James was a 53-year old firefighter debilitated by depression who saw suicide as a way out. Prior to his first episode of depression, he was able to work full time, support his wife and family, and fulfill his obligations.
My client Charlie had a stressful situation with the doorman at his friends’ apartment building. He was asked to sign in, which he did not want to do and hadn’t had to do in the past, and assumed the doorman was wielding his power.
Not all clients benefit from behavioral activation.This was the case with one of my clients, Sam. When we were setting goals, I asked him, “How would your life look different if you were not depressed?” Sam told me that absolutely nothing would be different.
The following blog was written by a research assistant who had been exposed to CBT in her job. She had recently attended the Depression and Suicidality workshop at the Beck Institute.
Depressed clients often isolate themselves from others and withdraw from life. To counter the isolation and withdrawal common to depression, therapists can introduce behavioral activation. This strategy entails getting clients more active and involved in life by scheduling activities that have the potential to improve their mood.