Culture clash leading to Depressive episode: A Case Report

Abstract

An urban single girl of 19 years old from traditional middle class, hindu family with high economic status was visited the counselling cell accompanying her parents, she wished the psychologist in proper manner. As per the parents account, she was presented with chief complaints of dysphoric mood, remains aloof, decreased energy, suicidal wish, lack of interaction and decreased sleep for last one and half month. She was kempt and tidy, looking appropriate to her age, very reserved and guarded attitude with poor speech production,  suspicious and fearful. She was asked about her interest and leisure time activities, she dint show any interest and most of the time she remained quiet. Therefore, Parents were interviewed to know about the client in detail. While exploring the present history of illness parents reported, two months ago, she was gone to pursue her graduation from a university situated in a metro city 250km away from her home town. Over there, she had history of two very tragic and traumatic incidences (as per her account) that pushed her into severe depressive episode with somatic symptoms. She visited the psychologist in order to get rid of these symptoms. Psychological intervention helped her to get back to the previous patterns of behavior as desired by the parents.