Vol.:(0123456789) 1 3
Contemporary Family Therapy
https://doi.org/10.1007/s10591-019-09514-9
ORIGINAL PAPER
Depression and Financial Distress in a Clinical Population: The Value
of Interdisciplinary Services and Training
Megan R. Ford
1
· Émilie M. Ellis
1
· Joseph Goetz
1
· Kristy L. Archuleta
1
· Jerry E. Gale
1
· Barbara Grossman
1
·
Elizabeth Grant
1
· Jennifer Gonyea
1
© Springer Science+Business Media, LLC, part of Springer Nature 2019
Abstract
Therapy professionals who work from a systems theory perspective recognize the complex nature of client problems, as well
as the value of a holistic, ecosystemic approach. In practice, a specifc area of crossover that therapists may notice involves
mental health issues and fnancial concerns; two of the most pervasive include depression and fnancial distress. This study
sought to explore whether fndings from an interdisciplinary clinical population were consistent with existing literature on
the relationship between depression and fnancial distress. It was hypothesized that fnancial distress would predict depres-
sion, and that depression would predict fnancial distress. Evidence of a signifcant relationship between depression and
fnancial distress in the interdisciplinary clinical sample was found (N = 118). As a result, additional education, training, and
collaborative work with complementary areas like fnancial planning or fnancial counseling may be of beneft to therapists
working with similar populations. The value and implications of interdisciplinary training, as well as an existing interdis-
ciplinary clinic model, are discussed.
Keywords Depression · Financial distress · Interdisciplinary · Holistic · Ecosystemic model
Introduction
Imagine you meet a couple for your frst therapy session
together. Ed and his wife, Edith, have come to therapy
because they are fnding their arguments, confict, and life
stress have increased to a point where their marriage is no
longer sustainable. They are planning to pursue a divorce,
but part of their consistent confict has been around their
fnancial circumstances and housing situation. They own
land and a second home, yet have found themselves strug-
gling to keep up with their bills and have amassed a great
deal of debt. They blame each other for poor fnancial deci-
sions. With few options left to rectify this, the couple is
also considering bankruptcy. As you explore and assess their
concerns, it is clear that Ed and Edith have many intersecting
needs: fnancial questions, legal concerns, and relationship
issues. You sense that an interdisciplinary approach would
be key to most efectively serving this couple. However, as
their therapist, you may only be equipped to address a single
area contributing to their troubles.
Cases like this one, although hypothetical, are not neces-
sarily uncommon. Mental health professionals, especially
those working from a systemic perspective, recognize that
* Megan R. Ford
mrayford@uga.edu
Émilie M. Ellis
emilie.ellis@uga.edu
Joseph Goetz
goetz@uga.edu
Kristy L. Archuleta
karchuleta@uga.edu
Jerry E. Gale
jgale@uga.edu
Barbara Grossman
bgrossma@uga.edu
Elizabeth Grant
emgrant@uga.edu
Jennifer Gonyea
jlgonyea@uga.edu
1
University of Georgia, 202 Carlton Street, Athens,
GA 30602, USA