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timer Asked: Nov 11th, 2016

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Need 2-3 paragraphs

A case study presented by Cara and MacRae (2013) illustrates a client whom is presenting symptoms and behaviors of depression. The client Lizzie demonstrates negative thoughts, emotional distress, low self-esteem and self-concept, which are all body functions that interfere with daily functioning. Moreover, Lizzie’s ability to participate in social activities and to make decisions is impaired therefore negatively impacting her social and decision-making skills. Additionally, Lizzie’s behavior has led to isolation due to avoidance from people around her, as most of her interaction is based on negative thoughts. As a result, Lizzie became more depressed and hopeless of getting better (Cara & MacRae, 2013).

Lizzie would benefit most from OT interventions that are focused on group activities to improve social interaction and decrease isolation. Continually, Cara and MacRae (2013) suggested that short and accomplishable tasks are best for Lizzie to perform in order to avoid disappointment and enhance self-efficacy that can ultimately lead to increased occupational performance. In addition, Lizzie displays negative thoughts and behaviors that interfere with her everyday life, therefore creating a behavioral to do list would help Lizzie remain aware of negative thoughts in order to facilitate correcting these (Cara & MacRae, 2013). Furthermore, according to Manicavasagar, Perich and Parker (2012) cognitive therapy can reduce the negative thoughts relate to depression. These thoughts are known as automatic thoughts, meaning they occur without a conscious effort. With cognitive therapy, Lizzie can learn to recognize and correct negative automatic thoughts. The fundamental assumption is that a thought precedes a mood; therefore, learning to substitute healthy thoughts for negative thoughts will improve Lizzie’s mood, self-concept, behavior, and physical state (Manicavasagar, Perich & Parker, 2012).

A study conducted by Jakobsen, Hansen, Storebø, Simonsen and Gluud (2011) explained that cognitive therapy is an effective treatment for depression and is comparable in effectiveness to antidepressants and interpersonal or psychodynamic therapy. The combination of cognitive therapy and antidepressants has been shown to effectively manage severe or chronic depression. Cognitive therapy also has proven to be beneficial in treating patients who have only a partial response to adequate antidepressant therapy. Evidence exemplified that cognitive therapy can reduce relapse rates in patients with depression and is also effective for adolescents with depression (Jakobsen, Hansen, Storebø, Simonsen & Gluud, 2011).

3-4 paragraphs please

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