All of the signs suggested that Jackie could benefit from DBT interventions and see a reduction in her depressive symptomology. Her depression was not so severe that she needed a higher level of care or more intensive services. She hadn’t returned to using alcohol, wasn’t living with comorbid mental health issues, and had maintained both her work and academic responsibilities to a degree.
While she didn’t have a large social support network, she had a loving partner and was increasingly comfortable sharing her battles with him. Dialectically, she could anticipate struggles and challenges as well as growth and fulfillment. In addition to the ongoing challenges already described, such as those with her mother, her joint pain would sometimes increase, contributing to avolition, frustration, hopelessness, and agitation.