Jackie, 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.
During 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.
Jackie 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.
Jackie 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 activities.
Jackie further explains that she wants relief from her depressive symptoms.