1. Based on the ICF Review the International Classification of Functioning (ICF) discussed on page 171 of your textbook and presented in Table 6-1 on page 172 for client analysis: a) Which of Lizzie’€™s body functions and structures are affected in her case? How do you know this?

Lizzie’s functional and structural integrity were adverselyaffected in that she could not sit together with other people.Moreover, she felt like she had a heavy load on her back (Cara &ampMacRae, 2013).

B) Which of Lizzie’€™s activities and participation are affected,and how do you know this?

Some life areas concerning her actions were affected. For example,she felt like she could hardly move (Cara &amp MacRae, 2013).Furthermore, her capacity in executing tasks was diminished since sherefused to perform any kind of work. Her participation in activitieswas also limited since she kept to herself.

C) What are the environmental factors affecting Lizzie’€™ssituation?

Lizzie’s situation is affected by several environmental factors.For example, people on the unit had made a deliberate choice to stayaway from her (Cara &amp MacRae, 2013). In addition, the staffmembers avoided her and attempted to review her life in using biasedperspectives.

D) What personal factors of Lizzie’s are having an impact?

Lizzie is also impacted by some personal factors. For instance, sheconstantly worried that her situation was hopeless. In this regard,she felt that it was impossible to find happiness and fulfillment inher life. Besides, she erroneously concluded that other people hatedher, misunderstood her, and were unable to provide any assistance(Cara &amp MacRae, 2013).

  1. Which of the following treatment formats typically used for people with depression would you use in your intervention plan, and why?

  1. If there is a need to address emotional symptoms: Valued activities

I would use valued activities to address emotional symptoms sincethey can help the depressed person to consider the importance ofliving positively (Smith, Eriksen, &amp Bor, 2015). Valuedactivities also help to add meaning and purpose to life.

  1. If there is a need to address cognitive and motivational symptoms: Group activities Step-by-step goals and behavioral to-do lists Re-establishing normal routines Cognitive therapy to challenge distorted ideas Reality-testing Psycho-educational groups

I would use step-by-step goals and behavioral to-do lists to addressmotivational and cognitive symptoms in a depressed individual.Step-by-step goals help the individual to develop an awareness oftheir actions and other activities driven by their decisions (Smithet al., 2015). On the other hand, behavioral to-do lists enable theindividual to consider the impact that they have on other people.Moreover, group activities help the individual to derive motivationfrom interaction with other depressed people.

  1. If there is a need to address impaired self-concept: Self-exploration activities.

Self-exploration activities are appropriate since they help adepressed individual to become aware of personal traits andmannerisms that define their character (Smith et al., 2015).

  1. If there is a need to address a vegetative status: Provision of external structure.

Providing an external structure is sufficient for an individual in avegetative state since it helps to reinforce perspective (Smith etal., 2015). It also contributes to mental and emotional stability.


Cara, E. &amp MacRae, A. (2013). Psychosocial occupationaltherapy: An evolving practice. Clifton Park, NY: Thomson DelmarLearning.

Smith, F., Eriksen, C., &amp Bor, R. (2015). Coping with thepsychological effects of illness: Strategies to manage anxiety anddepression. London, UK: Sheldon Press