higher levels of self-esteem and ability to experience pleasure.I would also require that Mrs. M undergo a combination of cognitive and behavioral therapy. Depressed clients often set unrealistic goals and then are unable to implement behaviors to reach these goals. I would give Mrs. M regular homework assignments that help her make gradual behavioral changes and that increase the probability of successful performance. I would also reward her every time Mrs. M initiates social activity. The reward can be anything from positive statements or a special treat that she likes.Cognitive based therapy would also be effective in Mrs. Ms case. This will involve a short-term structured approach that focuses on Mrs. Ms negative thoughts and includes suggestions for activities that will improve Mrs. Ms daily life. This technique involves an active collaboration between Mrs. M and myself and is oriented toward current problems and their resolutions. The cognitive approach involves didactic work, cognitive restructuring, and behavioral techniques. In these three steps, I will attempt to break down the maladaptive thinking patterns that underlie the depressed individuals negative emotions, such as Mrs. Ms feelings that she has ruined the lives of her children and her husband.I think that Mrs. Ms prognosis is positive. Mrs. M has never mentioned any thoughts of suicide or harming herself in any way. She is also aware that the things she is feeling are not healthy nor are they normal. She has a strong desire to get back to her old self and is open to any form of treatment that I can provide for her. Mrs. M has a family and friends which will make cognitive and behavioral therapy much easier because she already has some social contacts. I think that Mrs. Ms major depression can be cured with medication, cognitive and behavioral therapy, and time....
