Case Study: 49yr Old Woman

A 49-year-old woman presents with major depressive symptoms, which she has been experiencing over the past two months. She is hypertensive (i.e. has high blood pressure) and complains of backaches. She received up to primary school education, as her parents, who had limited financial means, believed that it was more worthwhile to invest in their three sons, as girls are “passers-by” who would get married and leave home. She has never worked outside the home. She says that she feels “useless” as she does not contribute to the family upkeep, and her husband has, every now and again, told her that she would never make it on her own.  She has a long-standing history of marital difficulties, and was beaten up on three occasions. Six months ago she learned that her husband was having an extra-marital affair, and three months ago her youngest son left home to go to college. She has always been a quiet, unassertive person who has had difficulties making life decisions. She believes that her current circumstance is part of her destiny in life and that she has little power or control over it.

What are possible interventions and outcomes of using the biomedical/disease model?

What are the possible interventions and outcomes of using the holistic BPSS approach?

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