Existential therapy focuses

Julia is a 43-year old woman who produces that she never eff the feeling of happiness. She said that there argon received convictions when she had been feeling that her support is progressing well as compargond to other(a) times however she had never remembered feeling any mind of joy in her intact life. Julia said that most of the time she had of every time been pessimistic on everything new. She had never really believed that there was a man who is right for her and, app atomic number 18ntly, due to this nonion, she had remained single. It is really difficult for her to express am callment and Julia claims that she does not have the comprehend of humor.Often, she sighs she always has the sentiment of carrying on her shoulders the weight of the world. Julias has actually been diagnosed with a chronic weight problem. She has always been on a diet however, her weight has kept going up and d feature the scale. She says she has a bully guide for sleep however, at most time s she experiences insomnia and walks around all day feeling old-hat. Julia perceives that the charge for this is on her energy and its inveterate belittled level. She has always stressed up with what could have been rather open decisions.She claims that she loathed her being indecisive. There argon plurality who accused her of devoting 50% of her day with disagreements toward herself. Tracing back to her noble school days during her junior year, the guidance counselor advised her to work on her very low self-esteem. At her age right now, Julia feels that it is too late to change, and she had already accepted the fact that she will unceasingly catch unfulfilled and unhappy. Julia is reported to have been low-down from a mild and long-lasting form of notion classified as dysthymia.This suit of picture is also considered as a minor type of picture that is characterized by its long-term effects. With this, deal often suffer all throughout their lifetimes. Dysthymia is in g eneral identified in people who have experiences of its symptoms every day within two years and without great than two months span of having no symptoms. In adolescents and children, the principal symptom is dissimilar in comparison with the symptoms undergo by the adults. The adults initially experience extreme dingyness, while adolescents and children habitually manifest defiance and irritability.The children commonly lam to begin inferior in school specifically during the stage of first. Aside from the feeling of being depressed, the major(ip) symptoms should be prevalent in order to diagnose dysthymia which is overeating or poor appetite, oversleeping or problems sleeping, low self-esteem, low energy, poor concentration, feelings of hope littleness and difficulty in making decisions (Williams, Barrett & Oxman, 2004). The effect known as dysthymia has been known to happen upon two to three women for every man, and is perceived to be instigated during childhood and adoles cence stages.If this is leave untreated, the dysthymia will generally carry on throughout the life of a person. People who are diagnosed to have dysthymia frequently have other associated distracts wish a personality disorder, anxiety disorder or phobia (Williams, Barrett &Oxman, 2004). One of the most widespread psychological problems is depression it affects almost everybody in the die hard of the depression of a family member or personal experience. Every year more than 17 one million million million adults in the US experience a phase of clinical depression. The cost of human suffering is ineffectual to estimate.It give the bounce cause rub with the normal performance or functioning, and normally roots problems with family and cordial qualifying and with work as well. It jackpot cause extreme suffering and pain not only to those instantly moved(p) by the disorder, but as well as those who are concerned with their health and welfare. Moreso, heavy depression can actu ally destroy the life of a family and the entire life of the person suffering from depression (Williams, Barrett &Oxman, 2004). Depression has tremendous impact including extreme stimulated pain as it disrupts the millions lives of people, it unfavorably affects the lives of friends and families.Likewise, it reduces the absenteeism and productiveness of the individual at work and has considerably negative encompassing impact on the economy as well. Depression is considered a psychological condition which changes how a person feels and thinks and it also affects the persons sense of physical well-being and social behavior. People have all felt sadness at certain points of time however that is not considered depression. There are times that people have been feeling devolve from working too hard or are easily discouraged when facing very grave and complicated problems.Such situations are not also considered as depression. These kinds of feelings normally pass within a check of few days or a matter of weeks, by the time the people have become adjusted to the stress. However, if such feelings seem to be present, and have intensified and have began to cause interferences in school, family responsibilities or at work then this can be considered as depression. The reality lies that depression can affect almost anyone, having been identified, majority of the people diagnosed with the psychological problem of depression have been successful with their treatments.Unluckily, depression is commonly not diagnosed, for the reason that many of its symptoms imitate physical illness, like appetite disturbances and sleep. The recognition of depression is the initial step towards treatment (Williams, Barrett &Oxman, 2004). The type of depression the leaf node is suffering is the dysthymic disorder which is characterized by chronic depression, get out that it has a lesser amount of severity compared with a major depression. The crucial indication for dysthymic disorder is a n virtually every day depressed disposition for at least two years, although lacking the unavoidable criteria for the type of major depression.Sleep, disturbances in appetite, low self-esteem and low energy, are more often than not a variance of the medical representation as well. People who have been diagnosed with dysthymic disorder will frequently claim that they do not remember not having the feeling of depression however they may be sensibly efficient in the aspect of managing their lives, crimson though the indications are harsh enough to root interference and distress in their important role responsibilities in life.It is imperative to have an absolute material to outdo any physical illnesses that could possibly be causing the state of depression. In addition, if the affect person has a chronic medical condition which seems to be the major cause of the depression subsequently the accurate goal may be a mood disorder because of a serious medical condition, despite of coming together the criteria of a dysthymic disorder. The argument lies as to whether the condition is the root of depression instead of creating a distress which is chronically psychological in nature that has been the cause of depression.Regardless of the long term background of dysthymic disorder, the aid of psychotherapy is right-hand in order to reduce the indications of depression, and can assist the person in organizing their life more. There are people affected with dysthymic disorder who are able to respond well enough to medication with the use of antidepressants, aside from psychotherapy, an evaluation for the chosen medication is considered ideal as well, moreover consulting a psychologist is also needed (Adler, Irish & McLaughlin, 2004). There are many ways in order to identify dysthymic disorder.It is greatly associated with the changes in feeling, thought, physical well-being and behavior. In foothold of changes in feelings, a lot of people feel sad for no reason a t all. Some have reported that they are not enjoying things that most people enjoy. They are lacking of motivation and are on the run of getting indifferent. They usually are tired and have the feeling of slowing down. They are also irritable and are experiencing difficulty in unequivocal their temper, eventually it can lead to feelings of hopelessness and helplessness (Franklin, 1999).In terms of the changes in thinking majority of the people are experiencing extreme difficulty in decision making and concentration. There are also affected individuals who have been reported to be suffering with problems in terms of forgetting a lot of things most of the time and having short term memory. Thinking and thoughts of negativity are the major attributes of depression. Poor self-esteem, pessimism, self-criticism and excessive guilt are very much common and for some people affected with more serious type of depression usually have very self-destructive thoughts (Franklin, 1999).In terms of physical well-being, during depression, there are negative emotional feelings which are most of the time associated with negative physical emotions. Despite getting more sleep, chronic tiredness is also common. Most of the people have the difficulty to have normal and sound sleep, they usually stay awake for very long hours or are awaken from time to time, for some, and they sleep for longer hours, even much longer than usual and they still feel very tired.Most of them have also loss their appetite, they animadvert a lot on many pains and aches and they usually feel slowed because of the depression which they have been experiencing (Franklin, 1999). When it comes to behavior, the affected people feel more apathetic, simply because that is how they are feeling. They are also uncomfortable with the presence of other people and they have the plyency to withdraw themselves from society. They either eat more or eat less as a result of changes in appetite.They also cry excessively due to chronic sadness. funnily enough, they complain about anything and they usually manifest outbursts of temper and anger. On the extreme aspect, affected people usually display negligence on how they look and much worst is neglecting their hygiene and personal guardianship. They also tend to lose their sexual desires which leads to lack of sexual activities. As gees, a person suffering from depression is not doing much work, and what suffer are their household responsibilities and work productivity (Franklin, 1999).Based on the object relations theory, depression is due to problems which people have in terms of bugger offing the representations of healthy and sound relationships. It is an outcome of a constant fight which people who are depressed bear for them to try and sustain their emotional shock with their desired things. There are two types that such process can follow the introjective and anaclitic patterns. Although these terms are presently not used in the DSM, there a re healers which tend to associate them with dissimilar types of depression.Using the Adlerian Therapy as a mode of growth, it emphasizes an optimistic human nature view and that people have the chasteness on their own fate. People begin at a tender age in make their very own distinct lifestyle and such style remains reasonably unvarying all the way through their lives. People are motivated in terms of formulating and trimting their goals and how to deal the tasks and social interests in life. The therapist in this come on needs to compile the family history as much as they can, with these data, they can help the client to set goals and have the idea of the past performances of the client.This will help to scrap and encourage the clients. The focus of the therapist are to examine their lifestyles and the therapist will do his or her part to form a mutual trust and respect, together with the client, they will set goals and encouragement to help the client to reach the goal and the therapist can eventually give recommendations or suggestions as to how the client can achieve the goals (Psyweb. com, 2008). Carl Jung, on the other hand, thought that there is no therapist who can lead his clients moreover than he had gone himself.There is no such therapist who will be able to help a depressed people on the inner selves except they are incessantly struggling with their own cataleptic substance. The premise of the wounded healer is eternally valid and popular. It is archetypical. The thoughts and images which are emotionally charged have universal meanings. Existential therapy focuses on the freedom of choice in the endeavor to shape a persons life. It teaches one to be accountable in shaping his or her own life and also involves the need for self-awareness and determination.The individuality of each person shapes his or her own genuine personality which begins from the infancy stage. Existential therapy is cerebrate on both the present and future. The thera pist in this case guides and helps the client to realize the many possibilities which are in store for him in the future. The therapist will impose a challenge to the client for them to tell apart that they are responsible in what transpires within their lives. This kind of therapy is very much suitable in service of process clients make good dealings and wise choices in their lives (Psyweb.com, 2008). Gestalt therapy facilitates the integration of the mind and body factors, by core of stressing integration and awareness. The main goal of the gestalt therapy is the integration of thinking, behaving and feelings. The client is viewed as having the capability to be aware of how their precedent life influences may have been the factors which changed their lives. The client is guided to be aware of their responsibility in their own selves, to finish unfinished matters, how to avoid problems, in the awareness of now and to experience things in a irresponsible light.The therapist will take the role of helping their client to discover the awareness of each of the moments they experience in their life. They will challenge the client to gain the acceptance of their responsibilities in terms of taking care of themselves instead of relying to others. In this approach, the therapist can utilize confrontation, dialogues with polarities, or role playing to reach their set goals or by means of dream analysis. As such can improve treatment like marital or family therapy, crisis intervention, training, psychopathic disorders or children behavior problems (Psyweb.com, 2008). Rational-emotive therapy is a well fulfill-oriented approach which deals with the moral and cognitive state of the client. This kind of therapy emphasizes the ability of the client in terms of changing and thinking on their own. The therapist in the rational-emotive approach strongly believes that people are brought to the world, endowed with the ability if thinking rationally, but can as well become a victim of thinking irrationally. The therapist emphasizes the ability of the clients to think, take action and make sound judgments.Through which, the therapist will make use of direct therapy and it is also believed that irrational thinking and irrational behavior results to neurosis. Both the cognitive-behavioral and rational-emotive therapist perceives the problems of the clients are due to their childhood as well as their belief system, which was honed during the childhood phase. The therapy will consist of methods which involve dealing and solution behavior and emotional problems. The therapist will also help the client to eradicate their self-defeating outlooks and to teach them to rationally view their life (Psyweb.com, 2008). Most of the time, antidepressant medication is very much recommended for the depression of dysthymia. For client Julia in this case study, the approach of psychotherapy is the primary step to treatment. Initially, supportive counseling will help the a ffected person to facilitate the pain and therefore the feelings of hopelessness can be addressed. Next, cognitive therapy will be utilized to convert the unrealistic expectations, pessimistic ideas and critical evaluations that result to depression.It can help the depressed person to distinguish their problems as minor or critical, and such can help them accept life (HealthPlace. com, 2000). Then the therapy of problem solving follows to address the clients problems and later on use the behavioral therapy to help the client develop the skills of coping and to resolve their conflicts with their relationships, thus can be effective for the treatment of dysthymic disorder of depression. References Adler DA, Irish J & McLaughlin TJ. (2004). The work impact of dysthymia in a primary care population. Gen Hosp Psychiatry. Franklin, D.(1999). What is Depressive Disorder. Retrieved June 9, 2008 from http//www. psychologyinfo. com/depression/description. html. HealthPlace. com. (2000). Dys thymia (Minor Depression). Retrieved June 9, 2008 from http//www. healthyplace. com/communities/depression/dysthymia. asp. Psyweb. com. (2008). Psychotherapy. Retrieved June 9, 2008 from http//psyweb. com/Mdisord/MdisordADV/AdvPsych. jspRational-emotive%20Therapy. Williams JW Jr, Barrett J, & Oxman T. (2000). Treatment of dysthymia and minor depression in primary care A randomized controlled rill in older adults. JAMA.