ABSTRACT
This chapter presents a case of a 32-year-old man who attends the general practitioner (GP) surgery because after his 18-month-old daughter died 6 months ago he has been unable to concentrate. He went back to work in an insurance firm after 2 weeks but finds it hard, and feels a strong emotional jolt every time he signs his signature. He explains that his daughter had been born with a heart defect, and that he had been the one who signed the consent form for her to have the heart operation. He is well dressed in chinos and an ironed open-necked shirt. His eye contact is good. He has no agitation or psychomotor retardation. His mood is low and he describes being tearful about once per week. His thoughts are normal in flow, speed and content. He has no thought passivity or hallucinations or delusions.
