Dora: A Headcase by Lidia Yuknavitch

By Lidia Yuknavitch

Dora: A Headcaseis a modern coming-of-age tale in response to Freud's well-known case study'retold and remodeled via Dora's standpoint, with shotgun blasts of darkish humor and sexual play. Ida wishes a lower . . . or so her philandering father thinks, and he sends her to a Seattle psychiatrist. instantly clever to the pinnacle video games of her new lower, whom she nicknames Siggy, Ida starts off a coming-of-age trip. at first of her remedy, Ida, whose regulate ego is Dora, and her small posse of buddies interact in "art attacks." Ida's in love together with her pal Obsidian, but if she will get just about intimacy, she faints or loses her voice. Ida and her pals hatch a plan to secretly movie Siggy and make an experimental artwork movie. yet whatever is going mistaken at a very important moment'at a close-by clinic Ida reveals her father affliction a middle assault. whereas Ida loses her voice, a coarse minimize of her experimental movie has long past viral, and unethical media brokers are looking her down. A chase ensues during which every person desires what Ida has.

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However, if there is medical opinion that the patient should be on antidepressants, let the patient know that the combination of medication and CBT can be mutually enhancing and that one form of therapy does not preclude the other. Anticipating Questions About Therapy During Socialization The patient who comes to therapy is suffering. Many times patients form lasting impressions by how questions are answered in the beginning of therapy. Perfunctory processing of the patient’s evaluation should be avoided in almost all cases.

A copy for your use is provided in the appendix. Discussion of Medication Finding out if the patient is on medication or if he wants medication for his mood problems is expected in the treatment of depression. This is further explained in Chapter 4. If the patient asks if medication is necessary, you may find yourself in delicate territory. If you are not a medical doctor or prescribing professional, it is important not to endorse nor deny the utility of antidepressant medication, but to let the patient consult with a health care practitioner.

The usual physical manifestations are termed vegetative signs of depression and include pain, low energy, decreased or increased appetite, disturbances in sleep, and sexual dysfunction. A simple review of the biological aspects of depression can be introduced to your patient in a variety of ways. An initial general discussion of the relationship between experience, mood, and body/biology can progress to encouraging the patient to appreciate such relationships in her own experience. You can ask the patient to consider the very simple example of how she feels when she has not eaten for several hours or more.

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