Acceptance and Commitment for Depression: The Story of Hannah

miranda_morris

True North Therapy and Training

Key Points

  1. Hannah is a 20-year-old client who struggles with anxiety and depression, somewhat related to procrastination but particularly due to her responses to interpersonal problems.
  2. She has a history of being bullied and isolated, and feeling that she doesn’t belong, beginning in middle school.
  3. She experienced a traumatic interpersonal event of betrayal that triggered severe depression, withdrawal from social life, and chronic suicidal ideation.
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Therapist and Client

Miranda Morris is a psychologist in Bethesda, Maryland. She is an acceptance and commitment therapy (ACT) therapist and trainer, and is past president of the ACT membership organization, the Association for Contextual Behavioral Science (ACBS).

Dr. Morris offers a case conceptualization as a lens through which to examine the application of ACT to depression. Details about this client have been changed to preserve her anonymity, and she is referred to throughout as Hannah. Upon seeking therapy, she was a 20-year-old, white, female, single, bisexual, cisgender college student. She’s the third of three children, but is much younger than her siblings, so was raised somewhat like an only child. She was an English major and played sports at school. She presents as bright, interpersonally-skilled, and likeable.

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