depressuib abd death

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Recommended: The issue of teen suicide

Present Problem
Larry is a fifteen year old, heterosexual male who has been depressed for three months. This is the third episode of depression he has experienced in the last six years. This episode has a distinguish as it began at the time of his fathers murder three months ago. All symptoms are the same as the previous episodes, with the Personal Status
Larry is the youngest of three siblings, all male. One of his siblings’ lives at home and his oldest brothers live in town in thier own apartment. Larry has lived in Salem, Massachusetts since his birth. He has spent a good deal of time (weekends mostly) in New York City were his father lived for ten years.
Larry is very social and has a core of good friends he has known since first grade. He is an excellent basketball player and played on the high school basketball team until he was removed for failing too many academic classes four weeks ago.
Larry has had five incidents in different classes of rude and disrespectful behavior towards teachers. On each occasion, Larry was asked to leave the classroom and go to the headmaster due to the level of the behavior. He is currently on manatory day back (school afterschool program for academics).
Larry was out of school for two weeks after his father’s murder, three months ago. Reentry was uneventful, and his friends were supportive and positive according to Larry and teacher observations.

Medical History and Status
Larry is a healthy fifteen-year-old male. There have been no medical events, and has seen no doctors in the past for the depression. He currently on no medicalization. His primary interventions have come from school counselors.

Family History and Current Relationships
Larry was born and raised in ...

... middle of paper ...

...oming to school than staying at home when he is depressed.
Working with an adolescent who is struggling with depression and the trauma of his father’s murder has created challenges of understanding depression, mourning, trauma, and the special grief of losing a parent to violence. In breaking these into pieces and applying knowledge and different, strategies has been interesting and not always the easiest. Which to address first? Where do they intersect? Though when sitting with Larry I use my instinct and knowledge to address the issues, I allow Larry to lead much of the way. His being able to address his emotion without fear has led him to open up much more. Allowing him to feel whatever he was feeling and giving him guidance allows Larry to still be Larry and to be able to flow through the depression episodes rather than fight against the experience.

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