Question

#1 Neela has split up with her boyfriend of four years. "Nick was abusive, but now he's in jail, so it's been easy this year to make some changes," she says. She is confident that she will never go back to him, but says she's left with "some residue—like nightmares, hyper alertness, a little too much drinking, and the blues." She says she has always been a light social drinker and denies a history of alcoholism, although she struggles with alcohol now. She also reports that she sleeps "too light"; she can't get to sleep, and then when she does, she's hypervigilant, sitting up and thinking that she hears him coming into her apartment every time she drifts off. She wakes up in such moments in a cold sweat with her heart pounding in her temples, she hyperventilates, and everything feels unreal, "like I'm in some creepy slasher film on late-night TV. I'm always so glad when the sun comes up!"

The alcohol "takes the edge off" her nerves and "helps with the depression." Asked if she is sad most of the time, she says, "No. I really am over him, but I'm still scared. I get collect calls from him in prison, but I never accept them. I think if I could just get a different job, a different apartment, in a different city, I'd be fine. I could start all over again. I've sent out résumés, but until something comes up, I'm sort of stuck here in limbo where he knows he can find me. Ultimately, then, I'm here to treat this depression. I'm depressed, right?".

1. Explain to Neela at least three differences between depression and anxiety—choosing three that apply in particular to her case.

2. List your top two short-term goals and interventions you would recommend for Neela.

Answer 1

Anxiety and depression areverycommonnpsychological disorders in today's world.There is very thin line b/w dere signs and symptoms of anxiety and depression.

Anxiety	Depression
Excessive worry about near and long term future lack of sleep/disturbed sleep due to racing thoughts Believing that its better to avoid situation dat cause anxiety fear of death due to perceived physical symptoms GIT distress. lack of concentration.	Assumption future is hopeless. insomnia or hypersomnia lack of belief in positive experiences in future. suicidal thoughts dur to feeling worthless loss of apetite. slowing of movement and lack of energy.

Interventions for Neela :

The best way to treat depression or anxiety is to become as informed as possible about treatment options and then tailor them to meet the needs.

I will recommend following therapy for her

interpersonal therapy:

it focuses on patients disturbed personal relationship and help them look at positive perspective of life and relations

coginitive and behavioral therapy:

.it helps patient change negative style of thinking

.focuses on changing thought pattern and behaviours that lead to troublesome feeling

. looking at worries more realistically.