2. Describe how 2 therapy orientations would view and treat the disorder.
3. Describe which therapy would have the most effective approach (and why).
Case #1.
It takes Amy the greatest effort to get out of bed. During the day time, she is exhausted, but
when it’s time to sleep – she just can’t. She feels as if she is getting absolutely nothing done at
work and keeps wondering when the boss will discover how little she has accomplished. Her
wife does not understand; she keeps saying to "snap out of it." There are times, when she’s
alone, that life appears hopeless and meaningless.
1. Major depressive disorder. Amy shows a negative thinking with the inability to see
positive solutions. She is restless, and shows signs of exhaustion, and an inability to
focus, but also appears to be withdrawing from her wife and regular activities.
2. Psychotherapy and medications is probably the best treatment. Psychotherapy can help
Amy talk about her experiences and feel listened to gain insight on the thinking process
that leads to her depressed moods, explore the influences of past experiences to
present day stressors but also help Amy learn coping skills which can help decreases the
possibility of future depressive episodes. Medications will work to block certain
receptors in the brain, and allow Amy an “escape”
3. Psychotherapy and medication would both be effective for treatment. I think in this case
for Amy that medications would be more effective. They will work quicker to help relieve
her symptoms and give her back some control of her life.
Case #2.
Mark has constant worries that the vacation he has planned will not go according to plan. He
makes hundreds of to-do lists each day and often checks these lists to make sure they are
correct. When Mark is at work, he continuously reminds his colleagues of upcoming deadlines,
sometimes 15 or 20 times each day. He continues create lists of tasks for himself, so much that
it becomes deviant.
1. Obsessive compulsive disorder. Mark is obsessing over the to-do list that he makes, and
constantly reminding his colleagues of their deadlines. He shows the compulsion to
remind them up to 20 times a day.
2. Medication and cognitive behavioral therapy helps the obsession by changing the way
you think and behave. The idea is to replace negative thoughts with positive ones.
Medications and antidepressants. There are two groups of these. 1 group blocks the
reabsorption of serotonin in the brain’s receptor cells and the other group blocks the re-
uptake of both serotonin and norepinephrine.
3. Cognitive behavioral therapy is more effective because it will teach them how to change
the way they think and behave, along with replacing their negative thoughts with
positive thoughts.
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