Intervención en caso clínico mediante el enfoque integrativo relacionado a problemas de depresión mayor con características psicóticas

Abstract

Abstract: This paper describes the case of an 18-year-old male with major depressive disorder with psychotic features; characterized by depressed mood, anhedonia, insomnia, fatigue, feelings of worthlessness, psychomotor retardation, decreased ability to concentrate, thoughts of death, social isolation, irritability and auditory hallucinations. For the patient evaluation process, a psychological interview, observation and the application of items such as: Beck Anxiety and Depression Inventory, Rosemberg Self-Esteem Scale, Suicidal Ideation Scale, Millon's Clinical Multiaxial Inventory MCMI-III and Test (ASSIST) were used. An integrative model was applied for the intervention, which included: cognitive behavioral, rational-emotive-behavioral, solution-focused and acceptance and commitment therapy, with the aim of providing the patient with a wide range of resources in order to improve his or her quality of life. Finally, the post-intervention results reflected a significant decrease in depressive symptoms and an increase in self-esteem, and a notable improvement in the patient's personal, social and occupational areas, as he resumed his employment and daily activities, and expanded his support networks.