ABSTRACT

This chapter describes individual time-limited therapy with a 10-year-old patient, as part of the Childhood Depression Project. It also describes the application and effectiveness of such approaches to time-limited work with a particular depressed patient, as well as to consider some of the inevitable questions and tensions that can arise when child protection concerns come to light in the process of the therapy. Thomas had a long history of behavioural problems, with reports of aggression, stealing, swearing, and lying. At the time of writing, a preliminary look at the research data in the Project would seem to reveal some shift during the course of therapy in Thomas's sense of responsibility for the difficulties he had experienced. In the Moods and Feelings Questionnaire, which he filled in with the psychologist at monthly intervals, there are a number of changes that seem relevant.