Lifestyle approach lifts mood

A range of interventions are needed when a traumatised patient runs off the rails

Jim, a 48-year-old mechanic and father of two children, has experienced depression for eight years.

It began after a traumatic incident in which a gunman fired at him at close range, narrowly missing.

Jim did not find counselling bene­ficial at the time.

He trialled antidepressant medication but stopped because it affected his libido.

He presented with difficulty coping, amotivation, feeling depressed or hopeless, lacking energy, early morning wakening, poor concentration and missing days at work.

Jim had been