Effective treatment usually requires a holistic approach, yet those suffering often avoid seeking help
any of us are familiar with the uncomfortable feeling of entering a cocktail party at which none of our friends are present. We sidle in awkwardly, imagine others might be wondering what we are doing there and find ourselves not sure where to stand or who to look at. We gaze intently at our prosecco and hope the floor will swallow us up. In most instances we can push through and engage with someone at the party, often ending up having a great time.
Responding to pressure from her mother, 30-year-old Rochelle reluctantly approached me via email. She wanted telehealth sessions, preferably on the phone rather than on Zoom. While many clients request telehealth due to geographical distance and time constraints, not many specify so early that they prefer to speak on the telephone when they live as close to my rooms as Rochelle did.
Thus, in this first session Rochelle not only described many signs and symptoms of Sad but she also manifested them in our interaction. The choice not to come into my consulting rooms allowed her to avoid feeling the centre of my attention and her preference for the phone over Zoom allowed the avoidance of eye contact, a signature feature of Sad. Despite this avoidance, Rochelle was warm and engaging. She was a fine wordsmith who related her difficulties with coherence, grace and humour.
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