Nadir is 35 years old and loves his job as a computer programmer. He’s gained about 15 lb since he graduated from college, but he thinks that’s probably normal. He loves eating out and is very glad he can now afford to do so two or three times a week. He never really enjoyed sports and generally enjoys sedentary hobbies like reading, playing board games, and watching movies. At his last physical, his blood pressure was 150/95 mm Hg. His doctor prescribed blood pressure-lowering medication and also recommended that he start to exercise regularly and try to lose some weight. Nadir likes his current lifestyle and would rather just take the medication to keep his blood pressure under control.
Why would it be a good idea for Nadir to exercise and modify his eating habits, rather than simply taking the medication?
Because Nadir is not very motivated to make lifestyle and behavioral changes, what suggestions would you make to him?
Because Nadir is not very motivated to make lifestyle and behavioral changes, what suggestions would you make to him?
Introduction
Nadir is a patient who has been diagnosed with major depression. He hasn’t been very motivated to make lifestyle and behavioral changes, but you have seen other patients like this in your practive and it’s frustrating because you know there is so much help available for people suffering from depression, but not everyone is willing or able to take advantage of it.
Nadir is not very motivated to make lifestyle and behavioral changes.
Nadir is not very motivated to make lifestyle and behavioral changes. He doesn’t want to go on a diet, he has no interest in exercise and hasn’t tried to stop smoking. Additionally, he is not motivated to make behavioral changes such as eating more healthy foods or getting enough sleep.
He doesn’t want to go on a diet, he has no interest in exercise and he hasn’t tried to stop smoking.
You can help Nadir by encouraging him to make lifestyle and behavioral changes.
You might say:
Nadir, if you want to change your eating habits, try focusing on fruits instead of candy and soda.
Nadir, exercise is important for good health and weight control. It’s not just about the pounds; it also helps keep your bones strong and muscles firm. So if you want to lose weight or keep up with exercise programs like running or swimming, try doing something every day for at least half an hour a day (you can do this at home).
If you try to get him to make any of these changes, he will just get angry or shut down completely.
If you try to get him to make any of these changes, he will just get angry or shut down completely. He might be depressed and doesn’t want to talk about it, or he may not have an interest in trying anything new because his lifestyle has always been comfortable for him. In addition, Nadir has a strong sense of identity as someone who lives in a certain way: eating healthy foods and working out regularly are important parts of his identity as a person.
The problem is that his lack of motivation makes him more likely to commit suicide than his depression does.
The problem is that his lack of motivation makes him more likely to commit suicide than his depression does.
When people become depressed, they often feel hopeless and helpless. They know that their lives will never be the same again—but they don’t know how to change it. Suicide is a permanent solution to a temporary problem: You can’t go back in time and fix things if you’ve already made this decision!
If Nadir were suicidal instead of depressed, he would have been able to see clearly what needed fixing and make positive changes immediately instead of waiting until after he killed himself (and maybe even before then).
You have seen other patients like this in your practive and it’s frustrating because you know there is so much help available for people suffering from depression, but not everyone is willing or able to take advantage of it.
You have seen other patients like this in your practive and it’s frustrating because you know there is so much help available for people suffering from depression, but not everyone is willing or able to take advantage of it. People who are depressed are more likely to commit suicide than people who aren’t depressed. Some people are more likely to be depressed than others and some have more support or resources available than others. It’s also important that each individual has motivation when it comes down to making lifestyle changes; if a person isn’t motivated enough then they may never change their behavior even though they want too!
You have tried everything from cognitive behavioral therapy (CBT) sessions where patients talk about their problems with each other in groups, motivational interviewing techniques where counselors encourage individuals to make positive changes by talking about their goals and strengths, motivational enhancement therapy sessions that use positive reinforcement techniques like rewards when someone accomplishes something good on their own time schedule like quitting smoking or going on a dieting program; nothing seems to work for Nadir because he believes he can’t do anything right anyway so why bother?
CBT is a type of therapy that focuses on the present and helps patients understand how their thoughts, feelings and behaviors are linked. It can be used to help people with depression, anxiety disorders, eating disorders, substance abuse problems and other mental health issues.
CBT may include:
talking about your problems with someone who has expertise in CBT;
learning how to change negative or unhelpful thinking patterns;
building up positive self-esteem through activities like journaling or writing down what you’re grateful for each day;
Conclusion
It’s important to remember that it’s not always easy to get people with mental health problems to make lifestyle changes. As I’ve said before, this is especially true for depression patients because they feel like they don’t have control over their own lives and emotions. But if you’re willing to try different things and keep at it until you find something that works for your patient then hopefully one day soon Nadir will be off meds altogether and have the tools needed for achieving his goals in life!