ABSTRACT

This chapter presents a case of a 36-year-old stockbroker who attends the general practitioner (GP) surgery requesting help with her mood. She has been feeling very stressed and has been finding it difficult to cope with work. She had a brief course of cognitive behaviour therapy (CBT) in the past and although she engaged, she found it unsatisfying because she felt it focused more on the present, when she was wanting to talk about her father and other past issues, which she felt were unresolved. She establishes a good rapport and is very deferential. She speaks articulately but starts sobbing when talking of her abortion. She looks visibly upset when talking about her boyfriend. Her anger is evident when talking about her father. She clearly describes ideas of hopelessness, guilt and worthlessness. Her mood is low, but she does not have any ideas of self-harm.