a 35-year-old Japanese-American woman, has recently felt depressed and
isolated. She reports that over the past three months she has had
frequent crying spells, trouble sleeping through the night, and
difficulty in finding pleasure in the activities she used to enjoy. A
few days ago, she visited her family doctor to rule out any underlying
physical or medical problems that may be causing her depressive
symptoms. None were found. Although some depressive symptoms were
observed, the physician did not feel they were notable enough to require
medication at the present time. The physician recommended that Jackie
seek counseling services to alleviate her symptoms. Hence, Jackie has
scheduled an appointment with you.
her intake session, Jackie reports feeling depressed and tired on most
days. After sustaining an injury to her right ankle eighteen months ago,
she became sedentary. This resulted in weight gain of approximately
twenty-five pounds. Although her ankle injury has healed, she no longer
engages in the physical activity of playing tennis that she once
enjoyed. She reports feeling out of shape and is reluctant to take up
the sport due to her added weight. She has lost contact with her friends
at the tennis club due to her lack of involvement in the sport and
reports feeling isolated.
works at a local home improvement store, a job she used to enjoy. Due
to her ankle injury, she no longer works at the cash register but is now
at a desk in the back room documenting inventory.
has two children: a daughter who is ten, and a son who is thirteen. She
had them when she was in her early twenties. Jackie reports that she
was once very involved with her children’s lives. However, now she has
limited energy and is rarely able to fully engage with them or their
Jackie further explains that she wants relief from her depressive symptoms.