He refers to these states as sort of frenzied; when he finally gets out of the rut he’s been in and gets back on track. He says that they will occur for days at a time and are always followed by a crash, in which he becomes suicidal and bed-ridden.
Jessica is 28 and she is a new mother. While her pregnancy was a life-altering experience and challenge, the steadfast support of her husband and family made sure she was able to handle the experience without losing her sanity. Jessica reports welcoming the responsibility of mother-hood, but since giving birth 3 months earlier has started to feel increasingly hopeless and guilty about her situation. When asked to describe the guilt she was experiencing she was not able to identify a specific example of something she was guilty, instead indicating that it was more of an abstract pervading sensation. While her husband attributes her feelings to the stress of adapting to motherhood, she has begun to fear that the depression will last forever and it’s actually a change in perspective.
Ashley has is 6 years old. She began the first grade a number of months back and from the beginning has had difficulty relating to other students. At times she will remove herself from the other students in the class and refuse to interact. Other times she will lash out physically and verbally at the other students. Her progress throughout the year has shown a steady decrease. The teacher, Mr. Wilson, sent a letter home with Ashley asking to speak with her parents in a conference. After receiving no response, he phoned Ashley’s parents and relayed to them Ashley behavior. Ashley’s mother informed Mr. Wilson that their family is going to have to move into a homeless shelter soon. He also discovered that Ashley’s mother is not able to read.
Paul is a 9 year old third grade student. He has shown a talent for sports, and last semester won the school’s track meet for his age bracket. He is very popular at recess, but has