Jimena is a 13-year-old teenager who has been suffering from depression for the past three months. He isolates himself from everyone and therefore “reports feeling down”. She may feel happy, but it only lasts a few moments and she immediately returns to feeling depressed. He no longer indulges in his favorite hobbies, such as “playing the piano, spending time with his dog and going to the movies with his mother.” Jimena's depression caused her academic studies to worsen. Although Jimena sleeps well at night, she feels "really tired" every morning. Jimena's tiredness is affecting her daily duties. She tends to think and feel negatively about herself, "feelings of worthlessness and hopelessness." Someone suffering from depression tends to have suicidal thoughts and Jimena says “he has bad thoughts.” Jimena also experienced social anxiety. Jimena will only talk to certain people, such as her family members. If her mother forces her to talk to an unknown person, "Jimena will cry or get very angry and refuse." At school Jimena will try to avoid eating in the canteen, she says "she doesn't feel good anywhere". He is afraid of making friends with his classmates, saying that "they are all bad". When she finds herself in unfamiliar situations, where Jimena feels stared at, she reports “feeling bad.” Jimena's mother says these problems have been going on "for about three or four months." Someone with social anxiety disorder according to the DSM-5 must be around six months old. Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Obtain an original essay Diagnosis (DSM-5):1. Major Depressive Disorder Developmentally Relevant Concerns: Jimena has just entered adolescence, so some of her behaviors may be completely normal during her stage. As a young person becomes a teenager, they tend to become more independent. Most teenagers become a little rebellious towards their parents because they want more freedom. Teenagers tend to want their privacy and begin to detach from their parents. Therefore, in therapy it will be essential to explain to parents that it is normal for an adolescent to have these behaviors. I should keep in mind that teenagers can be moody and may not want to talk, so establishing rapport will be important. During adolescence, many of them experience new things at school, such as drama and breakups. Therefore, in therapy it will be appropriate to underline the importance of how to deal with these problems. Goals of therapy:1. Learn to express feelings to increase positivity on self-esteem and reduce the habit of isolating oneself in a room.2. Meditate for a few moments in each session, to relax and clear your mind.3. Start doing one activity at a time, such as his favorite hobbies and talking to friends.4. Create a plan to improve his school grades for academic success in the future. Course of Treatment: The first time Jimena arrived with her mother I tried to establish rapport. We talked about what she likes to do, her favorite movies and her hobbies. After establishing a good relationship with Jimena, I decided to talk to her mother about the importance of understanding adolescent behaviors. Also, I explained what major depressive disorder is and how to be there for your daughter. This included how to give her space, but at the same time let her know that he will always be there for her. During the first sessions I taught Jimena to meditate. Before starting each session, he meditated for a few moments to relax. The next step was to give Jimena a book in which she would write her feelings. At first Jimena thought this wouldn't help her and that it was a waste of time. I have them:.
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