Refer to the DSM-IV checklist and list all symptoms that Ellen has that match the criteria for major depressive episode. Which of Ellens symptoms meet any of the criteria? (Be sure to match specific symptoms with specific criteria.)
Feelings of guilt and worthlessness,…
Her focus on suicide and on her own lack of value seems indicative of a serious major depressive disorder (Cassel, 2004).
It would be my estimation that Ellen fits into at least 2 categories in Shneidman’s Taxonomy of suicide. She is a death seeker, in that she wants to actively end her life, she is a death initiator because she sees very little loss in her death and already considers her life to be over and meaningless (Clay Rhimes).
Her level of worthlessness and her family losses and end of a romantic relationship can all influence suicidal behavior in some people. Ellen is easily received as one of those people that are thinking about suicide seriously that all it would take is one more stressor, one more loss, one hurt could push her over the edge.
There are potential chemical imbalances that can contribute to depressive feelings and actions, however, in Ellen’s case I think that she was led to depression by legitimate tangible events in her life not perceived ones.
Most psychodynamics would blame a great deal of the problem on her poor relationship with her parents, particularly her mother. That, missing aspect of her life and childhood could have contributed to her experiences I her life today (Medicine Net, 2012).
One could perceive that when Ellen’s mother died, her feelings of loss were impacted by lost time and the fact that she would never get the relationship she might have wanted with her mother. The fact that the loss was impacted by the end of a relationship only added and exacerbated the issues going on in Ellen’s life (Clay Rhimes).
Ellen does suffer from an inherent level of negative thinking, pessimism, and helplessness. The idea being that nothing can change and it can only get worse. This is part of the reason that Ellen entertains herself with images and plans of her inevitable suicide. Ellen’s automatic thoughts include ...
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