In Treatment: Symptoms And Diagnosis
Introduction
The TV show “In Treatment”, season three, shows a psychologist, Paul Weston, trying to help a client that moved to America with his son and daughter-in-law The client, Sunil, is a 52-year old male from Calcutta, India. Sunil was a math teacher in India and retired early. Once his wife passed away, he moved to America to live with his son, Arun, and his daughter-in-law Julia.
Sunil appears apathetic and displays some flat affect during the episodes. My initial thought was that Sunil seems very distant and less interactive with Julia, but, will interact with his son Arun. In fact, I think he feels as if Julia is not the right wife for his son. Reason being, he mentioned during the episode how Julia practically changed the pronunciation …show more content…
of his son’s name to sound more American. I thought, perhaps, Sunil does not like living in the home with Arun and Julia because of how Julia treats his son.
After the first couple of minutes of the episode, I can tell that Sunil only tolerates Julia and does not too much care for her. What really stood out to me is how Sunil communicates with his son in the Hindi language when Julia talks. There have been times where Sunil will answer in English, but at times, he chooses when to talk Hindi. It almost seems as if he does not want Julia to know what he is saying.
Components of what has lead the client (or client’s family) to seek treatment Julia and Arun brought Sunil in for treatment. They voiced that Sunil has not had an appetite to eat or left the house in two weeks. They mentioned that Sunil is becoming rude towards the family, not sleeping, not taking care of his personal hygiene such as showering, or getting out of his bed before noon. Julia expressed frustration that it has been six months since the death of her mother-in-law and Sunil does not seem to be getting over it.
Being that Sunil appears apathetic, only eats candy instead of food, has been grieving for six months due to the lost of his wife, shows signs of depression, does not interact socially, does not leave the house, stays in bed, and does not shower, he has major mood depression and possibly adjustment disorder.
These symptoms have been occurring for months.
According to the DSM V, for a person to be diagnosed with a Major Depression Disorder, the depressive episode must be present for at least two weeks and causing distress and/or severely impacting daily life areas. The symptoms should include weight gain, weight loss, or appetite disturbance, anhedonia, sleep disturbance, psychomotor agitation, diminished thinking or concentrating, depressed mood and etc. To add, according to the DSM V, for a person to be diagnosed with Adjustment Disorder, the individual must present emotional or behavioral symptoms responding to stressors that occur within three months. The criteria will include distress with expected reactions to the specific stressor or stressors.
In regards to Sunil being depressed most of the day, being rude to his family, lack of interacting socially, not eating, not showering, and not getting out of bed is what led me to provide the diagnosis of a major depressive disorder and adjustment disorder.
Primary …show more content…
issue
According to my observations while watching “In Treatment”, the main problem with Sunil is that he is severely depressed and is not coping with the loss of his wife. With help from the psychologist and his family for support, this problem can be fixed. Sunil will receive some coping skills and perhaps some medication may be prescribed. Sunil will soon be able to go back to his daily activities, being social with others, bathing, eating, sleeping, and adjusting to the changes that have happened in his life.
Julia and Arun realized that it has been six months that Sunil has been experiencing depression, adjustment issues and that it seems to be getting worst. They decided that they should seek help for Sunil. Sunil is aware that he does not eat anything nutritional. Instead, he prefers to eat candy. The major events that lead up to the first session are that Sunil has been depressed for months, have not eaten, have not showered and have not left the house in two weeks.
History
The problems with Sunil started to occur five months ago when he moved in with his son and daughter-in-law. This problem has been a long-standing unresolved problem that Sunil has been experiencing. The main problem is that Sunil has been depressed for over five months and it is affecting his daily life activities. According to Sunil’s son and daughter-in-law, Sunil has been dealing with his depression over the past five to six months. This problem is a recent problem that has not successfully been solved. The most significant problem is that Sunil is not participating in daily life activities because he is suffering from Adjustment Disorder with Depression.
Duration
Sunil’s depression has been an active part of his life for five months. There have been various phases that his depression has affected Sunil’s life. The more depressed Sunil became, he would stop eating nutritious food. Instead, he would eat candy and smoke. To add, he will not leave his room and would have either Julia or Arun run errands for him. It has even got to the point where his grandchildren will beg him to take showers. Sunil has attempted to sleep, but mentioned that he wakes up aching every time he goes to sleep.
Frequency
Sunil problem is very frequent.
Sunil showed signs of adjustment disorder five months ago when he moved in with his son and daughter-in-law. In addition to adjusting, he experiences depression. His depression is often. Every day, Sunil shows signs of depression and not wanting to get out of bed.
Antecedents
Sunil explains to the psychologist what his life was like prior to moving to New York to live with his son and daughter-in-law. Sunil voices that he has been a smoker since he was at his University. He also mentioned that his wife died six months ago. Sunil describes the Hinduism death to the psychologist. Sunil voiced that his wife was in her wedding clothes and then was cremated. Sunil’s wife died due to Congestive Heart Failure and her body responded badly to the procedure. Sunil carries a notebook with his wife photo inside. He mentioned that he usually writes about his day in that notebook as well. Consequences
After the problem occurs, Sunil’s daughter-in-law and his son brought him in for treatment. They are unsure of what else to do for him or how to help him. Julia thinks since her mother-in-law’s death, that Sunil has been declining and is not sure what will happen to
Sunil.
Client Competences
One of Sunil’s motivation and/or strength appears to be his notebook. In his notebook, he keeps a photo of his wife and writes about his day. The photo of his wife brings him positive memories, but also sad memories. /however, it seems as if his notebook is his outlet. During Sunil’s session with Paul, his psychologist, he slowly began to open up. His relationship with his psychologist appears to be somewhat open. It seems as if this is another outlet for Sunil. He feels comfortable speaking with Paul rather than Julia, his daughter-in-law. Paul allows Sunil to be himself and feel comfortable. Sunil is seen smoking in the psychologist office as well as paying attention to what his psychologist is asking him. He is attentive to Paul.
When Paul is speaking with Sunil, there tend to be much more understanding and no judgment. There has not been any disagreement between them. Paul understands that Sunil is grieving and expresses to Sunil that he understands. Paul gives Sunil room to open up more about his depression when Paul briefly discusses he lost someone valuable to him as well.
Sunil is aware of his depression. He admits to grieving over his wife and does not like living with his son and daughter-in-law. However, Sunil needs someone to understand what he is going through in order for him to be open to help. Sunil affect is distraught and times and smokes in his psychologist office. It appears that smoking distracts his mind from things that are frustrating him at the moment. Sunil’s physical appearance is groomed appropriately. When speaking to his psychologist, he tries to express his frustration. He seems to get very agitated when talking about his daughter-in-law Julia. He believes that Julia is changing his son and he is very unhappy with that. When speaking about Julia, there is a disturbance in his tone of voice. He gets loud and goes on and on about how his daughter-in-law is not modest.
Since Sunil has become a widow, his son and daughter-in-law have realized some changes in him. They both realized that his problem is adjusting to living with them and that he is depressed nearly every day. Arun and Julia both expressed their concerns and love for Sunil. They want to see him get better and they are aware that his change of lifestyle is not normal. His grandchildren want to see him get better as well. Sunil voiced that they have even begged him to take a shower. They admire how Sunil was successful in his life and now is a retired math teacher. They try to embrace the memories that Sunil had with his wife, but he is declining mentally and physically in regards to his depression. Sunil is also aware of how successful he was in his work life and is even glad to embrace that he was able to retire early. Leaving his country and coming to America has been very hard for Sunil to adjust to. He has no friends in New York, does not leave the house, and no longer has his other half to make him happy, his wife.
Biological competences
Sunil’s physical health appears to be poor according to his daily life choices. He is not eating nutritional meals, instead, he is smoking and eating candy. Sunil also does not take care of his hygiene. He does not get out of bed or shower at all. Sunil is also not exercising.
Psychological competences
Sunil is alert and oriented x4. However, he appears distraught around his son and daughter-in-law in his counseling session. More so, when he is with the psychologist, he seems to be showing some attention. Sunil can function cognitively and express his opinions very well when speaking with his psychologist Paul. One of Sunil’s personal strength is carrying his notebook around with his wife photo in it.
Social competences
Although Sunil lives with his son and daughter-in-law, he has limited interactions with them. He is usually in his room most of the day. He does not have any outside friends that he communicates with. The only time he left his room was to attend his counseling session with Paul.
Clinical conclusion
To conclude, after careful observations of Sunil actions, his prognosis appear to be depression and adjustment disorder with depression. The fact that Sunil has been depressed since his wife passed away six months ago, would not get out of bed before noon, is not eating nutritional meals, not sleeping or showering, leads me to believe that he is depressed. To add, Sunil barely communicates with his daughter-in-law Julia. He tries to communicates to with his son Arun. It is difficult for him to leave his room let alone the house. Sunil would not even go to the grocery store for himself. Arun or Julia has to run errands for him. It is clear that he is having a hard time adjusting to living in New York with Julia, Arun, and his grandchildren and this also a factor of his depression.
The TV show “In Treatment”, season three, shows a psychologist, Paul Weston, trying to help a client that moved to America with his son and daughter-in-law The client, Sunil, is a 52-year old male from Calcutta, India. Sunil was a math teacher in India and retired early. Once his wife passed away, he moved to America to live with his son, Arun, and his daughter-in-law Julia.
Sunil appears apathetic and displays some flat affect during the episodes. My initial thought was that Sunil seems very distant and less interactive with Julia, but, will interact with his son Arun. In fact, I think he feels as if Julia is not the right wife for his son. Reason being, he mentioned during the episode how Julia practically changed the pronunciation …show more content…
of his son’s name to sound more American. I thought, perhaps, Sunil does not like living in the home with Arun and Julia because of how Julia treats his son.
After the first couple of minutes of the episode, I can tell that Sunil only tolerates Julia and does not too much care for her. What really stood out to me is how Sunil communicates with his son in the Hindi language when Julia talks. There have been times where Sunil will answer in English, but at times, he chooses when to talk Hindi. It almost seems as if he does not want Julia to know what he is saying.
Components of what has lead the client (or client’s family) to seek treatment Julia and Arun brought Sunil in for treatment. They voiced that Sunil has not had an appetite to eat or left the house in two weeks. They mentioned that Sunil is becoming rude towards the family, not sleeping, not taking care of his personal hygiene such as showering, or getting out of his bed before noon. Julia expressed frustration that it has been six months since the death of her mother-in-law and Sunil does not seem to be getting over it.
Being that Sunil appears apathetic, only eats candy instead of food, has been grieving for six months due to the lost of his wife, shows signs of depression, does not interact socially, does not leave the house, stays in bed, and does not shower, he has major mood depression and possibly adjustment disorder.
These symptoms have been occurring for months.
According to the DSM V, for a person to be diagnosed with a Major Depression Disorder, the depressive episode must be present for at least two weeks and causing distress and/or severely impacting daily life areas. The symptoms should include weight gain, weight loss, or appetite disturbance, anhedonia, sleep disturbance, psychomotor agitation, diminished thinking or concentrating, depressed mood and etc. To add, according to the DSM V, for a person to be diagnosed with Adjustment Disorder, the individual must present emotional or behavioral symptoms responding to stressors that occur within three months. The criteria will include distress with expected reactions to the specific stressor or stressors.
In regards to Sunil being depressed most of the day, being rude to his family, lack of interacting socially, not eating, not showering, and not getting out of bed is what led me to provide the diagnosis of a major depressive disorder and adjustment disorder.
Primary …show more content…
issue
According to my observations while watching “In Treatment”, the main problem with Sunil is that he is severely depressed and is not coping with the loss of his wife. With help from the psychologist and his family for support, this problem can be fixed. Sunil will receive some coping skills and perhaps some medication may be prescribed. Sunil will soon be able to go back to his daily activities, being social with others, bathing, eating, sleeping, and adjusting to the changes that have happened in his life.
Julia and Arun realized that it has been six months that Sunil has been experiencing depression, adjustment issues and that it seems to be getting worst. They decided that they should seek help for Sunil. Sunil is aware that he does not eat anything nutritional. Instead, he prefers to eat candy. The major events that lead up to the first session are that Sunil has been depressed for months, have not eaten, have not showered and have not left the house in two weeks.
History
The problems with Sunil started to occur five months ago when he moved in with his son and daughter-in-law. This problem has been a long-standing unresolved problem that Sunil has been experiencing. The main problem is that Sunil has been depressed for over five months and it is affecting his daily life activities. According to Sunil’s son and daughter-in-law, Sunil has been dealing with his depression over the past five to six months. This problem is a recent problem that has not successfully been solved. The most significant problem is that Sunil is not participating in daily life activities because he is suffering from Adjustment Disorder with Depression.
Duration
Sunil’s depression has been an active part of his life for five months. There have been various phases that his depression has affected Sunil’s life. The more depressed Sunil became, he would stop eating nutritious food. Instead, he would eat candy and smoke. To add, he will not leave his room and would have either Julia or Arun run errands for him. It has even got to the point where his grandchildren will beg him to take showers. Sunil has attempted to sleep, but mentioned that he wakes up aching every time he goes to sleep.
Frequency
Sunil problem is very frequent.
Sunil showed signs of adjustment disorder five months ago when he moved in with his son and daughter-in-law. In addition to adjusting, he experiences depression. His depression is often. Every day, Sunil shows signs of depression and not wanting to get out of bed.
Antecedents
Sunil explains to the psychologist what his life was like prior to moving to New York to live with his son and daughter-in-law. Sunil voices that he has been a smoker since he was at his University. He also mentioned that his wife died six months ago. Sunil describes the Hinduism death to the psychologist. Sunil voiced that his wife was in her wedding clothes and then was cremated. Sunil’s wife died due to Congestive Heart Failure and her body responded badly to the procedure. Sunil carries a notebook with his wife photo inside. He mentioned that he usually writes about his day in that notebook as well. Consequences
After the problem occurs, Sunil’s daughter-in-law and his son brought him in for treatment. They are unsure of what else to do for him or how to help him. Julia thinks since her mother-in-law’s death, that Sunil has been declining and is not sure what will happen to
Sunil.
Client Competences
One of Sunil’s motivation and/or strength appears to be his notebook. In his notebook, he keeps a photo of his wife and writes about his day. The photo of his wife brings him positive memories, but also sad memories. /however, it seems as if his notebook is his outlet. During Sunil’s session with Paul, his psychologist, he slowly began to open up. His relationship with his psychologist appears to be somewhat open. It seems as if this is another outlet for Sunil. He feels comfortable speaking with Paul rather than Julia, his daughter-in-law. Paul allows Sunil to be himself and feel comfortable. Sunil is seen smoking in the psychologist office as well as paying attention to what his psychologist is asking him. He is attentive to Paul.
When Paul is speaking with Sunil, there tend to be much more understanding and no judgment. There has not been any disagreement between them. Paul understands that Sunil is grieving and expresses to Sunil that he understands. Paul gives Sunil room to open up more about his depression when Paul briefly discusses he lost someone valuable to him as well.
Sunil is aware of his depression. He admits to grieving over his wife and does not like living with his son and daughter-in-law. However, Sunil needs someone to understand what he is going through in order for him to be open to help. Sunil affect is distraught and times and smokes in his psychologist office. It appears that smoking distracts his mind from things that are frustrating him at the moment. Sunil’s physical appearance is groomed appropriately. When speaking to his psychologist, he tries to express his frustration. He seems to get very agitated when talking about his daughter-in-law Julia. He believes that Julia is changing his son and he is very unhappy with that. When speaking about Julia, there is a disturbance in his tone of voice. He gets loud and goes on and on about how his daughter-in-law is not modest.
Since Sunil has become a widow, his son and daughter-in-law have realized some changes in him. They both realized that his problem is adjusting to living with them and that he is depressed nearly every day. Arun and Julia both expressed their concerns and love for Sunil. They want to see him get better and they are aware that his change of lifestyle is not normal. His grandchildren want to see him get better as well. Sunil voiced that they have even begged him to take a shower. They admire how Sunil was successful in his life and now is a retired math teacher. They try to embrace the memories that Sunil had with his wife, but he is declining mentally and physically in regards to his depression. Sunil is also aware of how successful he was in his work life and is even glad to embrace that he was able to retire early. Leaving his country and coming to America has been very hard for Sunil to adjust to. He has no friends in New York, does not leave the house, and no longer has his other half to make him happy, his wife.
Biological competences
Sunil’s physical health appears to be poor according to his daily life choices. He is not eating nutritional meals, instead, he is smoking and eating candy. Sunil also does not take care of his hygiene. He does not get out of bed or shower at all. Sunil is also not exercising.
Psychological competences
Sunil is alert and oriented x4. However, he appears distraught around his son and daughter-in-law in his counseling session. More so, when he is with the psychologist, he seems to be showing some attention. Sunil can function cognitively and express his opinions very well when speaking with his psychologist Paul. One of Sunil’s personal strength is carrying his notebook around with his wife photo in it.
Social competences
Although Sunil lives with his son and daughter-in-law, he has limited interactions with them. He is usually in his room most of the day. He does not have any outside friends that he communicates with. The only time he left his room was to attend his counseling session with Paul.
Clinical conclusion
To conclude, after careful observations of Sunil actions, his prognosis appear to be depression and adjustment disorder with depression. The fact that Sunil has been depressed since his wife passed away six months ago, would not get out of bed before noon, is not eating nutritional meals, not sleeping or showering, leads me to believe that he is depressed. To add, Sunil barely communicates with his daughter-in-law Julia. He tries to communicates to with his son Arun. It is difficult for him to leave his room let alone the house. Sunil would not even go to the grocery store for himself. Arun or Julia has to run errands for him. It is clear that he is having a hard time adjusting to living in New York with Julia, Arun, and his grandchildren and this also a factor of his depression.