NAME: Kathryn (Kate) Carter
SOCIAL HISTORY Agency # 04587
Prepared by: Winston Cramer Date: 7/10/2014
Presenting Problem
Kate, a 47-year-old married woman with one daughter away in college, is requesting help for a depression she states has lasted almost 2 years starting with the death of her mother. At the time her mother was ill, Kate did not follow doctor’s recommendations that she take off work and stay home. She was very involved in caring for her mother, who subsequently died. Kate states she was not aware of being depressed until after the funeral, but grew depressed during the 7-month period she and her husband cleaned out her mother’s house and settled her mother’s affairs. She describes this work as “heart wrenching” and involving several legal difficulties.
Currently Kate describes her depression as characterized by hypersomnia, an inability to go to work several days a month, and a loss of interest in social activities and friends. She states she is here in part because her husband insisted she get help.
Kate believes she needs medication “to jolt me out of this.” She blames herself for letting it go so long but says she felt it would lift on its own. She also states she didn’t want to disturb her husband with the problem. She is asking for a session with a “doctor” and a prescription. She seems uncertain that she needs therapy, stating “I don’t think there is anything wrong in my life, really.”
Family of Origin
Kate’s father died when she was 6 years old, and Kate describes feeling responsible for her mother most of her life. She describes her childhood as a happy one. A number of aunts and uncles took an interest in her, and she grew up with a number of cousins close by. She described happy family gatherings for holidays.
She depicts her mother as living from the Social Security that came after her father died and being unable to sustain a consistent work history. She states her mother sought her advice often, and Kate feels that she made many of the important decisions for the family. At present only one aunt remains and is in a nursing home, and the cousins have moved out of the state. Kate has some contact with them at Christmas.
Birth and Childhood
Pregnancy and birth were uneventful. In addition to what is noted above, Kate and her mother never had enough money. “That’s why I think my aunts and uncles took an interest in me.” She spent weeks away from home in the summer at the homes of her cousins and often went to camp with them. Her mother would come for family picnics and was always warmly received.
Marriages and Significant Relationships
Kate has been married to her husband for 25 years. They have one daughter who is 20 years old and currently a student at the University of Minnesota. She is studying engineering. Kate remembers the pregnancy as easy, but she suffered severe and incapacitating depression immediately following. She was unable to return to work at the end of her maternity leave, thus losing her job.
(continued)