DBT for Depression: Family Assessment

Dennis-Hannon

Center for Psychological Growth and Resilience, LLC

Key Points

  1. Jackie has a strained relationship with her mother, who has often criticized, disparaged, and belittled her throughout her life. Her three siblings are not close or supportive.
  2. The family dynamic was described as merciless, cold, and focused on achievement.
  3. Jackie’s family dynamics contributed to the development of her overachieving and caretaking personality patterns, but also to her curiosity and resilience.
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Family of Origin

Jackie’s parents were married until her father’s death five years previously, which Jackie handled without significantly increased depression. One of her major stressors was her relationship with her mother, who lived about a two hour drive away, and required significant care as she was in her late eighties and in ailing health. Jackie was her primary caregiver.

Her mother acted abrasively and callously, deriding Jackie and making demands requiring her to sacrifice self-care. Jackie said this was not a new dynamic. Her mother, a former model, had criticized, disparaged, or belittled her throughout her life, particularly regarding physical appearance. Jackie said that while she loved her, she found the relationship grating, and wondered if her mother had narcissistic personality disorder and depression.

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