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Case Study mental health

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Case Study mental health
Case Study:
Tom is 37 years old, self-employed and is suffering with depression. He doesn’t know why he has depression but can see the effects of it. It is impacting on his relationship with both his wife and children and he also finds it difficult developing and maintaining productive friendships. Tom is spending a lot of his time in bed. Getting out of bed and doing the essential things, such as work, proves difficult as motivation is lacking and this is now impeding his family financially. Tom no longer gets any joy out of life and is now wondering what the point of it is. Out of desperation Tom seeks help and finds he has different options that may help his depression:

The first port of call for most is their GP who will tend to lean towards the orthodox treatment. Orthodox means ‘conforming to traditional or generally accepted rules or beliefs’. Within the NHS the traditional, scientifically tried and tested, and thus orthodox, treatment is the biomedical one.

The biomedical treatment is a technique that involves medication or drugs primarily. In depression, and especially in cases of long-term depression, chemical imbalances may be involved and this treatment method may be necessary, the correct solution. The biological explanation is that depression is caused by insufficient levels of serotonin, dopamine and noradrenalin. Antidepressant drugs are used for the treatment of moderate to severe depression and are usually taken for the medium or long term. The two main types prescribed are Tricylics and Selective Serotonin Re-Uptake Inhibitors. Tricylic drugs prolong the mood-lifting effects of noradrenalin and serotonin by preventing re-absorption after they are released. It also means that the operation of the neurotransmitters are more efficient, easier and faster the, next time. Similarly, SSRIs such as fluoxetine block the re-absorption of serotonin but not noradrenaline, prolonging the feeling of excitement and lowering depression.

It should be



References: http://data.psych.udel.edu/abelcher/Shared%20Documents/5%20Psychotherapy%20and%20Preventive%20Intervention%20%2842%29/Hollon,%202006.pdf. Accessed 5/06/2015. http://www.sagepub.com/upm-data/66994_39347_978_1_84860_687_6.pdf. Accessed 5/06/2015. Coyne, J. Pepper, Flynn http://www.sagepub.com/upm-data/66994_39347_978_1_84860_687_6.pdf. Accessed 7/06/15. Simons, A. D., Murphy, G. E., Levine, J. L., & Wetzel, R. D. (1996). Cognitive therapy and pharmacotherapy for depression: Sustained im-provement over one year. Archives of General Psychiatry. P43–50.

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