Initial Progress
To begin with, any progress made by Hannah was very begrudging. She socialized a little more. She talked to the people at a former internship, who hired her part-time. She eventually got another job, so got out of the house more, while still reporting severe depression. She journaled sporadically, feeling good when she did and bad when she didn’t. She started taking walks and hiking with friends. But she still had the mindset that she didn’t want to do it, it would all make no difference, she would never get better. It was hard to get her to form new behavior patterns.
Obstacles and Challenges
While there was some movement, at six to nine months into Hannah’s therapy many obstacles and challenges remained. These included extreme fatigue, low motivation, and the difficult environment of her parental home.