DEPRESYONDA BİLİŞSEL DAVRANIŞÇI TERAPİYE DAYALI ÇEVRİM İÇİ PSİKOLOJİK DANIŞMA: OLGU SUNUMU

Öz

Bu makale, depresyonun bilişsel davranışçı terapi ile tedavisine ilişkin bir olgu sunumu içermektedir. Kadın danışan 20 yaşında bir üniversite öğrencisidir. Danışanda çökkün ve mutsuz duygudurum, karamsarlık, kararsızlık, odaklanmada zorluk, suçluluk-değersizlik ve ölüm düşünceleri, sosyal geri çekilme, enerji azlığı ve iştah azlığı belirtileri bulunmaktadır. Danışana DSM-5 tanı kriterleri temel alınarak sekiz hafta süresince bilişsel davranışçı psikoterapi uygulanmıştır. Psikoterapi süreci haftada bir gün, 50 dakika olacak şekilde yürütülmüştür. Tedavi sonlandıktan bir ay sonra izleme seansı yapılmıştır. Depresif belir-tileri olan danışanın bilişsel ve davranışsal müdahaleler ile iyi oluşuna katkı sağlamak amaçlanmıştır. Makalede danışanın öyküsü, depresif belirtileri, terapi süreci ve süreçteki ilerlemeler ele alınmıştır. Danışanın depresyon şiddeti ve psikolojik iyi oluş düzeyi Beck Depresyon Envanteri ve Psikolojik İyi Oluş Ölçeği aracılığıyla ölçülmüştür. Sekiz hafta sonunda danışanın Beck Depresyon Envanteri puanı 43’ten 5’e düşerken, Psikolojik İyi Oluş Ölçeği puanı 17’den 51’e yükselmiştir. İzleme seansı ardından danışan ölçekleri tekrar puanlamış ve Beck Depresyon Envanteri 4 puan, Psikolojik İyi Oluş Ölçeği 51 puan olarak ölçülmüştür. Danışan dönütleri ve yapılan ölçek puanlamaları değerlendirildiğinde danışanın depresif belirtilerinde ve iyi oluşunda iyileşmeler olduğu sonucuna ulaşılmıştır.

Anahtar Kelimeler

• Depresyon
• Bilişsel davranışçı terapi
• Çevrim içi psikolojik danışma
• Olgu sunumu

Online Psychological Counseling Based on Cognitive Behavioral Theraphy in Depression A Case Study

Öz

This article presents a case study on the treatment of depression with cognitive behavioral therapy. The female client is a 20-year-old university student. She exhibits symptoms of depressed and unhappy mood, pessimism, indecisiveness, difficulty concentrating, feelings of guilt and worthlessness, thoughts of death, social withdrawal, low energy, and loss of appetite. Cognitive behavioral psychotherapy was administered to the client for eight weeks based on the DSM-5 diagnostic criteria. The psychotherapy process was conducted once a week for 50 minutes. A follow-up session was conducted one month after the end of treat-ment. The aim was to contribute to the well-being of the client with depressive symptoms through cognitive and behavioral interventions. The article discusses the client's history, depressive symptoms, therapy process, and progress during the process. The client's depres-sion severity and psychological well-being level were measured using the Beck Depression Inventory and the Psychological Well-Being Scale. At the end of eight weeks, the client's Beck Depression Inventory score dropped from 43 to 5, while her Psychological Well-Being Scale score rose from 17 to 51. Following the follow-up session, the client was re-scored on the scales, with a Beck Depression Inventory score of 4 and a Psychological Well-Being Scale score of 51. Based on the client's feedback and the scale scores, it was concluded that the client had improved in terms of depressive symptoms and well-being.

Anahtar Kelimeler

• Depression
• Cognitive behavioral therapy
• Online psychological counseling
• Case study

Kaynakça

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