Assessment of problem-solving therapy, cognitive-behavioral therapy and an SSRI in the treatment of a single subject presenting with major depressive disorder and dysthymia

After diagnosis, a review of the literature was conducted to determine empirically supported treatments for depression. Based upon this review, this study examined and evaluated the effectiveness of various treatments determined in the current literature to be the best practice in treating depression in adults. The subject was a 44 year old Caucasian woman who initiated treatment voluntarily following a referral made by her primary care physician. This study was conducted in a community-based agency. A diagnosis of depression and dysthymia was reached through an initial intake interview and use of the DSM-IV. Best practice methodology was determined through an extensive review of the literature and feasible methods were utilized in treating this subject. Cognitive-behavioral therapy techniques, as well as problem-solving therapy techniques were utilized in conjunction with Zoloft, an antidepressant medication. Outcomes were measured by scores on the Beck Depression Inventory, the Bums Depression Checklist, the Ways of Coping Questionnaire, and a Consumer Satisfaction Inventory was included. Her scores were greatly improved at termination, with the BDI scores no longer falling in the depressed range. Her scores on the coping inventory had improved significantly as well. She reported decreased crying and decreased isolative behavior.