Case Study: Jilly  

'Jilly' is 21 years old and has suffered from depression since the age of 17. She is at the end of her second year of her degree course, in media studies, but had failed half of her end of year assessments. Jilly is not surprised, although she is devastated. Her family have very little spare cash but they have supported her as much as they can to assist her to do the course and to encourage her. She feels like she has let them down. She is tearful much of the time, isn't sleeping and has very little motivation to study, believing that she has no chance of passing as her concentration is so poor and she has no energy for it anymore.  

Jilly has an older brother who is working as an accountant and a little sister who is only 11 who lives with her mum and step-dad.  Jilly also has a dog called 'Shabby' who she adores.  

You have seen Jilly a couple of times at her mum's house and this is the third time that you are about to go out to see her. You have asked her to be dressed, as you are hoping that the two of you can 'walk and talk' whilst taking Shabby out for a walk.  

Please reflect upon the following points: 

• Jilly has only little hope for the future. Hope is a major factor in recovery from depression. What can you do to promote hope and therapeutic optimism in your communication with Jilly?  
• How can Shabby be part of Jilly's recovery?  
• You know that you need to be empathic, warm and genuine at all times, with Jilly, but sometimes she says very little back to you. How can you show Jilly that her opinion matters and that you are listening to her in a compassionate way?

Note: Reflect on how you might approach these situations. If you’re not sure, discuss with your tutor or placement mentor