Clinical Mental Health

Obsessive-Compulsive Disorder (OCD)

Obsessive compulsive disorder is a type of anxiety disorder primarily characterised by obsessions and compulsions. Obsessions are distressing, repetitive, intrusive thoughts or images that the person realises are irrational. Compulsions are repetitive behaviours that the person feels forced or compelled into doing in order to relieve the anxiety brought about by obsessions. In other words, compuls... »

Preventing Depression

Prevention is defined as “interventions that occur before the initial onset of a disorder to prevent the development of disorder” (Mrazek & Haggerty, 1994, p. 23). »

Children and Learning Disorders

There are many forms of disabilities that can affect the child’s normal developmental process. Some disabilities can be more severe than others. A common type of disability hindering a child’s development is a learning disorder. Having such a disorder can be painful for children as they have to deal the disconnections they may be experiencing from thought, expression and creativity, bo... »

Loneliness, Depression and Negative Thinking Patterns

In the previous post we explored some aspects of both loneliness and depression. The causes of each often have their basic roots in the way that modern life has progressed, particularly where ways of protecting oneself against being alone, feeling down and worthless and so on have been eroded. »

Loneliness: Risk and Protective Factors

According to Michael Flood’s report (2005) titled ‘Loneliness in Australia’, the following facts are relevant about loneliness: »

Motivational Enhancement with Eating Disorders

In this post, we look at how Motivational Enhancement Therapy can be applied to a practical situation. More specifically, we’ll discuss how counsellors can utilise this model to assist clients suffering from eating disorders. »

Losing a Loved One: Abnormal Grief

Sometimes, the normal mourning process can turn to complicated or abnormal grieving for a number of reasons. These can include the circumstances of the death, the person’s history of grieving experiences, and the personality of the bereaved and the availability of support. We discussed earlier the more common reactions experienced in grief, but in order to identify abnormal grief, we can cat... »

Counselling Dilemma: A Client Who Feels Depressed

Melody has come for counselling to deal with the death of her husband. You have been counselling her for four weeks and in that time Melody has reported that she feels “depressed”. In addition, she complains of being constantly tired and lacking motivation to do simple tasks such as showering and cooking for herself. »

Counselling Case Study: Social Anxiety

Sasha is a 60 year old woman who has recently retired from a career in teaching. Working for many years in a secondary school environment, Sasha was confident, motivated and dedicated to her work, but at the same time looking forward to retirement so she and her husband could travel and spend more time with their adult children who lived nearby. »

Change: Understanding Feelings and Emotions

Obviously there may be many different feelings and emotions that a person could experience depending on the situation or circumstances. One person may fear change whilst another may revel in it and enjoy the challenges. A child about to enter early adolescence may also have a sense of fear or anxiety about what changes to expect, embarrassment about bodily changes, heightened sexual desires and bo... »

Parenting a Problem Adolescent: Marnie’s Case Study

Marnie is a 16 year old girl (an only child) who attends a local private girls school in the city. Marnie is always at the top of her class and her report cards are exemplary. Marnie is actively involved with music, drama and dancing in and out of school all of which she excels at. Over the past couple of years Marnie has taken a much greater interest in her looks and how she dresses. She has star... »

Parenting a Problem Adolescent: Eating Disorders

Now that we’ve covered suicide prevention, there are other problems often associated with youth that are a bit more intractable. Eating disorders tend to fall into this category especially amongst adolescent girls. According to Gillis (2000, cited in McMurray, 2003, 147): ‘Adolescents’ images of themselves are embedded in the way they see their own bodies, leading some to excessi... »

Bulimia Nervosa

The essential features of Bulimia Nervosa are binge eating and inappropriate compensatory methods to prevent weight gain at least twice a week for at least three months. The self-evaluation of people with Bulimia Nervosa is excessively influenced by body shape and weight. A binge is defined as eating in a discrete period of time (usually less than two hours) an amount of food that is significantly... »

Anorexia Nervosa

MacLeod (1981) states people with anorexia are notoriously difficult persons who are determined to hang on to their symptoms at all costs. This is a common view throughout the medical profession and related fields, possibly due to the ego-syntonic nature of eating disorders – the person is comfortable with the disorder and views it as consistent with their goals and wishes. »

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