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During her late twenties, Kate was easily fatigued even when she was resting. She experienced fatigue even when she had slept for more hours than she was used to there before. At twenty-nine, she could barely do anything as she had decreased body energy. This made her skip even the basic chores at her home and threatening her career. Her parent having noticed the problem she was undergoing decided to take to the hospital where she was hospitalized for a severe case of depression. She was treated extensively with pharmacotherapy and psychotherapy for over few years (NYU Langone, n.d.).
At the age of 35, Kate expressed persistent attitude signs and a serious cognitive dysfunction. For the next three years, Kate underwent several medication from MRI testing, EEG, sleep studies and several neuropsychological testing. All of the medication that Kate underwent were not successful until she was thirty-eight years old. She diagnosed with a neurological disease known as Lyme disease at 38 years. However, after diagnose she was treated by antibiotics and other over-the-counter drugs supplements. This did not help her even after being treated with transcranial magnetic stimulation and hyperbaric oxygen.
Having undergone through medication for over ten years without signs and indication of improvement, she quit medication and all another psychotherapy. She resulted to neuropsychiatric remedies and sought help from Scott Hirsch, a professor of psychiatry and neurology at Langone Medical Center (NYU Langone, n.d.). The patient was so anxious and hopeless because her problem had persisted to her old age and affected all her dreams in life. Though she demonstrated a high level of intelligence, she had slowed response to actions. Doctors conducted segmental neurological diagnoses, but there were no signs of dyskinesia, myoclonus and tics (NYU Langone, n.d.).
The patient though exhibiting cognitive symptoms no neuropsychological clinical analysis indicated that
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Actually, individuals cannot be told only what to do and how to change their behavior in order to overcome their problems, but they need much support in order to overcome their problems. As such, motivational interviewing was introduced as an alternative to direct persuasion and intervention to client’s problem during behavioral therapy (Miller &Rollnick,1991).
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