Alan meets the criteria for Major Depressive Disorder (MDE) which is marked by his depressed mood, disinterest in pleasure activities, low self-worth, possible suicidal ideation and evasive guilt. Perhaps, Alan’s lackadaisical attitude towards his dangerous use of pain medication is due to the desire to pass away and join his wife in death. However, further observations are required to address the possibility of highlighting an expansion of symptoms which may or may not be solely attributed to his loss. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) tells us that “feelings of worthlessness and self-loathing are common” for those suffering with MDE, whereas with grief, these symptoms are not typically present (Van Wormer & Davis, 2013; American Psychiatric Association, 2013, p. …show more content…
This will also offer the chance for the counselor to identify Alan’s strength, value and ability to overcome life’s obstacles; both expected and unexpected. With life review or reminiscence therapy and behavioral therapy, Alan should find new meaning for living with a reformed behavioral approach or outlook on life. The illustrative map should also open the door for psychoeducational discussion to address the negativity Alan has been subscribing to for too long. The inclusion of group therapy would be ideal for Alan, as well. His involvement in Alcoholics Anonymous or Narcotics Anonymous and other social settings is likely to offer Alan the supportive motivation, in addition to counseling sessions, required to conquer his addiction, loneliness and low self-esteem. With time, as his social circle evolves and he becomes actively involved, comfort in his time of need is likely to become more readily and continually available. Perhaps, visits to and from family will become a part of his regular routine as well (Broderick & Blewitt, 2015; NA World Services, Inc., 2017; Alcoholics Anonymous World Services, Inc., 2017; Laureate Education, Inc., 2015; Van Wormer & Davis,