Treating comorbid depression and avoidant personality disorder: The case of Andy.

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Titel: Treating comorbid depression and avoidant personality disorder: The case of Andy.
Autoren: Maillard, P., Pellaton, J., Kramer, U.
Publikationsjahr: 2025
Bestand: Université de Lausanne (UNIL): Serval - Serveur académique lausannois
Schlagwörter: Adult, Comorbidity, Depressive Disorder, Major/epidemiology, Major/therapy, Humans, Male, Personality Disorders/epidemiology, Personality Disorders/therapy, Phobia, Social/epidemiology, Social/therapy, Psychotherapy, Substance-Related Disorders/epidemiology, Substance-Related Disorders/therapy, avoidant personality disorder, case study, complex depression, integration
Beschreibung: Major depressive disorder is among the most frequently diagnosed mental disorders and is often accompanied by other disorders such as anxiety or substance abuse. As a result of a complicated tangle of comorbidities, psychotherapy in such cases can become quite demanding. The present case study presents and discusses the challenges represented by a complex case of psychotherapy, focusing on ongoing modifications of the clinical hypotheses and therapeutic approach. This process is illustrated through the case of Andy, a 44-year-old man suffering from depressive disorder, social phobia, substance dependency, and an avoidant personality disorder. This case draws attention to the quality of the relationship and the flexibility and adaptation required from the therapist while depicting an integrative way of working therapeutically with complex cases.
Publikationsart: article in journal/newspaper
Sprache: English
ISSN: 1097-4679
Relation: Journal of Clinical Psychology; https://iris.unil.ch/handle/iris/181406; serval:BIB_77CBE8609156; 000464957400007
DOI: 10.1002/jclp.22764
Verfügbarkeit: https://iris.unil.ch/handle/iris/181406
https://doi.org/10.1002/jclp.22764
Dokumentencode: edsbas.6580C71D
Datenbank: BASE
Beschreibung
Abstract:Major depressive disorder is among the most frequently diagnosed mental disorders and is often accompanied by other disorders such as anxiety or substance abuse. As a result of a complicated tangle of comorbidities, psychotherapy in such cases can become quite demanding. The present case study presents and discusses the challenges represented by a complex case of psychotherapy, focusing on ongoing modifications of the clinical hypotheses and therapeutic approach. This process is illustrated through the case of Andy, a 44-year-old man suffering from depressive disorder, social phobia, substance dependency, and an avoidant personality disorder. This case draws attention to the quality of the relationship and the flexibility and adaptation required from the therapist while depicting an integrative way of working therapeutically with complex cases.
ISSN:10974679
DOI:10.1002/jclp.22764