Abstract :
This response paper describes cognitive-behavioral approaches to treating a patient, Howard, who is a combat veteran diagnosed with posttraumatic stress disorder, somatization disorder, major depressive disorder, and obsessive-compulsive disorder. This paper focuses on strategies for addressing the depression symptoms within the context of the broader clinical picture. Treatment strategies include increasing involvement in positive activities, self-monitoring of mood and behaviors, and cognitive restructuring. Collaboration with other providers is discussed. Potential problems are addressed, and expected treatment outcomes conclude the paper.