Cynthia should accept cognitive test, and sincerely reveal her issue regarding the lack of sleep and hallucination
By the end of three months, the patient should know how manage factors that causes recurrent depression
The initial treatment steps for Cynthia involve evaluating her current state. The evaluation focuses on the type of mood and severity of her aggression. The approach to the treatment, in this case, is psychotherapy because of the signs and symptoms of depression and dysthymia. Besides, Cynthia needs a supportive environment for recovery. It is the role of the entire participant in the therapy session to establish supportive factors for Cynthias condition and provide a suitable environment throughout the therapy session.
Rationale for evidenced-based treatment
The cognitive behavioral approach suits Cynthia because of her changing situations. Cynthias conditions are not extreme because she is capable of performing some duties for both the family and herself. The cognitive behavioral approach is suitable for Cynthia because the therapist will handle the specific needs of the client. It is risky to utilize other approaches for the case of Cynthia because she may feel disrespect because of her changing mental conditions (Klein & Allmann, 2014). Cynthias case may take time to change because of her struggle to accept the reality. The therapy session needs to prolong and until Cynthia recovery fully. She needs care, support, and acceptance for her to realize the need for the therapy session.
A psychotherapy treatment has positive reviews from a different therapist because it focuses on the short term approaches (Klein & Allmann, 2014). Short-term goals are important because their results include restoring an individual to the normal life activities. The condition for Cynthia is dynamic because she has a history of dysthymia and depression. The recurring condition causes unhappiness in the life of the patient. In the Cynthia, the focus is on short-term goals to avoid destructors from the changing moods.
An alternative approach for psychotherapy suitable for Cynthia is group therapy to boost her confidence and to make her feel she is not the only person. Administering the treatment to a group is simply because the participants can help point some inconsistencies in the thinking modes of the patient.
The biopsychosocial approach for the case of Cynthia is appropriate because the causes of her problems relate to genetics, her psychological factors, and social ties. The knowledge of biology is imperative because the therapist can integrate the four dimensions of the biopsychosocial model (Bastian, et al., 2014). The four important dimensions in the process of the treatment include psychological, health, biomedical and the social dimension.
Cynthia does most of her duties at home. In this case, home-based treatment is imperative. The husband and the children are immediate environs and therefore the need to alter the relationship between the home environments to suit the needs of Cynthia. Cynthias psychological and social life of Cynthia matters in her treatments and therefore the husband has to support her fully to forget her past and to adopt positive thinking.
Cynthia needs antidepressants and helps her reduce the effect of dysthymia and recurring depressions. Earlier, Cynthia is reported for her symptoms such as lack of sleep and hallucinations. The two symptoms helped in ruling out the doubts regarding the existence of psychosis. Cynthia has not suffered from the suicidal thoughts and therefore she is not a victim of psychosis. The antidepressant medication has effects that need the understanding among the couples. For example, upon the start of the usage of antidepressants, it is possible that the patient will experience nausea, declined in orgasm and weight gain. The continuous medication for the dysthymia and recurrent depression require support to the victim (Bastian, et al., 2014). Cynthias husband needs to understand her during the term of medication and the variation in her emotional and mental changes because of the medications.
Dysthymia and depression affect the social life of an individual. For example, the patient becomes hallucinated and experience withdrawal from the daily duties. The moods of the patient keep changing and most of the time the patient is sad. The use of antidepressant helps the patient calm but it has effects on the health of the patients (Buszewicz et al., 2016). For example, the patient may experience swinging in moods and increased aggression.
The dysthymia and depression affect races differently. For example, the Hispanics are susceptible to depression because of many cases of drug abuse and busy schedules. Some communities exert pressure on the particular gender where women carry most of the family activities. The stannous daily chores cause stress among the women (Buszewicz et al., 2016). The continuous stressful working environment for women makes them susceptible to dysthymia and depression.
Bastian, B., Jetten, J., Hornsey, M. J., & Leknes, S. (2014). The positive consequences of pain: A biopsychosocial approach. Personality and Social Psychology Review, 18(3), 256-279.
Buszewicz, M., Griffin, M., McMahon, E. M., Walters, K., & King, M. (2016). Practice nurse-led proactive care for chronic depression in primary care: a randomised controlled trial. The British Journal of Psychiatry, 208(4), 374-380.
Klein, D. N., & Allmann, A. E. (2014). Course of depression: Persistence and recurrence
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