I Am Doing Ok Case Study

(S) “I am doing ok”
LL reports an improvement of his level of depression compared to two weeks ago. He said that has been more motivated to read and take part of extracurricular activities. For example, he has been filling in at the church near his apartment and receives an additional paycheck. He recognizes the benefit of having more structure during the day and makes sure he gets enough sleep and maintains a nutritious diet. He is planning of going to San Francisco at the end of July for a leather gay festival and already rented a room in a hotel. He has an old time friend from out of town staying over at his apartment and spending the weekend and he looks forward to have the company. LL fears loosing control and becoming “emotional” while giving the sermon at church so he makes sure he sticks to a script. He said that if he were to cry in front of the congregation, people will not see it as a negative thing but, he does not want to take the risk. He said that his “emotionality” steams from coming to terms with the idea that he may no experienced love the same way he did when he was younger and, accepting the natural deterioration of his health as he ages paired with suffering from a chronic medical condition.

He appears less depressed than two weeks ago. Denies SI intent or plan. He continues to accept extra responsibility from the church and is glad to have the extra income. He knows this is only temporarily until the assigned priest of this particular church returns. The session continues to focus on helping patient accept his medical condition and create reasonable and realistic goals. He has mentioned a few times how he knows that he needs adjust his expectations and be more realistic about his goals. Writer assists him in this re-evaluation and uses reframing as much as