PSYC 6104 DP 4-1

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PSYC 6104 - A Biopsychosocial Approach to Counselling 4.1: Focus on “Psych” – Practice with the Case of John John comes in for his first counselling session. John is 38 years old and has been with his partner for 12 years. They adopted two boys: one is four years old and the other is seven years old. John identifies as a Canadian male and his partner identifies as a Chinese male. John has three siblings, one older sister, and two younger brothers. His parents often compared him to his siblings and made sure he knew just how far short he had fallen in pleasing them. John remembers his father being distant and often not at home, usually working, and his mother drinking a lot until he was about twenty-two. When John and his partner decided to live together, John’s family somewhat accepted them as a couple. His partner’s family accepted John and the children; however, they disapprove of their son’s decision to be in this relationship with John. In your second session, John discloses that he is bisexual and perhaps he chose "the wrong sex" to be with. He finds his partner to be overbearing and controlling. John shares that he is sad a lot of the time, feels fatigued and could stay in bed most days. He sleeps over ten hours per day and has recently been missing work. John's colleagues at work view him as lazy based upon his ethnicity. John is dissatisfied with his relationship and is stuck with how to handle it. He does not know what he wants or what to do. What psychological issue stands out as potentially important in counselling when working with John? What would you address with John? Using Chapter 2 of Slay- Westbrook (2017), readings from Pinel and Barnes (2021), and readings from Shebib (2023), what possible issues of trauma, hurt, or grief may be uncovered and how would you be impacted personally? Please Note: Some of the language in this scenario is designed to cause you to think and question what the client is saying or how the client is being described. For example, John's expression of thinking that they are confused about their sexual orientation as perhaps being "the wrong sex" is how a client would express themself to you. Also, we use the pronouns "he, his, him" even though John has not provided personal pronouns. This is not in keeping with the proper way to express this however we want you to experience such language so you can determine how it triggers you and or perhaps how you would react to John. (https://apastyle.apa.org/style-grammar- guidelines/bias-free-language/sexual-orientation). Also, be aware of the description "Canadian Male", what does this cause you to think, and how might you need to explore what this actually means?

4.1 Discussion Post It is important to address John’s depressive-like symptoms so that they do not progressively get worse and descend into further feelings of hopelessness. With John sleeping over 10 hours per day, staying in bed for most of the day, and missing work, it seems like he is lacking motivation and interest for daily activities. According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) (American Psychiatric Association, 2022), major depressive disorder is characterized by persistent feelings of negative mood, sadness, and loss of interest in daily activities. John has shared that he is sad all the time and stays in bed for most of the day which is characteristic of major depressive disorder. This can be further accompanied by negative impacts towards appetite, sleep, energy, and cognition. Overall, depression can lead to lower quality of life and decreased productivity in different aspects of life, and we see this affecting John’s work life (Engel, 2018). These depressive symptoms can cause John distress or disability if they are not attended and make it increasingly difficult for him to meet essential requirements for his daily life (Khan Academy, 2014; Pinel & Barnes, 2021). References: American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text revision). Washington, D.C.: American Psychiatric Association. Engel, L., Chen, G., Richardson, J., & Mihalopoulos, C. (2018). The impact of depression on health-related quality of life and wellbeing: Identifying important dimensions and assessing their inclusion in multi-attribute utility instruments. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation , 27 (11), 2873–2884. https://doi.org/10.1007/s11136-018-1936-y Khan Academy (2014, October 24). Categories of mental disorders | behavior | MCAT | Khan Academy [Video]. YouTube. https://www.youtube.com/watch?v=yar47jvr7M8 Pinel, J. P. J., & Barnes, S. J. (2021). Biopsychology (11th ed.). Pearson Education.

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