Counselling Report on Depression

Topics: Psychotherapy, Therapy, Rational emotive behavior therapy Pages: 9 (2559 words) Published: September 27, 2010
Specialist Diploma In Counselling Psychology

Case Study

Mei Ling

Conceptualise the individual and presenting problem
Mei Ling is a thirty-three years old who works as a nurse in a busy surgical ward. She is married to Steven for fourteen years. She has two sons whom aged eleven and eight years old. Lately she begun to fear that Steven is having an affair and will leave her. Mei Ling had seen her general practitioner (GP) for lack of energy and vague gastrointestinal symptoms. But her medical examination result found no physical cause. Through discussion with the GP discovered she has been feelings of depression for the past four months. Mei Ling’s GP suggested her to seek counselling. During the counselling session, Mei Ling told the counselor she has been feeling “down” and “depressed” most of the time. She burst into tears frequently without knowing why. She finds difficult to motivate herself to go to work. She stopped going for most social activities. She felt “agitated” and “on edge” when she mixed with people as she had to pretend to be “happy” all the time. She felt short-tempered with her sons and did not feel strong enough to spend much time with them. Mei Ling is the eldest of four children. She has a sister and twin brothers. At the age of nine years old, her parents divorced. Mei Ling and her siblings moved to different home with her mother. Her father moved back to Malaysia where he is originally from. Her mother became “depressed” and withdraw emotionally from the children. Her mother remarried some years later. Mei Ling felt sad not seeing her father. She felt lonely in new home. She had to take care of her younger siblings and worried over her mother’s condition.

Developing a counselling relationship with Mei Ling using Person – Centered Therapy In the person-centered therapy, the relationship between Mei Ling and the counsellor must be well established. The counsellor must be to express and communicate herself clearly to Mei Ling. Counsellor must respect Mei Ling’s problems. Mei Ling must know that the counsellor is attempting to get into her internal frame of reference by thinking, feeling, and exploring with her. The counsellor experiences an unconditional positive regard for Mei Ling that is where Mei Ling will feel warmth, liking and the respect for the acceptance of what she is. The counsellor empathically understands Mei Ling’s internal frame of reference. In addition, the counsellor uses attending behavior such as eyes contact, learning forward, not crossing her arms and legs when talking or listening to Mei Ling’s problems.

The person-centered approach maintains that three core conditions provide a climate conducive to growth and therapeutic change. They contrast starkly with those conditions believed to be responsible for psychological disturbance. The core conditions are:- 1. Unconditional positive regard

This means that the counsellor accepts Mei Ling unconditionally and non - judgementally. Mei Ling is free to explore all thoughts and feelings, positive or negative, without danger of rejection or condemnation. Crucially, Mei Ling is free to explore and to express without having to do anything in particular or meet any particular standards of behaviour to “earn” positive regard from the counsellor.

2. Empathic understanding
This means that the counsellor accurately understands Mei Ling’s thoughts, feelings, and meanings from Mei Ling’s own perspective. When the counsellor perceives what the world is like from Mei Ling’s point of view, it demonstrates not only that that view has value, but also that Mei Ling is being accepted.

3. Congruence
This means that the counsellor is authentic and genuine. The counsellor does not present an aloof professional façade, but is present and transparent to Mei Ling. There is no air of authority or hidden knowledge, and Mei Ling does not have to speculate about what the counsellor is “really like”....
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