sweet, and heartwarming who I see is willing to help anyone out. That version being myself.
I have friends that contacted me if I’m doing well or how I’m feeling. Im mad at myself for not responding to them back cause I don’t know I would feel. In addition, I don’t know how to carry a conversation cause how awkward I am.
Have I considered going to a therapist? Yes. But I just don’t know where to start and where anything could lead me. I want to help myself little by little but in other words , be back where I was. Stable and helping!🙃
how can this one be depressed when she speaks so articulately
Damn that depression I thought I was lazy
The therapist way of talking is so irritating! Sounds like … sounds like … and just repeating what the client is saying… as she already didn’t know whats going on … sounds like a parent than someone equal and understanding Maybe its just me but i would like much more dynamic conversation as friend would
Over cup of coffee
She looks a lot like Saoirse Ronan
Could you post the prescribed therapy in that case, pls ?
Thanks
individual family group marital therapies.
hail the lord !
It takes a lot of acceptance to even know that therapy is required.
I didn’t understand the young girl was an actress 😳, I’m 60 and still struggling with depression which may be lots of other things 🤔, I don’t understand but I’m starting CBT tomorrow and to be honest I’m dreading it……
I can’t understand my own thoughts let alone try to explain them to someone else , but I’m determined this time I will go through the pain of talking and feeling bad rather than avoiding it , or giving up because it stops the feelings.
Take care everyone going through life like this x
That counsellor would drive me mad with her softy- softy patronising voice.
Are we sure that girl hasn’t got any other stuff going tits up in her life?
I tried counselling once or twice. I ended up counselling them. sigh
Somebody watching??😎😎😎😎
🇱🇨🇮🇹🇱🇸🇧🇷🏴🇹🇴🇹🇬🇺🇲🇸🇻🇸🇳🇹🇳🇰🇮🇲🇱🇪🇺🇱🇾🇪🇺🇮🇪🇪🇪
EXACTLY HOW I FEEL.
❤
1:39 unconcerned question, 😒
oh hell no if I gotta talk like this so someone face to face then helllllll nawwwww
I do feel with the stress that comes with young people studying, educational settings or courses should have a mandatory short course to help boost mental strength. This is because young people need it, life is hard and they are juggling a lot and expected to do well. Hoping someone starts this initiative