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Assessing Your Understanding

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Assessment is based on the case study.

Saoirse is a 53-year-old single parent to Fleur (aged 13) and has also recently become a full-time carer to her mother who has dementia. Since giving up her job as a biomedical researcher she has been feeling down and exhausted, is sleeping poorly and experiencing frequent headaches and back pain. She feels anxious about her future and her own health. She worries about spending money so does not socialise or do things with her daughter and has become isolated from her friends. All her time seems to be spent on household chores, but she struggles to get these done. To relax she sits in front of the TV but struggles to take anything in as she feels overwhelmed and worries about how she will continue to cope. Her thoughts also drift off to what her life used to be like, and whether things can ever change. Although Saoirse's friends invite her out, she often turns them down thinking, ‘What do I have to say anyway? All I am is a carer now. What do they understand?’ Over time, people have stopped calling her. Saoirse's scores on the PHQ-9 and GAD-7 are 22 and 11 respectively. Saoirse has never had previous treatment. She wants to feel better and get back to how she used to be but can't see how things will change with her mother's poor health.

Low-intensity CBT Skills and Interventions

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