Volume 6 • Issue 1 1000698 J Clin Case Rep ISSN: 2165-7920 JCCR, an open access journal Open Access Case Report Ejaz and Iqbal, J Clin Case Rep 2016, 6:1 http://dx.doi.org/10.4172/2165-7920.1000698 Journal of Clinical Case Reports Case Study of Major Depressive Disorder Muhammad Ejaz and Muhammad Zafar Iqbal* Hypnotherapist and Psychotherapist, Islamabad, Pakistan *Corresponding author: Muhammad Zafar Iqbal, Hypnotherapist and Psychotherapist, Islamabad, Pakistan, Tel: +92-3349585399; E-mail: iqbal_708@yahoo.com Received June 14, 2015; Accepted January 19, 2016; Published January 22, 2016 Citation: Ejaz M, Iqbal MZ (2016) Case Study of Major Depressive Disorder. J Clin Case Rep 6: 698. doi:10.4172/2165-7920.1000698 Copyright: © 2016 Ejaz M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Abstract This document pertains to the case study of Major Depressive Disorder. The subject of the disorder was Mr. IR age 33 years, married, an MBA and was serving as manager in a government commercial bank. Mr. IR has one elder brother and an elder stepsister. He was referred to my clinic by an Ex-client. Mr. IR told me about the symptoms he was suffering from. These were; aggressive behavior, sadness, suicidal tendency, lack of interest in routine life matters, disillusionment about his sexual ability, disturbed sleep and at last a unique symptom that he kept sitting, talking and weeping in front of mirror for one or two hours once or twice in a week. He could not recall his actions afterwards which he used to play before mirror. Assessment made after taking semi-structured interviews from Mr.IR and his family. In light of assessment and DSM-IV, it was diagnosed that Mr. IR was suffering from Major Depressive Disorder. Keywords: Depressive disorder; disillusionment; Aggressive behavior; Disturbed sleep Introduction Major purpose of this particular case study was to reairm and prove the eicacy of Fear-Stimuli Identiication herapy (FSIT) on empirical grounds. It was also intended to use FSIT in order to eliminate the symptoms of Major Depressive Disorder Mr. IR was sufering from as the therapy was already successfully used to remove the symptoms of various disorders in diferent cases. Hypotheses It is expected that the FSIT method would efectively cure the Major Depressive Disorder from which the above referred person Mr. IR is sufering. Method Participants Mr. IR (client) Materials No any speciic material used in this case study. Procedure In the irst two sessions semi-structured interviews were conducted with Mr.IR and his family. Assessment made in the light of these interviews and reasons/causes for disorder were dug out. DSM-IV was consulted to decide the nature or type of disorder. In the subsequent eighty-eight sessions Mr.IR was asked to write on speciic topics. Cross- questioning was carried out over the ideas mentioned in the writings. Results and Discussions Results Ater diagnosis of Major Depressive Disorder, treatment was started in th3e light of FSIT method. Five sessions per week and a total of ninety sessions were conducted. In the course of treatment, her sister reported about Positive behavioral change in diferent spheres of Mr. IR’s life. Clinical observations during treatment also indicated a gradual positive change in his personality. he diference between pre- assessment and post- assessment conirmed precision of hypotheses and eicacy of FSIT. Feedback was obtained on weekly basis for a period of three months from Mr. IR’s family about any possible reappearance of symptoms of Major Depressive Disorder and this was conirmed that there was no reoccurrence of disorder’s symptoms anymore. Discussions Before visiting my clinic Mr. IR had have already consulted diferent psychiatrists and was mostly treated by means of anti- depressants. his had no signiicant efects upon client’s disorder. Anyhow this medication helped Mr. IR sleep well as he was not able to sleep before it. Prior to write about intervention/treatment, a brief description of patient’s social and family environment is necessary in order to understand the main causes of Mr. IR’s disorder. Mr. IR’s family consisted of mother, father, an elder brother and an elder step- sister. His grandmother also lived with Mr. IR’s family. He started his schooling at the age of 5 years. His father was primary school teacher. His elder brother was also a student at the same school. He joined a religious school (Madrassa) also simultaneously. He was beaten frequently by his religious (Islamic) teacher. his resulted in some negative associations with religion and God in his unconscious level of mind. God and religion became stimulus for his fear instinct. He was always ambitious to develop acquaintance with his elder brother’s friends circle, but his brother always discouraged him in this matter. At home, he rather sufered an unpleasant and troublesome situation. His mother and grandmother kept quarreling at home. He always supported this old lady used to take good care of him but at the same time this resulted in harsh reaction towards him by his mother. Even sometimes, the client was beaten up by his mother on the account of his favor to grandmother. Anyhow his step-sister and grandmother, both were a source of afection, security and love to him. His unconscious level of mind developed negative associations with loud voice and harsh behavior of his mother which also became stimulus for his fear instinct. At the age of near about 06 years, he visited and stayed for one night at one of his relatives’ home. In the night he was given bed in the room of his young uncle and his spouse. In the early night, his uncle started making love to his wife considering the little boy as sleeping. Whereas, the boy was not asleep and he noticed all the activity and watched the upper private parts of his uncle’s wife who was continuously whispering