Case Management and Program Development for Chronic Depression

RUNNING HEAD: MANAGEMENT 0
Case management& program development
Management
8/17/2019

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INTRODUCTION
This report shall deal with the issues faced by the client, who encountered chronic
depression in his early stage of adulthood. It focuses on the description of the client including
strengths and weaknesses, client’s family situation, who look after the client and his physical
and emotional state. It further discusses about complex support needs provided to the client
from time to time and what effects it had on the client. Further, how his state of well-being is
achieved through these support providers. Also, it includes the SMART goals required in
order to achieve the objectives.
BACKGROUND
The description of the client includes name i.e. Roger who is twenty-five years of age
who is very much short tempered and possessive in nature and whose major strength is
always adjusting with any kind of people and putting on a smiling face always. He is an
interactive person and is often seen as widely participative in community activities. He is
loved by everyone at his workplace, by friends and his family members and is also a social
worker. Roger’s family background is very complex as they have been very poor since he
was born. The family has six members’ mother, father, two younger siblings and Roger. The
client’s parent had to walk from door to doors to educate Roger which influenced his
childhood. The issue he is facing is sourced from his childhood days where he saw his family
earning hard and not having food in the house for days.
The family had limited relatives which failed to help and those who did asked for a
benefit in return. He has seen worst days when his family member fell ill and had no money
for treatment. The client also lost his grandfather due to lack of money and cursed himself for
years for not being a good son. He has been facing such dilemmas and had a habit of keeping

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those to his own. The family is looked by Roger alone as he is established and earning well
amount. The client is very emotional due to his early days struggle and his loss of girlfriend
last year in a road accident. The chronic depression he is facing is due to the continuous issue
in the client’s personal life and his habit of not sharing with any people around him. It’s said
that the more one talk the better they feel which is what wrong with the client (Renner,
Arnoud , Frenk , & Jill , Schema therapy for chronic depression: Results of a
multiple single case series, 2016). The habit of being alone, crying when no one is
watching, laughing in front of people and having a big heart fir everyone at the workplace
made him loved but it came with a lot of consequences.
Complex Support Needs
The client has been facing feeling of sadness and hopelessness from a long time. The
short-temperedness of the client is due to the bad phase his family had to go through and the
suffering they had to face. The irritation or frustration on small matters and loss of interest in
simple pleasures has gone off board (Jobst, Brakemeier, Anna , & Franz , 2016). The
client has been facing issues of lack of sleep and stays up late all night. The lack of energy
and change in appetite are some serious aspects which need to look upon (Bus, Molendijk,
Tendolkar, & Penninx, 2016). The client is also been facing anxiety and restlessness since
the loss of his love. Also, a constant feeling of worthlessness or a feeling of guilt is in his
eyes which were never in his hands. The sense of loneliness and feeling miserably unhappy
without any reason is the constant problem being faced (Schramm, Levente , Ingo , &
Josef Bailer, 2017). There are several signs of suicide in the ways he has been handling
things lately, the client has been showing or faking happiness but he has been struggling with
personal failures from a long time (Domes, Ines , Martina , & Alexandra , 2016).

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The support needs which can be provided is talking to the client he is facing, making
aware about depression as a medical situation and making him comfortable with the personal
flaws. Seeking help from a mental health provider or psychologist is the best thing to give the
client relief (Domes, Claus , & Markus , The effect of oxytocin on attention to
angry and happy faces in chronic depression, 2016). The feeling of giving him help
and supporting the client at any cost with the alertness of listening to all the worries of client
is the need of the hour. There are several therapies which needs to be taken at the right time
and shall give the client a sense of mental peace (Negele, Johannes , Lisa , & Marianne,
2015).
The proper care includes sticking with the treatment, willing to listen to the client,
giving of positive reinforcement, providing a lesser-stress environment. There also existence
of several organizations which comes forward to help these people (Laws, Michael J. ,
Aline , & Daniel , 2017). Awareness has to be acknowledged about depression like it can
happen at any stage and mostly seen in teens in early age of 20s or adulthood starting from
30s (Flink, Kirsi , Soili , & Virpi , 2018). The chronic mood and disorders of anxiety
begins in adulthood if there were anxiety issues at the time of childhood. Depression may not
occur individually but may come with other diseases as well such as diabetes, cancer, heart
disease and Parkinson’s disease (Cuijpers, Marcus , & Toshi , 2017).
Depression many a times makes conditions worse and may also arise as a side-effect
of other medications (Yu, Liu, Yong , Zi, & Jian, 2015). There are several types of
depression: major depression- these are those that interferes in day to day work of a person;
persistent depressive disorder- these are those which lasts for two years and are slightly less
severe; psychotic depression- these are those where person deals with depression adding to a
form of disturbance with reality; postpartum depression- these are kind which is faced by
women after giving birth to a child; Seasonal affective disorder- these are faced seasonally by