Case briefing
The client, Mr. Jabbar, presents with significant symptoms indicative of a depressive episode, including low mood, severe anergia, avolition impacting basic self-care, and cognitive deficits. He also reports prominent anxiety and rumination. While predisposing factors are unknown, his high-pressure role as a CEO may contribute to stress. The current presentation is perpetuated by a cycle of behavioural withdrawal (e.g., 'always I am in bed') and cognitive rumination ('all the time I am thinking deeply'), which likely exacerbates his low mood and functional impairment. A key protective factor is his decision to seek therapy, demonstrating insight and motivation for change.
6A70 Single episode depressive disorder · working (80%)
Still to find out · 1 (questions to answer at the next visit)
Administer PHQ-9 + GAD-7 to set a baseline
Progress can only be measured against a starting point.
Do next
1.Set a baseline — administer PHQ-9 + GAD-7
This sessionAdminister the recommended screeners so every later session measures change.
Why: You can only show progress against a starting point.
Administer nowNext session: in ~7 days
Weekly during assessment keeps the differential narrowing.
A structured second opinion when you’re stuck — what’s been tried, what the data shows, options to consider, and questions to bring to supervision. Therapist-facing only.
Loading…