<\/p>\n
<\/div>\n\n
Read this section and get the planners by clicking “Purpose and Signs of Success” below.<\/p>\n
Don’t worry about the needs you are missing – you won’t be alone. In fact, any one of us may be missing out on one or two at times. And you can rest assured that all over the world there are people with exactly the same missing needs as you, worrying in exactly the same way!<\/p>\n
Below the Basic Human Needs<\/strong> are spelt out in detail, showing what they are, how they may be fulfilled, and what the consequences are if they are not well met.<\/p>\nRead the list carefully. It may seem a bit daunting at first, but you will soon appreciate that many needs ‘overlap’ – meeting one of them can often help meet others too!<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<\/a>2. Basic Needs Planners<\/h3>\n<\/div>\n\nRead this section by clicking “Basic Needs Planners” below.<\/p>\n\nBasic Needs Planners<\/a><\/h4>\n\nEach ‘need’ is linked to a planner.\u00a0\u00a0 It looks like this (this is the planner for Need 5):<\/p>\n<\/p>\nPrint off the planners<\/h4>\nYou can print off the planners (we would highly recommend doing this) by downloading and printing off the Basic Needs Assessment (PDF document)<\/a> (you may need to right-click and save to your computer or device before printing).\u00a0 It includes planners for each basic need, and we’ve repeated the guidelines from below in the document.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<\/a>3. Guidelines<\/h3>\n<\/div>\n\nRead this section by clicking “Guidelines” below.<\/p>\n\nGuidelines<\/a><\/h4>\n\nTake each ‘need’ in turn (it doesn’t matter what order you do them in), print out the planner for that need and review how well that need is being met<\/strong> in your own life.<\/p>\nTake your time<\/strong> over this exercise. There is no need (and it is not wise) to try to do them all at once. It may take you several days to complete this – that’s fine.<\/p>\n\nIn the ‘Where I am now<\/strong>‘ section, write how that need is currently being met in your life (for example, even if you only see one person a week, this counts toward meeting your need for attention).<\/li>\nGrade how well each need is currently being catered for and enter a score in the score box. A 10<\/strong> would be ‘completely’ and 1 would be ‘hardly at all.’<\/li>\nIn the ‘Where I’d like to be<\/strong>‘ section, describe how you would like things to be with this need.<\/li>\nIn the ‘Steps to take<\/strong>‘ section, put down some practical ways in which you could get this need better met now, later, and in the future.<\/li>\nIn the ‘I’ll know I’ve got there when<\/strong>‘ section, write down how you will know that this need is now being adequately well met.<\/li>\n<\/ol>\nExample<\/strong><\/p>\n\n\n\nNeed<\/em><\/td>\nTo give and receive attention<\/td>\n<\/tr>\n\nCurrently<\/em><\/td>\nI speak to my mother once a week on the phone. I see people in the store. I see my husband. I feel I am not getting as much interaction as I need. Score is 4\/10.<\/td>\n<\/tr>\n\nI’d like to be<\/em><\/td>\nI’d like to spend more time with my own women friends. I’d like to join a group where I can meet others with shared interests. I’d like to know my neighbors better – I think local people should hang together more.<\/td>\n<\/tr>\n\nSteps<\/em><\/td>\nNow<\/em>: I can call up Ann and plan to go out for a coffee. I’ll see if we can meet every week at a suitable time. I can start saying ‘hi’ to the neighbors. If they don’t speak to me, it doesn’t mean I can’t speak to them.Later<\/em>: I can find out when the aerobics class is on at the sports center. I can get information about local societies and choose one or more to join.Future<\/em>: I can contact my local volunteering center and see if I can do a half-day each week.<\/td>\n<\/tr>\n\nSigns of success<\/em><\/td>\nI’ll know I’ve got there when I am spending at least 4-6 hours in a week in the company of people other than my husband. And when I’m meeting one or more of my own friends once a week.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\nNote<\/h3>\nThe exercise will require some concentration, but the results will be worth it, perhaps even more than you can imagine.<\/p>\nIf you are feeling tired, try listening to the last Relaxed Review<\/strong><\/a> again, or just do the first 2 or 3 needs<\/strong><\/a> and come back to it tomorrow.<\/p>\n<\/p><\/div>\n<\/div>\nRefer to the Basic human needs<\/a> as you complete your planners.<\/p>\nWe recommend that you do a basic needs review at least every three months while you are recovering, and then every six months or so. This will enable you to monitor your progress and see that your needs are being met in an adequate manner over time.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<\/a>4. The basic human needs<\/h3>\n<\/div>\n\nRead this section by clicking “The basic human needs” below.<\/p>\n\nThe basic human needs<\/a><\/h4>\n<\/p>\nHere’s a summary of the basic human needs, how you can meet them, and the consequences of missing out on those needs.\u00a0 Also, to help you get the hang of how to make the most of the planners, you can see how Rachel, Ken and Jane assessed their own situations, and Mark’s commentary, in the Case Studies<\/a> section.<\/p>\n<\/a><\/p>\n<\/p>\n<\/p>\nThis should be a useful exercise. Depression is rare in communities organized in such a way as to meet these basic needs for their members.<\/p>\n<\/div>\n\n\n“This is just depressing – now you’re on my<\/strong> side, right?”<\/p>\n<\/p><\/div>\n<\/div>\n\n\n“Depresso, you’re missing the point! Knowledge is power!<\/p>\nNow we know what we need, we can start making efforts to meet life’s basic emotional needs.<\/p>\nAnd, besides, few people have all their needs met all the time! So we can relax, whatever the outcome of the exercise.”<\/p>\n<\/p><\/div>\n<\/div>\n<\/div>\nWhat you need to do is to simply start making allowances for the fulfilment of these needs in your life. After all, you are human. Over the coming weeks, just start to notice how you can nurture your basic needs and how much better you feel for it.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<\/a>5. Important point on spreading risk<\/h3>\nDon’t put all your eggs in one basket.<\/strong><\/p>\nIf you find that many of your needs are being fulfilled by one person or by a single job, you should strongly consider ‘spreading the load’. Too much pressure on one source puts you at risk of ignoring your own boundaries and personal requirements in favor of this ‘all-providing source’. This one person or particular job simply becomes too important <\/em>in your life, causing imbalance and inequality in the power balance.<\/p>\nAnd if something does go wrong with this source, your basic needs may be heavily impacted. Strive to meet your needs from different sources. Develop friendships away from work, get interested in projects in different areas of life, and focus on gaining satisfaction in different ways.<\/p>\n\n<\/a>6. Case studies<\/h3>\nBelow are ‘case studies’ of three people – Rachel Lambarth, Ken Radford and Jane Smith (not their real names) – who have used the basic needs planners to review how their basic needs are currently being met, and what they can do to meet these needs more effectively.<\/p>\nEach case study includes a short resum\u00e9 of the individual’s current situation, their completed planner, and commentary from Mark on how each individual’s depressed state is related to imbalance in meeting their basic needs, together with ideas for how they could be helped.<\/p>\nJust click on each case study to read it.<\/p>\n<\/div>\n\nCase study 1 – Rachel Lambarth<\/h3>\n\nCase study 1 - Rachel Lambarth<\/a><\/h4>\n<\/p>\nRachel is a 32 year old woman who has been diagnosed with clinical depression. She works for a boss who does not value her and makes her do unpaid overtime. She would like to be a freelance photographer and work for herself, but lacks the confidence to leave or stand up to him.<\/p>\nShe is unhappy in her current relationship. She has lots of friends but since becoming depressed hardly ever sees them as she feels so down. She has stopped running, which she used to love, and has lost her appetite. She panics a lot about her age and how she is getting older (although she is only 32!).<\/p>\nShe is quite a high-achiever but seems to have forgotten her past successes and concentrates instead on all the failures in her life.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\nMark’s commentary on Rachel’s situation<\/h3>\nRachel’s life clearly hasn’t been working for her. She is taken advantage of at work, is not really fulfilled in her job anyway, and has become isolated. She has stopped running and lost her appetite, which are typical signs that depression has a negative impact on physical motivation. She is also unhappy in her relationship. The attention she gets (and perhaps gives to) her boyfriend isn’t good quality and her need for emotional intimacy doesn’t seem to be being met.<\/p>\nIt’s worth remembering that it’s not these issues in themselves that caused her depression, but her rumination<\/strong> about them and the fact that they are unresolved.<\/p>\nRachel feels that safety and security are not an issue for her, but then says she feels powerless in her life, suggesting that she doesn’t feel too secure. She explicitly states she feels too exhausted to pursue constructive goals and feels hopeless about making plans anyway. Although only 32, she feels she is already ‘getting old’. Depression certainly can make people feel older than their years. Ultimately she wants to work independently as a photographer. Rachel mentions that she wants a satisfying and fulfilling relationship so we need to help her build or recapture better intimacy with her partner. She has a fairly clear idea of what she needs, and has also written positive steps she needs to take to get there – a very encouraging sign that she can at least see a realistic and measurable way forward.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n\nCase study 2 – Ken Radford<\/h3>\n\nCase study 2 - Ken Radford<\/a><\/h4>\n<\/p>\nKen retired from an accountancy job a year ago and since then has become quite depressed. He was probably mildly depressed for the last ten years, but since retiring it has become a lot worse. Ken divorced more than 20 years ago. He is not concerned about his failed marriage and is not particularly interested in finding a new partner.<\/p>\nHe is a devoted father but since his sons all live in a different city he hardly ever sees them, and misses them terribly. He is concerned that they will continue to live far away, and that this will mean that he will not be able to see his grandchildren very often when they eventually make an appearance. This makes him feel like he is missing out even more (even though they’re not even born yet). He spends a lot of time lying awake at night fretting about this.<\/p>\nKen stopped going to church when he divorced as many of the people they knew from church at that time were his wife’s friends. The divorce is now ancient history and he knows he could go back with no social awkwardness if he wanted to. He has a few good friends but is very tired and feels down all the time, so hardly ever sees them although he misses their company. He spends several hours a day helping his elderly parents, who are in a rest home. They are both very frail and suffer from dementia. Ken knows they will die within the next few years and he is emotionally prepared for their passing, but worries that he will become much more depressed when visiting them is no longer a regular ‘purpose’ in his life.<\/p>\nKen used to be a keen chess player. He is quite interested in using the internet more as he likes the idea of video-chatting with his sons and playing chess online, but lacks confidence. Although his sons love him and call him often, his self-confidence has gone down and he feels like a visit would only be burdensome for them. He also worries that navigating airports would be overwhelming (although he used to fly quite a bit).<\/p>\nOver the last ten years he has put on a lot of weight and has stopped exercising because of it. He used to be a hill-walker and would still like to be able to walk to the shops, walk around the local park, and so on. He is a very caring man and would like to use his skills to volunteer somehow. He has worked his whole life and feels ‘useless’ now that he doesn’t have a paid job.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Ken’s situation<\/h3>\nIt would be easy to assume that Ken – ‘deep down’ – really does want a partner, but it’s often a mistake to make this kind of assumption. The need for intimacy does vary from person to person, and it can be met through friendships and family connections, not just through romantic partnerships. If he says it is not a priority for him, then we should take him at his word.<\/p>\nBut it seems clear that many of Ken’s basic emotional needs remain unfulfilled, and this is likely what precipitated his current depression. His need for safety and security has been thwarted by his fear and worry that he’ll lose his purpose for being once his frail parents pass away. We’d need to help him build his life in such a way that he feels more connected to his other family members and wider community, and also feels useful and valuable. It’s telling that he became more depressed after he retired. It really seems that he needs to feel useful again, not a ‘burden’. He’s lost – or shall we say ‘misplaced’ – the confidence he once had in traveling, and we could usefully talk with him about what steps are needed to travel successfully and comfortably. We might even have him mentally rehearse, while he is relaxed, travelling successfully and happily, as well as negotiating the internet technology to communicate more with his sons. Family is important to Ken, and this should be encouraged.<\/p>\nHis idea to volunteer his accountancy skills for his local church and generally get involved in community again, connecting up to people and feeling needed, is an excellent one and we should encourage this. We can help break down into manageable steps exactly what he needs to do to make it happen. He needs to start walking again as he ‘used to climb mountains’. Walking instead of driving the 10 minutes to his parents’ rest home is another great idea. We could also talk about him metaphorically as ‘the man who knows how to climb mountains’, and use this as a way of contributing to his sense of identity in a positive way. Ken has all the steps in place to build a satisfying and non-depressive life. He needs support and it would also be wise to ensure he is looking after his physical health, eating properly and sleeping well.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n\nCase study 3 – Jane Smith<\/h3>\n\nCase study 3 - Jane Smith<\/a><\/h4>\n<\/p>\nCase study 3 – Jane Smith<\/h3>\nJane is a 45 year old single woman working in an administrative job. She is close to her family, in particular her mother and sister and her sister’s two daughters. She would quite like to have a partner. Although she is relatively happy being childless, she loves looking after her young nieces. Before she became depressed, she enjoyed her job and loved cycling. She had a fairly active social life, although many of her girlfriends have children and families so they don’t have quite as much free time as Jane, which is why she has got it into her head that they don’t want to see her anymore. This isn’t true because they do ring her quite often and are concerned she is depressed.<\/p>\nJane became quite badly depressed quite suddenly and has taken leave of absence from work to fight the depression, but this only seems to have made things worse. Although she sleeps a lot and doesn’t do much – she barely leaves the house – she is still very tired all the time and constantly frets about how the house and garden are in such a mess, because she is so exhausted she hardly ever cleans. She has stopped cycling, stopped socializing and feels like the depression is getting worse and worse, not better, which worries her further. She thinks she’ll never be able to go back to work or live her life properly again.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Jane’s situation<\/h3>\nJane’s depression is blatantly blocking her from meeting her needs. She used to satisfy her need for attention from a wide variety of sources, including work that she enjoyed, and also through belonging to a cycling club, but now she is isolated. She says her only current source of attention ‘exchange’ is with her mother, although it’s the quality of this attention isn’t clear and it is never a great idea to have only one main source of attention. It’s clear that a sign<\/em> <\/strong>that Jane is feeling better will be that she is spending more time with friends and family again but, paradoxically, starting to mix with others again will also help<\/em> <\/strong>Jane feel better.<\/p>\nSo what can we do to help Jane feel good enough to socialize again (which in turn can make her feel even<\/em> better)?<\/p>\nI would like to discover why Jane became depressed so suddenly. What stresses was she under in her life? What was she most worried about? And how did these worries relate to her basic needs – either not meeting<\/strong> them or fearing they would no longer be met<\/strong> in the future?<\/p>\nJane needs to feel stronger in herself. She hasn’t been eating properly or exercising and, although she doesn’t say so, I suspect her sleep isn’t what it could be. We can help Jane discipline herself to start eating better and to begin to move her body more. We can teach her to relax so that she feels more able<\/em> to look after her physical needs.<\/p>\nThe need for a sense of safety and security is closely tied to the need for a sense of control in life. I feel that Jane may have taken the need for a sense of safety and security perhaps a tad too literally, as she talks about her apartment being ‘in a safe neighborhood’, yet also states that she has ‘no control’ over her life – which tends to produce feelings of insecurity.<\/p>\nWe could gently start to question her depressive all-or-nothing thinking – does she really have no<\/strong> control? None at all? And what about her sense that she is a ‘bad’ friend\/relative? I might challenge this by asking if a bicycle a ‘bad bicycle’ just because it’s taking some time out to get fixed?<\/p>\nJane would love a special relationship, so we might also look to see what strategies she has used in the past to meet partners and maintain relationships, and whether they have worked for her or not.<\/p>\nIt’s clear that Jane has a strong sense of what she needs in life. Helped by a clear understanding of the basic needs, we can help her get there.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\nGo back to Session 2 Summary<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Contents 1. Purpose and Signs of Success Read this section and get the planners by clicking “Purpose and Signs of Success” below. 2. Basic Needs Planners Read this section by clicking “Basic Needs Planners” below. 3. Guidelines Read this section by clicking “Guidelines” below. 4. The basic human needs Read this section by clicking “The […]<\/p>\n","protected":false},"author":72,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[12],"tags":[],"acf":[],"yoast_head":"\nBasic Needs Assessment<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Sayed Rahman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"18 minutes\" \/>\n<script type=\"application\/ld+json\" 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Read the list carefully. It may seem a bit daunting at first, but you will soon appreciate that many needs ‘overlap’ – meeting one of them can often help meet others too!<\/p>\n
<\/div>\n<\/div>\n<\/div>\n
Read this section by clicking “Basic Needs Planners” below.<\/p>\n
You can print off the planners (we would highly recommend doing this) by downloading and printing off the Basic Needs Assessment (PDF document)<\/a> (you may need to right-click and save to your computer or device before printing).\u00a0 It includes planners for each basic need, and we’ve repeated the guidelines from below in the document.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<\/a>3. Guidelines<\/h3>\n<\/div>\n\nRead this section by clicking “Guidelines” below.<\/p>\n\nGuidelines<\/a><\/h4>\n\nTake each ‘need’ in turn (it doesn’t matter what order you do them in), print out the planner for that need and review how well that need is being met<\/strong> in your own life.<\/p>\nTake your time<\/strong> over this exercise. There is no need (and it is not wise) to try to do them all at once. It may take you several days to complete this – that’s fine.<\/p>\n\nIn the ‘Where I am now<\/strong>‘ section, write how that need is currently being met in your life (for example, even if you only see one person a week, this counts toward meeting your need for attention).<\/li>\nGrade how well each need is currently being catered for and enter a score in the score box. A 10<\/strong> would be ‘completely’ and 1 would be ‘hardly at all.’<\/li>\nIn the ‘Where I’d like to be<\/strong>‘ section, describe how you would like things to be with this need.<\/li>\nIn the ‘Steps to take<\/strong>‘ section, put down some practical ways in which you could get this need better met now, later, and in the future.<\/li>\nIn the ‘I’ll know I’ve got there when<\/strong>‘ section, write down how you will know that this need is now being adequately well met.<\/li>\n<\/ol>\nExample<\/strong><\/p>\n\n\n\nNeed<\/em><\/td>\nTo give and receive attention<\/td>\n<\/tr>\n\nCurrently<\/em><\/td>\nI speak to my mother once a week on the phone. I see people in the store. I see my husband. I feel I am not getting as much interaction as I need. Score is 4\/10.<\/td>\n<\/tr>\n\nI’d like to be<\/em><\/td>\nI’d like to spend more time with my own women friends. I’d like to join a group where I can meet others with shared interests. I’d like to know my neighbors better – I think local people should hang together more.<\/td>\n<\/tr>\n\nSteps<\/em><\/td>\nNow<\/em>: I can call up Ann and plan to go out for a coffee. I’ll see if we can meet every week at a suitable time. I can start saying ‘hi’ to the neighbors. If they don’t speak to me, it doesn’t mean I can’t speak to them.Later<\/em>: I can find out when the aerobics class is on at the sports center. I can get information about local societies and choose one or more to join.Future<\/em>: I can contact my local volunteering center and see if I can do a half-day each week.<\/td>\n<\/tr>\n\nSigns of success<\/em><\/td>\nI’ll know I’ve got there when I am spending at least 4-6 hours in a week in the company of people other than my husband. And when I’m meeting one or more of my own friends once a week.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\nNote<\/h3>\nThe exercise will require some concentration, but the results will be worth it, perhaps even more than you can imagine.<\/p>\nIf you are feeling tired, try listening to the last Relaxed Review<\/strong><\/a> again, or just do the first 2 or 3 needs<\/strong><\/a> and come back to it tomorrow.<\/p>\n<\/p><\/div>\n<\/div>\nRefer to the Basic human needs<\/a> as you complete your planners.<\/p>\nWe recommend that you do a basic needs review at least every three months while you are recovering, and then every six months or so. This will enable you to monitor your progress and see that your needs are being met in an adequate manner over time.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<\/a>4. The basic human needs<\/h3>\n<\/div>\n\nRead this section by clicking “The basic human needs” below.<\/p>\n\nThe basic human needs<\/a><\/h4>\n<\/p>\nHere’s a summary of the basic human needs, how you can meet them, and the consequences of missing out on those needs.\u00a0 Also, to help you get the hang of how to make the most of the planners, you can see how Rachel, Ken and Jane assessed their own situations, and Mark’s commentary, in the Case Studies<\/a> section.<\/p>\n<\/a><\/p>\n<\/p>\n<\/p>\nThis should be a useful exercise. Depression is rare in communities organized in such a way as to meet these basic needs for their members.<\/p>\n<\/div>\n\n\n“This is just depressing – now you’re on my<\/strong> side, right?”<\/p>\n<\/p><\/div>\n<\/div>\n\n\n“Depresso, you’re missing the point! Knowledge is power!<\/p>\nNow we know what we need, we can start making efforts to meet life’s basic emotional needs.<\/p>\nAnd, besides, few people have all their needs met all the time! So we can relax, whatever the outcome of the exercise.”<\/p>\n<\/p><\/div>\n<\/div>\n<\/div>\nWhat you need to do is to simply start making allowances for the fulfilment of these needs in your life. After all, you are human. Over the coming weeks, just start to notice how you can nurture your basic needs and how much better you feel for it.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<\/a>5. Important point on spreading risk<\/h3>\nDon’t put all your eggs in one basket.<\/strong><\/p>\nIf you find that many of your needs are being fulfilled by one person or by a single job, you should strongly consider ‘spreading the load’. Too much pressure on one source puts you at risk of ignoring your own boundaries and personal requirements in favor of this ‘all-providing source’. This one person or particular job simply becomes too important <\/em>in your life, causing imbalance and inequality in the power balance.<\/p>\nAnd if something does go wrong with this source, your basic needs may be heavily impacted. Strive to meet your needs from different sources. Develop friendships away from work, get interested in projects in different areas of life, and focus on gaining satisfaction in different ways.<\/p>\n\n<\/a>6. Case studies<\/h3>\nBelow are ‘case studies’ of three people – Rachel Lambarth, Ken Radford and Jane Smith (not their real names) – who have used the basic needs planners to review how their basic needs are currently being met, and what they can do to meet these needs more effectively.<\/p>\nEach case study includes a short resum\u00e9 of the individual’s current situation, their completed planner, and commentary from Mark on how each individual’s depressed state is related to imbalance in meeting their basic needs, together with ideas for how they could be helped.<\/p>\nJust click on each case study to read it.<\/p>\n<\/div>\n\nCase study 1 – Rachel Lambarth<\/h3>\n\nCase study 1 - Rachel Lambarth<\/a><\/h4>\n<\/p>\nRachel is a 32 year old woman who has been diagnosed with clinical depression. She works for a boss who does not value her and makes her do unpaid overtime. She would like to be a freelance photographer and work for herself, but lacks the confidence to leave or stand up to him.<\/p>\nShe is unhappy in her current relationship. She has lots of friends but since becoming depressed hardly ever sees them as she feels so down. She has stopped running, which she used to love, and has lost her appetite. She panics a lot about her age and how she is getting older (although she is only 32!).<\/p>\nShe is quite a high-achiever but seems to have forgotten her past successes and concentrates instead on all the failures in her life.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\nMark’s commentary on Rachel’s situation<\/h3>\nRachel’s life clearly hasn’t been working for her. She is taken advantage of at work, is not really fulfilled in her job anyway, and has become isolated. She has stopped running and lost her appetite, which are typical signs that depression has a negative impact on physical motivation. She is also unhappy in her relationship. The attention she gets (and perhaps gives to) her boyfriend isn’t good quality and her need for emotional intimacy doesn’t seem to be being met.<\/p>\nIt’s worth remembering that it’s not these issues in themselves that caused her depression, but her rumination<\/strong> about them and the fact that they are unresolved.<\/p>\nRachel feels that safety and security are not an issue for her, but then says she feels powerless in her life, suggesting that she doesn’t feel too secure. She explicitly states she feels too exhausted to pursue constructive goals and feels hopeless about making plans anyway. Although only 32, she feels she is already ‘getting old’. Depression certainly can make people feel older than their years. Ultimately she wants to work independently as a photographer. Rachel mentions that she wants a satisfying and fulfilling relationship so we need to help her build or recapture better intimacy with her partner. She has a fairly clear idea of what she needs, and has also written positive steps she needs to take to get there – a very encouraging sign that she can at least see a realistic and measurable way forward.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n\nCase study 2 – Ken Radford<\/h3>\n\nCase study 2 - Ken Radford<\/a><\/h4>\n<\/p>\nKen retired from an accountancy job a year ago and since then has become quite depressed. He was probably mildly depressed for the last ten years, but since retiring it has become a lot worse. Ken divorced more than 20 years ago. He is not concerned about his failed marriage and is not particularly interested in finding a new partner.<\/p>\nHe is a devoted father but since his sons all live in a different city he hardly ever sees them, and misses them terribly. He is concerned that they will continue to live far away, and that this will mean that he will not be able to see his grandchildren very often when they eventually make an appearance. This makes him feel like he is missing out even more (even though they’re not even born yet). He spends a lot of time lying awake at night fretting about this.<\/p>\nKen stopped going to church when he divorced as many of the people they knew from church at that time were his wife’s friends. The divorce is now ancient history and he knows he could go back with no social awkwardness if he wanted to. He has a few good friends but is very tired and feels down all the time, so hardly ever sees them although he misses their company. He spends several hours a day helping his elderly parents, who are in a rest home. They are both very frail and suffer from dementia. Ken knows they will die within the next few years and he is emotionally prepared for their passing, but worries that he will become much more depressed when visiting them is no longer a regular ‘purpose’ in his life.<\/p>\nKen used to be a keen chess player. He is quite interested in using the internet more as he likes the idea of video-chatting with his sons and playing chess online, but lacks confidence. Although his sons love him and call him often, his self-confidence has gone down and he feels like a visit would only be burdensome for them. He also worries that navigating airports would be overwhelming (although he used to fly quite a bit).<\/p>\nOver the last ten years he has put on a lot of weight and has stopped exercising because of it. He used to be a hill-walker and would still like to be able to walk to the shops, walk around the local park, and so on. He is a very caring man and would like to use his skills to volunteer somehow. He has worked his whole life and feels ‘useless’ now that he doesn’t have a paid job.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Ken’s situation<\/h3>\nIt would be easy to assume that Ken – ‘deep down’ – really does want a partner, but it’s often a mistake to make this kind of assumption. The need for intimacy does vary from person to person, and it can be met through friendships and family connections, not just through romantic partnerships. If he says it is not a priority for him, then we should take him at his word.<\/p>\nBut it seems clear that many of Ken’s basic emotional needs remain unfulfilled, and this is likely what precipitated his current depression. His need for safety and security has been thwarted by his fear and worry that he’ll lose his purpose for being once his frail parents pass away. We’d need to help him build his life in such a way that he feels more connected to his other family members and wider community, and also feels useful and valuable. It’s telling that he became more depressed after he retired. It really seems that he needs to feel useful again, not a ‘burden’. He’s lost – or shall we say ‘misplaced’ – the confidence he once had in traveling, and we could usefully talk with him about what steps are needed to travel successfully and comfortably. We might even have him mentally rehearse, while he is relaxed, travelling successfully and happily, as well as negotiating the internet technology to communicate more with his sons. Family is important to Ken, and this should be encouraged.<\/p>\nHis idea to volunteer his accountancy skills for his local church and generally get involved in community again, connecting up to people and feeling needed, is an excellent one and we should encourage this. We can help break down into manageable steps exactly what he needs to do to make it happen. He needs to start walking again as he ‘used to climb mountains’. Walking instead of driving the 10 minutes to his parents’ rest home is another great idea. We could also talk about him metaphorically as ‘the man who knows how to climb mountains’, and use this as a way of contributing to his sense of identity in a positive way. Ken has all the steps in place to build a satisfying and non-depressive life. He needs support and it would also be wise to ensure he is looking after his physical health, eating properly and sleeping well.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n\nCase study 3 – Jane Smith<\/h3>\n\nCase study 3 - Jane Smith<\/a><\/h4>\n<\/p>\nCase study 3 – Jane Smith<\/h3>\nJane is a 45 year old single woman working in an administrative job. She is close to her family, in particular her mother and sister and her sister’s two daughters. She would quite like to have a partner. Although she is relatively happy being childless, she loves looking after her young nieces. Before she became depressed, she enjoyed her job and loved cycling. She had a fairly active social life, although many of her girlfriends have children and families so they don’t have quite as much free time as Jane, which is why she has got it into her head that they don’t want to see her anymore. This isn’t true because they do ring her quite often and are concerned she is depressed.<\/p>\nJane became quite badly depressed quite suddenly and has taken leave of absence from work to fight the depression, but this only seems to have made things worse. Although she sleeps a lot and doesn’t do much – she barely leaves the house – she is still very tired all the time and constantly frets about how the house and garden are in such a mess, because she is so exhausted she hardly ever cleans. She has stopped cycling, stopped socializing and feels like the depression is getting worse and worse, not better, which worries her further. She thinks she’ll never be able to go back to work or live her life properly again.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Jane’s situation<\/h3>\nJane’s depression is blatantly blocking her from meeting her needs. She used to satisfy her need for attention from a wide variety of sources, including work that she enjoyed, and also through belonging to a cycling club, but now she is isolated. She says her only current source of attention ‘exchange’ is with her mother, although it’s the quality of this attention isn’t clear and it is never a great idea to have only one main source of attention. It’s clear that a sign<\/em> <\/strong>that Jane is feeling better will be that she is spending more time with friends and family again but, paradoxically, starting to mix with others again will also help<\/em> <\/strong>Jane feel better.<\/p>\nSo what can we do to help Jane feel good enough to socialize again (which in turn can make her feel even<\/em> better)?<\/p>\nI would like to discover why Jane became depressed so suddenly. What stresses was she under in her life? What was she most worried about? And how did these worries relate to her basic needs – either not meeting<\/strong> them or fearing they would no longer be met<\/strong> in the future?<\/p>\nJane needs to feel stronger in herself. She hasn’t been eating properly or exercising and, although she doesn’t say so, I suspect her sleep isn’t what it could be. We can help Jane discipline herself to start eating better and to begin to move her body more. We can teach her to relax so that she feels more able<\/em> to look after her physical needs.<\/p>\nThe need for a sense of safety and security is closely tied to the need for a sense of control in life. I feel that Jane may have taken the need for a sense of safety and security perhaps a tad too literally, as she talks about her apartment being ‘in a safe neighborhood’, yet also states that she has ‘no control’ over her life – which tends to produce feelings of insecurity.<\/p>\nWe could gently start to question her depressive all-or-nothing thinking – does she really have no<\/strong> control? None at all? And what about her sense that she is a ‘bad’ friend\/relative? I might challenge this by asking if a bicycle a ‘bad bicycle’ just because it’s taking some time out to get fixed?<\/p>\nJane would love a special relationship, so we might also look to see what strategies she has used in the past to meet partners and maintain relationships, and whether they have worked for her or not.<\/p>\nIt’s clear that Jane has a strong sense of what she needs in life. Helped by a clear understanding of the basic needs, we can help her get there.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\nGo back to Session 2 Summary<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Contents 1. Purpose and Signs of Success Read this section and get the planners by clicking “Purpose and Signs of Success” below. 2. Basic Needs Planners Read this section by clicking “Basic Needs Planners” below. 3. Guidelines Read this section by clicking “Guidelines” below. 4. The basic human needs Read this section by clicking “The […]<\/p>\n","protected":false},"author":72,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[12],"tags":[],"acf":[],"yoast_head":"\nBasic Needs Assessment<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Sayed Rahman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"18 minutes\" \/>\n<script type=\"application\/ld+json\" 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Read this section by clicking “Guidelines” below.<\/p>\n
Take your time<\/strong> over this exercise. There is no need (and it is not wise) to try to do them all at once. It may take you several days to complete this – that’s fine.<\/p>\n\nIn the ‘Where I am now<\/strong>‘ section, write how that need is currently being met in your life (for example, even if you only see one person a week, this counts toward meeting your need for attention).<\/li>\nGrade how well each need is currently being catered for and enter a score in the score box. A 10<\/strong> would be ‘completely’ and 1 would be ‘hardly at all.’<\/li>\nIn the ‘Where I’d like to be<\/strong>‘ section, describe how you would like things to be with this need.<\/li>\nIn the ‘Steps to take<\/strong>‘ section, put down some practical ways in which you could get this need better met now, later, and in the future.<\/li>\nIn the ‘I’ll know I’ve got there when<\/strong>‘ section, write down how you will know that this need is now being adequately well met.<\/li>\n<\/ol>\nExample<\/strong><\/p>\n\n\n\nNeed<\/em><\/td>\nTo give and receive attention<\/td>\n<\/tr>\n\nCurrently<\/em><\/td>\nI speak to my mother once a week on the phone. I see people in the store. I see my husband. I feel I am not getting as much interaction as I need. Score is 4\/10.<\/td>\n<\/tr>\n\nI’d like to be<\/em><\/td>\nI’d like to spend more time with my own women friends. I’d like to join a group where I can meet others with shared interests. I’d like to know my neighbors better – I think local people should hang together more.<\/td>\n<\/tr>\n\nSteps<\/em><\/td>\nNow<\/em>: I can call up Ann and plan to go out for a coffee. I’ll see if we can meet every week at a suitable time. I can start saying ‘hi’ to the neighbors. If they don’t speak to me, it doesn’t mean I can’t speak to them.Later<\/em>: I can find out when the aerobics class is on at the sports center. I can get information about local societies and choose one or more to join.Future<\/em>: I can contact my local volunteering center and see if I can do a half-day each week.<\/td>\n<\/tr>\n\nSigns of success<\/em><\/td>\nI’ll know I’ve got there when I am spending at least 4-6 hours in a week in the company of people other than my husband. And when I’m meeting one or more of my own friends once a week.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\nNote<\/h3>\nThe exercise will require some concentration, but the results will be worth it, perhaps even more than you can imagine.<\/p>\nIf you are feeling tired, try listening to the last Relaxed Review<\/strong><\/a> again, or just do the first 2 or 3 needs<\/strong><\/a> and come back to it tomorrow.<\/p>\n<\/p><\/div>\n<\/div>\nRefer to the Basic human needs<\/a> as you complete your planners.<\/p>\nWe recommend that you do a basic needs review at least every three months while you are recovering, and then every six months or so. This will enable you to monitor your progress and see that your needs are being met in an adequate manner over time.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<\/a>4. The basic human needs<\/h3>\n<\/div>\n\nRead this section by clicking “The basic human needs” below.<\/p>\n\nThe basic human needs<\/a><\/h4>\n<\/p>\nHere’s a summary of the basic human needs, how you can meet them, and the consequences of missing out on those needs.\u00a0 Also, to help you get the hang of how to make the most of the planners, you can see how Rachel, Ken and Jane assessed their own situations, and Mark’s commentary, in the Case Studies<\/a> section.<\/p>\n<\/a><\/p>\n<\/p>\n<\/p>\nThis should be a useful exercise. Depression is rare in communities organized in such a way as to meet these basic needs for their members.<\/p>\n<\/div>\n\n\n“This is just depressing – now you’re on my<\/strong> side, right?”<\/p>\n<\/p><\/div>\n<\/div>\n\n\n“Depresso, you’re missing the point! Knowledge is power!<\/p>\nNow we know what we need, we can start making efforts to meet life’s basic emotional needs.<\/p>\nAnd, besides, few people have all their needs met all the time! So we can relax, whatever the outcome of the exercise.”<\/p>\n<\/p><\/div>\n<\/div>\n<\/div>\nWhat you need to do is to simply start making allowances for the fulfilment of these needs in your life. After all, you are human. Over the coming weeks, just start to notice how you can nurture your basic needs and how much better you feel for it.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<\/a>5. Important point on spreading risk<\/h3>\nDon’t put all your eggs in one basket.<\/strong><\/p>\nIf you find that many of your needs are being fulfilled by one person or by a single job, you should strongly consider ‘spreading the load’. Too much pressure on one source puts you at risk of ignoring your own boundaries and personal requirements in favor of this ‘all-providing source’. This one person or particular job simply becomes too important <\/em>in your life, causing imbalance and inequality in the power balance.<\/p>\nAnd if something does go wrong with this source, your basic needs may be heavily impacted. Strive to meet your needs from different sources. Develop friendships away from work, get interested in projects in different areas of life, and focus on gaining satisfaction in different ways.<\/p>\n\n<\/a>6. Case studies<\/h3>\nBelow are ‘case studies’ of three people – Rachel Lambarth, Ken Radford and Jane Smith (not their real names) – who have used the basic needs planners to review how their basic needs are currently being met, and what they can do to meet these needs more effectively.<\/p>\nEach case study includes a short resum\u00e9 of the individual’s current situation, their completed planner, and commentary from Mark on how each individual’s depressed state is related to imbalance in meeting their basic needs, together with ideas for how they could be helped.<\/p>\nJust click on each case study to read it.<\/p>\n<\/div>\n\nCase study 1 – Rachel Lambarth<\/h3>\n\nCase study 1 - Rachel Lambarth<\/a><\/h4>\n<\/p>\nRachel is a 32 year old woman who has been diagnosed with clinical depression. She works for a boss who does not value her and makes her do unpaid overtime. She would like to be a freelance photographer and work for herself, but lacks the confidence to leave or stand up to him.<\/p>\nShe is unhappy in her current relationship. She has lots of friends but since becoming depressed hardly ever sees them as she feels so down. She has stopped running, which she used to love, and has lost her appetite. She panics a lot about her age and how she is getting older (although she is only 32!).<\/p>\nShe is quite a high-achiever but seems to have forgotten her past successes and concentrates instead on all the failures in her life.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\nMark’s commentary on Rachel’s situation<\/h3>\nRachel’s life clearly hasn’t been working for her. She is taken advantage of at work, is not really fulfilled in her job anyway, and has become isolated. She has stopped running and lost her appetite, which are typical signs that depression has a negative impact on physical motivation. She is also unhappy in her relationship. The attention she gets (and perhaps gives to) her boyfriend isn’t good quality and her need for emotional intimacy doesn’t seem to be being met.<\/p>\nIt’s worth remembering that it’s not these issues in themselves that caused her depression, but her rumination<\/strong> about them and the fact that they are unresolved.<\/p>\nRachel feels that safety and security are not an issue for her, but then says she feels powerless in her life, suggesting that she doesn’t feel too secure. She explicitly states she feels too exhausted to pursue constructive goals and feels hopeless about making plans anyway. Although only 32, she feels she is already ‘getting old’. Depression certainly can make people feel older than their years. Ultimately she wants to work independently as a photographer. Rachel mentions that she wants a satisfying and fulfilling relationship so we need to help her build or recapture better intimacy with her partner. She has a fairly clear idea of what she needs, and has also written positive steps she needs to take to get there – a very encouraging sign that she can at least see a realistic and measurable way forward.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n\nCase study 2 – Ken Radford<\/h3>\n\nCase study 2 - Ken Radford<\/a><\/h4>\n<\/p>\nKen retired from an accountancy job a year ago and since then has become quite depressed. He was probably mildly depressed for the last ten years, but since retiring it has become a lot worse. Ken divorced more than 20 years ago. He is not concerned about his failed marriage and is not particularly interested in finding a new partner.<\/p>\nHe is a devoted father but since his sons all live in a different city he hardly ever sees them, and misses them terribly. He is concerned that they will continue to live far away, and that this will mean that he will not be able to see his grandchildren very often when they eventually make an appearance. This makes him feel like he is missing out even more (even though they’re not even born yet). He spends a lot of time lying awake at night fretting about this.<\/p>\nKen stopped going to church when he divorced as many of the people they knew from church at that time were his wife’s friends. The divorce is now ancient history and he knows he could go back with no social awkwardness if he wanted to. He has a few good friends but is very tired and feels down all the time, so hardly ever sees them although he misses their company. He spends several hours a day helping his elderly parents, who are in a rest home. They are both very frail and suffer from dementia. Ken knows they will die within the next few years and he is emotionally prepared for their passing, but worries that he will become much more depressed when visiting them is no longer a regular ‘purpose’ in his life.<\/p>\nKen used to be a keen chess player. He is quite interested in using the internet more as he likes the idea of video-chatting with his sons and playing chess online, but lacks confidence. Although his sons love him and call him often, his self-confidence has gone down and he feels like a visit would only be burdensome for them. He also worries that navigating airports would be overwhelming (although he used to fly quite a bit).<\/p>\nOver the last ten years he has put on a lot of weight and has stopped exercising because of it. He used to be a hill-walker and would still like to be able to walk to the shops, walk around the local park, and so on. He is a very caring man and would like to use his skills to volunteer somehow. He has worked his whole life and feels ‘useless’ now that he doesn’t have a paid job.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Ken’s situation<\/h3>\nIt would be easy to assume that Ken – ‘deep down’ – really does want a partner, but it’s often a mistake to make this kind of assumption. The need for intimacy does vary from person to person, and it can be met through friendships and family connections, not just through romantic partnerships. If he says it is not a priority for him, then we should take him at his word.<\/p>\nBut it seems clear that many of Ken’s basic emotional needs remain unfulfilled, and this is likely what precipitated his current depression. His need for safety and security has been thwarted by his fear and worry that he’ll lose his purpose for being once his frail parents pass away. We’d need to help him build his life in such a way that he feels more connected to his other family members and wider community, and also feels useful and valuable. It’s telling that he became more depressed after he retired. It really seems that he needs to feel useful again, not a ‘burden’. He’s lost – or shall we say ‘misplaced’ – the confidence he once had in traveling, and we could usefully talk with him about what steps are needed to travel successfully and comfortably. We might even have him mentally rehearse, while he is relaxed, travelling successfully and happily, as well as negotiating the internet technology to communicate more with his sons. Family is important to Ken, and this should be encouraged.<\/p>\nHis idea to volunteer his accountancy skills for his local church and generally get involved in community again, connecting up to people and feeling needed, is an excellent one and we should encourage this. We can help break down into manageable steps exactly what he needs to do to make it happen. He needs to start walking again as he ‘used to climb mountains’. Walking instead of driving the 10 minutes to his parents’ rest home is another great idea. We could also talk about him metaphorically as ‘the man who knows how to climb mountains’, and use this as a way of contributing to his sense of identity in a positive way. Ken has all the steps in place to build a satisfying and non-depressive life. He needs support and it would also be wise to ensure he is looking after his physical health, eating properly and sleeping well.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n\nCase study 3 – Jane Smith<\/h3>\n\nCase study 3 - Jane Smith<\/a><\/h4>\n<\/p>\nCase study 3 – Jane Smith<\/h3>\nJane is a 45 year old single woman working in an administrative job. She is close to her family, in particular her mother and sister and her sister’s two daughters. She would quite like to have a partner. Although she is relatively happy being childless, she loves looking after her young nieces. Before she became depressed, she enjoyed her job and loved cycling. She had a fairly active social life, although many of her girlfriends have children and families so they don’t have quite as much free time as Jane, which is why she has got it into her head that they don’t want to see her anymore. This isn’t true because they do ring her quite often and are concerned she is depressed.<\/p>\nJane became quite badly depressed quite suddenly and has taken leave of absence from work to fight the depression, but this only seems to have made things worse. Although she sleeps a lot and doesn’t do much – she barely leaves the house – she is still very tired all the time and constantly frets about how the house and garden are in such a mess, because she is so exhausted she hardly ever cleans. She has stopped cycling, stopped socializing and feels like the depression is getting worse and worse, not better, which worries her further. She thinks she’ll never be able to go back to work or live her life properly again.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Jane’s situation<\/h3>\nJane’s depression is blatantly blocking her from meeting her needs. She used to satisfy her need for attention from a wide variety of sources, including work that she enjoyed, and also through belonging to a cycling club, but now she is isolated. She says her only current source of attention ‘exchange’ is with her mother, although it’s the quality of this attention isn’t clear and it is never a great idea to have only one main source of attention. It’s clear that a sign<\/em> <\/strong>that Jane is feeling better will be that she is spending more time with friends and family again but, paradoxically, starting to mix with others again will also help<\/em> <\/strong>Jane feel better.<\/p>\nSo what can we do to help Jane feel good enough to socialize again (which in turn can make her feel even<\/em> better)?<\/p>\nI would like to discover why Jane became depressed so suddenly. What stresses was she under in her life? What was she most worried about? And how did these worries relate to her basic needs – either not meeting<\/strong> them or fearing they would no longer be met<\/strong> in the future?<\/p>\nJane needs to feel stronger in herself. She hasn’t been eating properly or exercising and, although she doesn’t say so, I suspect her sleep isn’t what it could be. We can help Jane discipline herself to start eating better and to begin to move her body more. We can teach her to relax so that she feels more able<\/em> to look after her physical needs.<\/p>\nThe need for a sense of safety and security is closely tied to the need for a sense of control in life. I feel that Jane may have taken the need for a sense of safety and security perhaps a tad too literally, as she talks about her apartment being ‘in a safe neighborhood’, yet also states that she has ‘no control’ over her life – which tends to produce feelings of insecurity.<\/p>\nWe could gently start to question her depressive all-or-nothing thinking – does she really have no<\/strong> control? None at all? And what about her sense that she is a ‘bad’ friend\/relative? I might challenge this by asking if a bicycle a ‘bad bicycle’ just because it’s taking some time out to get fixed?<\/p>\nJane would love a special relationship, so we might also look to see what strategies she has used in the past to meet partners and maintain relationships, and whether they have worked for her or not.<\/p>\nIt’s clear that Jane has a strong sense of what she needs in life. Helped by a clear understanding of the basic needs, we can help her get there.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\nGo back to Session 2 Summary<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Contents 1. Purpose and Signs of Success Read this section and get the planners by clicking “Purpose and Signs of Success” below. 2. Basic Needs Planners Read this section by clicking “Basic Needs Planners” below. 3. Guidelines Read this section by clicking “Guidelines” below. 4. The basic human needs Read this section by clicking “The […]<\/p>\n","protected":false},"author":72,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[12],"tags":[],"acf":[],"yoast_head":"\nBasic Needs Assessment<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Sayed Rahman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"18 minutes\" \/>\n<script type=\"application\/ld+json\" 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Example<\/strong><\/p>\n\n\n\nNeed<\/em><\/td>\nTo give and receive attention<\/td>\n<\/tr>\n\nCurrently<\/em><\/td>\nI speak to my mother once a week on the phone. I see people in the store. I see my husband. I feel I am not getting as much interaction as I need. Score is 4\/10.<\/td>\n<\/tr>\n\nI’d like to be<\/em><\/td>\nI’d like to spend more time with my own women friends. I’d like to join a group where I can meet others with shared interests. I’d like to know my neighbors better – I think local people should hang together more.<\/td>\n<\/tr>\n\nSteps<\/em><\/td>\nNow<\/em>: I can call up Ann and plan to go out for a coffee. I’ll see if we can meet every week at a suitable time. I can start saying ‘hi’ to the neighbors. If they don’t speak to me, it doesn’t mean I can’t speak to them.Later<\/em>: I can find out when the aerobics class is on at the sports center. I can get information about local societies and choose one or more to join.Future<\/em>: I can contact my local volunteering center and see if I can do a half-day each week.<\/td>\n<\/tr>\n\nSigns of success<\/em><\/td>\nI’ll know I’ve got there when I am spending at least 4-6 hours in a week in the company of people other than my husband. And when I’m meeting one or more of my own friends once a week.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\nNote<\/h3>\nThe exercise will require some concentration, but the results will be worth it, perhaps even more than you can imagine.<\/p>\nIf you are feeling tired, try listening to the last Relaxed Review<\/strong><\/a> again, or just do the first 2 or 3 needs<\/strong><\/a> and come back to it tomorrow.<\/p>\n<\/p><\/div>\n<\/div>\nRefer to the Basic human needs<\/a> as you complete your planners.<\/p>\nWe recommend that you do a basic needs review at least every three months while you are recovering, and then every six months or so. This will enable you to monitor your progress and see that your needs are being met in an adequate manner over time.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<\/a>4. The basic human needs<\/h3>\n<\/div>\n\nRead this section by clicking “The basic human needs” below.<\/p>\n\nThe basic human needs<\/a><\/h4>\n<\/p>\nHere’s a summary of the basic human needs, how you can meet them, and the consequences of missing out on those needs.\u00a0 Also, to help you get the hang of how to make the most of the planners, you can see how Rachel, Ken and Jane assessed their own situations, and Mark’s commentary, in the Case Studies<\/a> section.<\/p>\n<\/a><\/p>\n<\/p>\n<\/p>\nThis should be a useful exercise. Depression is rare in communities organized in such a way as to meet these basic needs for their members.<\/p>\n<\/div>\n\n\n“This is just depressing – now you’re on my<\/strong> side, right?”<\/p>\n<\/p><\/div>\n<\/div>\n\n\n“Depresso, you’re missing the point! Knowledge is power!<\/p>\nNow we know what we need, we can start making efforts to meet life’s basic emotional needs.<\/p>\nAnd, besides, few people have all their needs met all the time! So we can relax, whatever the outcome of the exercise.”<\/p>\n<\/p><\/div>\n<\/div>\n<\/div>\nWhat you need to do is to simply start making allowances for the fulfilment of these needs in your life. After all, you are human. Over the coming weeks, just start to notice how you can nurture your basic needs and how much better you feel for it.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<\/a>5. Important point on spreading risk<\/h3>\nDon’t put all your eggs in one basket.<\/strong><\/p>\nIf you find that many of your needs are being fulfilled by one person or by a single job, you should strongly consider ‘spreading the load’. Too much pressure on one source puts you at risk of ignoring your own boundaries and personal requirements in favor of this ‘all-providing source’. This one person or particular job simply becomes too important <\/em>in your life, causing imbalance and inequality in the power balance.<\/p>\nAnd if something does go wrong with this source, your basic needs may be heavily impacted. Strive to meet your needs from different sources. Develop friendships away from work, get interested in projects in different areas of life, and focus on gaining satisfaction in different ways.<\/p>\n\n<\/a>6. Case studies<\/h3>\nBelow are ‘case studies’ of three people – Rachel Lambarth, Ken Radford and Jane Smith (not their real names) – who have used the basic needs planners to review how their basic needs are currently being met, and what they can do to meet these needs more effectively.<\/p>\nEach case study includes a short resum\u00e9 of the individual’s current situation, their completed planner, and commentary from Mark on how each individual’s depressed state is related to imbalance in meeting their basic needs, together with ideas for how they could be helped.<\/p>\nJust click on each case study to read it.<\/p>\n<\/div>\n\nCase study 1 – Rachel Lambarth<\/h3>\n\nCase study 1 - Rachel Lambarth<\/a><\/h4>\n<\/p>\nRachel is a 32 year old woman who has been diagnosed with clinical depression. She works for a boss who does not value her and makes her do unpaid overtime. She would like to be a freelance photographer and work for herself, but lacks the confidence to leave or stand up to him.<\/p>\nShe is unhappy in her current relationship. She has lots of friends but since becoming depressed hardly ever sees them as she feels so down. She has stopped running, which she used to love, and has lost her appetite. She panics a lot about her age and how she is getting older (although she is only 32!).<\/p>\nShe is quite a high-achiever but seems to have forgotten her past successes and concentrates instead on all the failures in her life.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\nMark’s commentary on Rachel’s situation<\/h3>\nRachel’s life clearly hasn’t been working for her. She is taken advantage of at work, is not really fulfilled in her job anyway, and has become isolated. She has stopped running and lost her appetite, which are typical signs that depression has a negative impact on physical motivation. She is also unhappy in her relationship. The attention she gets (and perhaps gives to) her boyfriend isn’t good quality and her need for emotional intimacy doesn’t seem to be being met.<\/p>\nIt’s worth remembering that it’s not these issues in themselves that caused her depression, but her rumination<\/strong> about them and the fact that they are unresolved.<\/p>\nRachel feels that safety and security are not an issue for her, but then says she feels powerless in her life, suggesting that she doesn’t feel too secure. She explicitly states she feels too exhausted to pursue constructive goals and feels hopeless about making plans anyway. Although only 32, she feels she is already ‘getting old’. Depression certainly can make people feel older than their years. Ultimately she wants to work independently as a photographer. Rachel mentions that she wants a satisfying and fulfilling relationship so we need to help her build or recapture better intimacy with her partner. She has a fairly clear idea of what she needs, and has also written positive steps she needs to take to get there – a very encouraging sign that she can at least see a realistic and measurable way forward.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n\nCase study 2 – Ken Radford<\/h3>\n\nCase study 2 - Ken Radford<\/a><\/h4>\n<\/p>\nKen retired from an accountancy job a year ago and since then has become quite depressed. He was probably mildly depressed for the last ten years, but since retiring it has become a lot worse. Ken divorced more than 20 years ago. He is not concerned about his failed marriage and is not particularly interested in finding a new partner.<\/p>\nHe is a devoted father but since his sons all live in a different city he hardly ever sees them, and misses them terribly. He is concerned that they will continue to live far away, and that this will mean that he will not be able to see his grandchildren very often when they eventually make an appearance. This makes him feel like he is missing out even more (even though they’re not even born yet). He spends a lot of time lying awake at night fretting about this.<\/p>\nKen stopped going to church when he divorced as many of the people they knew from church at that time were his wife’s friends. The divorce is now ancient history and he knows he could go back with no social awkwardness if he wanted to. He has a few good friends but is very tired and feels down all the time, so hardly ever sees them although he misses their company. He spends several hours a day helping his elderly parents, who are in a rest home. They are both very frail and suffer from dementia. Ken knows they will die within the next few years and he is emotionally prepared for their passing, but worries that he will become much more depressed when visiting them is no longer a regular ‘purpose’ in his life.<\/p>\nKen used to be a keen chess player. He is quite interested in using the internet more as he likes the idea of video-chatting with his sons and playing chess online, but lacks confidence. Although his sons love him and call him often, his self-confidence has gone down and he feels like a visit would only be burdensome for them. He also worries that navigating airports would be overwhelming (although he used to fly quite a bit).<\/p>\nOver the last ten years he has put on a lot of weight and has stopped exercising because of it. He used to be a hill-walker and would still like to be able to walk to the shops, walk around the local park, and so on. He is a very caring man and would like to use his skills to volunteer somehow. He has worked his whole life and feels ‘useless’ now that he doesn’t have a paid job.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Ken’s situation<\/h3>\nIt would be easy to assume that Ken – ‘deep down’ – really does want a partner, but it’s often a mistake to make this kind of assumption. The need for intimacy does vary from person to person, and it can be met through friendships and family connections, not just through romantic partnerships. If he says it is not a priority for him, then we should take him at his word.<\/p>\nBut it seems clear that many of Ken’s basic emotional needs remain unfulfilled, and this is likely what precipitated his current depression. His need for safety and security has been thwarted by his fear and worry that he’ll lose his purpose for being once his frail parents pass away. We’d need to help him build his life in such a way that he feels more connected to his other family members and wider community, and also feels useful and valuable. It’s telling that he became more depressed after he retired. It really seems that he needs to feel useful again, not a ‘burden’. He’s lost – or shall we say ‘misplaced’ – the confidence he once had in traveling, and we could usefully talk with him about what steps are needed to travel successfully and comfortably. We might even have him mentally rehearse, while he is relaxed, travelling successfully and happily, as well as negotiating the internet technology to communicate more with his sons. Family is important to Ken, and this should be encouraged.<\/p>\nHis idea to volunteer his accountancy skills for his local church and generally get involved in community again, connecting up to people and feeling needed, is an excellent one and we should encourage this. We can help break down into manageable steps exactly what he needs to do to make it happen. He needs to start walking again as he ‘used to climb mountains’. Walking instead of driving the 10 minutes to his parents’ rest home is another great idea. We could also talk about him metaphorically as ‘the man who knows how to climb mountains’, and use this as a way of contributing to his sense of identity in a positive way. Ken has all the steps in place to build a satisfying and non-depressive life. He needs support and it would also be wise to ensure he is looking after his physical health, eating properly and sleeping well.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n\nCase study 3 – Jane Smith<\/h3>\n\nCase study 3 - Jane Smith<\/a><\/h4>\n<\/p>\nCase study 3 – Jane Smith<\/h3>\nJane is a 45 year old single woman working in an administrative job. She is close to her family, in particular her mother and sister and her sister’s two daughters. She would quite like to have a partner. Although she is relatively happy being childless, she loves looking after her young nieces. Before she became depressed, she enjoyed her job and loved cycling. She had a fairly active social life, although many of her girlfriends have children and families so they don’t have quite as much free time as Jane, which is why she has got it into her head that they don’t want to see her anymore. This isn’t true because they do ring her quite often and are concerned she is depressed.<\/p>\nJane became quite badly depressed quite suddenly and has taken leave of absence from work to fight the depression, but this only seems to have made things worse. Although she sleeps a lot and doesn’t do much – she barely leaves the house – she is still very tired all the time and constantly frets about how the house and garden are in such a mess, because she is so exhausted she hardly ever cleans. She has stopped cycling, stopped socializing and feels like the depression is getting worse and worse, not better, which worries her further. She thinks she’ll never be able to go back to work or live her life properly again.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Jane’s situation<\/h3>\nJane’s depression is blatantly blocking her from meeting her needs. She used to satisfy her need for attention from a wide variety of sources, including work that she enjoyed, and also through belonging to a cycling club, but now she is isolated. She says her only current source of attention ‘exchange’ is with her mother, although it’s the quality of this attention isn’t clear and it is never a great idea to have only one main source of attention. It’s clear that a sign<\/em> <\/strong>that Jane is feeling better will be that she is spending more time with friends and family again but, paradoxically, starting to mix with others again will also help<\/em> <\/strong>Jane feel better.<\/p>\nSo what can we do to help Jane feel good enough to socialize again (which in turn can make her feel even<\/em> better)?<\/p>\nI would like to discover why Jane became depressed so suddenly. What stresses was she under in her life? What was she most worried about? And how did these worries relate to her basic needs – either not meeting<\/strong> them or fearing they would no longer be met<\/strong> in the future?<\/p>\nJane needs to feel stronger in herself. She hasn’t been eating properly or exercising and, although she doesn’t say so, I suspect her sleep isn’t what it could be. We can help Jane discipline herself to start eating better and to begin to move her body more. We can teach her to relax so that she feels more able<\/em> to look after her physical needs.<\/p>\nThe need for a sense of safety and security is closely tied to the need for a sense of control in life. I feel that Jane may have taken the need for a sense of safety and security perhaps a tad too literally, as she talks about her apartment being ‘in a safe neighborhood’, yet also states that she has ‘no control’ over her life – which tends to produce feelings of insecurity.<\/p>\nWe could gently start to question her depressive all-or-nothing thinking – does she really have no<\/strong> control? None at all? And what about her sense that she is a ‘bad’ friend\/relative? I might challenge this by asking if a bicycle a ‘bad bicycle’ just because it’s taking some time out to get fixed?<\/p>\nJane would love a special relationship, so we might also look to see what strategies she has used in the past to meet partners and maintain relationships, and whether they have worked for her or not.<\/p>\nIt’s clear that Jane has a strong sense of what she needs in life. Helped by a clear understanding of the basic needs, we can help her get there.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\nGo back to Session 2 Summary<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Contents 1. Purpose and Signs of Success Read this section and get the planners by clicking “Purpose and Signs of Success” below. 2. Basic Needs Planners Read this section by clicking “Basic Needs Planners” below. 3. Guidelines Read this section by clicking “Guidelines” below. 4. The basic human needs Read this section by clicking “The […]<\/p>\n","protected":false},"author":72,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[12],"tags":[],"acf":[],"yoast_head":"\nBasic Needs Assessment<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Sayed Rahman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"18 minutes\" \/>\n<script type=\"application\/ld+json\" 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The exercise will require some concentration, but the results will be worth it, perhaps even more than you can imagine.<\/p>\n
If you are feeling tired, try listening to the last Relaxed Review<\/strong><\/a> again, or just do the first 2 or 3 needs<\/strong><\/a> and come back to it tomorrow.<\/p>\n<\/p><\/div>\n<\/div>\nRefer to the Basic human needs<\/a> as you complete your planners.<\/p>\nWe recommend that you do a basic needs review at least every three months while you are recovering, and then every six months or so. This will enable you to monitor your progress and see that your needs are being met in an adequate manner over time.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<\/a>4. The basic human needs<\/h3>\n<\/div>\n\nRead this section by clicking “The basic human needs” below.<\/p>\n\nThe basic human needs<\/a><\/h4>\n<\/p>\nHere’s a summary of the basic human needs, how you can meet them, and the consequences of missing out on those needs.\u00a0 Also, to help you get the hang of how to make the most of the planners, you can see how Rachel, Ken and Jane assessed their own situations, and Mark’s commentary, in the Case Studies<\/a> section.<\/p>\n<\/a><\/p>\n<\/p>\n<\/p>\nThis should be a useful exercise. Depression is rare in communities organized in such a way as to meet these basic needs for their members.<\/p>\n<\/div>\n\n\n“This is just depressing – now you’re on my<\/strong> side, right?”<\/p>\n<\/p><\/div>\n<\/div>\n\n\n“Depresso, you’re missing the point! Knowledge is power!<\/p>\nNow we know what we need, we can start making efforts to meet life’s basic emotional needs.<\/p>\nAnd, besides, few people have all their needs met all the time! So we can relax, whatever the outcome of the exercise.”<\/p>\n<\/p><\/div>\n<\/div>\n<\/div>\nWhat you need to do is to simply start making allowances for the fulfilment of these needs in your life. After all, you are human. Over the coming weeks, just start to notice how you can nurture your basic needs and how much better you feel for it.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<\/a>5. Important point on spreading risk<\/h3>\nDon’t put all your eggs in one basket.<\/strong><\/p>\nIf you find that many of your needs are being fulfilled by one person or by a single job, you should strongly consider ‘spreading the load’. Too much pressure on one source puts you at risk of ignoring your own boundaries and personal requirements in favor of this ‘all-providing source’. This one person or particular job simply becomes too important <\/em>in your life, causing imbalance and inequality in the power balance.<\/p>\nAnd if something does go wrong with this source, your basic needs may be heavily impacted. Strive to meet your needs from different sources. Develop friendships away from work, get interested in projects in different areas of life, and focus on gaining satisfaction in different ways.<\/p>\n\n<\/a>6. Case studies<\/h3>\nBelow are ‘case studies’ of three people – Rachel Lambarth, Ken Radford and Jane Smith (not their real names) – who have used the basic needs planners to review how their basic needs are currently being met, and what they can do to meet these needs more effectively.<\/p>\nEach case study includes a short resum\u00e9 of the individual’s current situation, their completed planner, and commentary from Mark on how each individual’s depressed state is related to imbalance in meeting their basic needs, together with ideas for how they could be helped.<\/p>\nJust click on each case study to read it.<\/p>\n<\/div>\n\nCase study 1 – Rachel Lambarth<\/h3>\n\nCase study 1 - Rachel Lambarth<\/a><\/h4>\n<\/p>\nRachel is a 32 year old woman who has been diagnosed with clinical depression. She works for a boss who does not value her and makes her do unpaid overtime. She would like to be a freelance photographer and work for herself, but lacks the confidence to leave or stand up to him.<\/p>\nShe is unhappy in her current relationship. She has lots of friends but since becoming depressed hardly ever sees them as she feels so down. She has stopped running, which she used to love, and has lost her appetite. She panics a lot about her age and how she is getting older (although she is only 32!).<\/p>\nShe is quite a high-achiever but seems to have forgotten her past successes and concentrates instead on all the failures in her life.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\nMark’s commentary on Rachel’s situation<\/h3>\nRachel’s life clearly hasn’t been working for her. She is taken advantage of at work, is not really fulfilled in her job anyway, and has become isolated. She has stopped running and lost her appetite, which are typical signs that depression has a negative impact on physical motivation. She is also unhappy in her relationship. The attention she gets (and perhaps gives to) her boyfriend isn’t good quality and her need for emotional intimacy doesn’t seem to be being met.<\/p>\nIt’s worth remembering that it’s not these issues in themselves that caused her depression, but her rumination<\/strong> about them and the fact that they are unresolved.<\/p>\nRachel feels that safety and security are not an issue for her, but then says she feels powerless in her life, suggesting that she doesn’t feel too secure. She explicitly states she feels too exhausted to pursue constructive goals and feels hopeless about making plans anyway. Although only 32, she feels she is already ‘getting old’. Depression certainly can make people feel older than their years. Ultimately she wants to work independently as a photographer. Rachel mentions that she wants a satisfying and fulfilling relationship so we need to help her build or recapture better intimacy with her partner. She has a fairly clear idea of what she needs, and has also written positive steps she needs to take to get there – a very encouraging sign that she can at least see a realistic and measurable way forward.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n\nCase study 2 – Ken Radford<\/h3>\n\nCase study 2 - Ken Radford<\/a><\/h4>\n<\/p>\nKen retired from an accountancy job a year ago and since then has become quite depressed. He was probably mildly depressed for the last ten years, but since retiring it has become a lot worse. Ken divorced more than 20 years ago. He is not concerned about his failed marriage and is not particularly interested in finding a new partner.<\/p>\nHe is a devoted father but since his sons all live in a different city he hardly ever sees them, and misses them terribly. He is concerned that they will continue to live far away, and that this will mean that he will not be able to see his grandchildren very often when they eventually make an appearance. This makes him feel like he is missing out even more (even though they’re not even born yet). He spends a lot of time lying awake at night fretting about this.<\/p>\nKen stopped going to church when he divorced as many of the people they knew from church at that time were his wife’s friends. The divorce is now ancient history and he knows he could go back with no social awkwardness if he wanted to. He has a few good friends but is very tired and feels down all the time, so hardly ever sees them although he misses their company. He spends several hours a day helping his elderly parents, who are in a rest home. They are both very frail and suffer from dementia. Ken knows they will die within the next few years and he is emotionally prepared for their passing, but worries that he will become much more depressed when visiting them is no longer a regular ‘purpose’ in his life.<\/p>\nKen used to be a keen chess player. He is quite interested in using the internet more as he likes the idea of video-chatting with his sons and playing chess online, but lacks confidence. Although his sons love him and call him often, his self-confidence has gone down and he feels like a visit would only be burdensome for them. He also worries that navigating airports would be overwhelming (although he used to fly quite a bit).<\/p>\nOver the last ten years he has put on a lot of weight and has stopped exercising because of it. He used to be a hill-walker and would still like to be able to walk to the shops, walk around the local park, and so on. He is a very caring man and would like to use his skills to volunteer somehow. He has worked his whole life and feels ‘useless’ now that he doesn’t have a paid job.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Ken’s situation<\/h3>\nIt would be easy to assume that Ken – ‘deep down’ – really does want a partner, but it’s often a mistake to make this kind of assumption. The need for intimacy does vary from person to person, and it can be met through friendships and family connections, not just through romantic partnerships. If he says it is not a priority for him, then we should take him at his word.<\/p>\nBut it seems clear that many of Ken’s basic emotional needs remain unfulfilled, and this is likely what precipitated his current depression. His need for safety and security has been thwarted by his fear and worry that he’ll lose his purpose for being once his frail parents pass away. We’d need to help him build his life in such a way that he feels more connected to his other family members and wider community, and also feels useful and valuable. It’s telling that he became more depressed after he retired. It really seems that he needs to feel useful again, not a ‘burden’. He’s lost – or shall we say ‘misplaced’ – the confidence he once had in traveling, and we could usefully talk with him about what steps are needed to travel successfully and comfortably. We might even have him mentally rehearse, while he is relaxed, travelling successfully and happily, as well as negotiating the internet technology to communicate more with his sons. Family is important to Ken, and this should be encouraged.<\/p>\nHis idea to volunteer his accountancy skills for his local church and generally get involved in community again, connecting up to people and feeling needed, is an excellent one and we should encourage this. We can help break down into manageable steps exactly what he needs to do to make it happen. He needs to start walking again as he ‘used to climb mountains’. Walking instead of driving the 10 minutes to his parents’ rest home is another great idea. We could also talk about him metaphorically as ‘the man who knows how to climb mountains’, and use this as a way of contributing to his sense of identity in a positive way. Ken has all the steps in place to build a satisfying and non-depressive life. He needs support and it would also be wise to ensure he is looking after his physical health, eating properly and sleeping well.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n\nCase study 3 – Jane Smith<\/h3>\n\nCase study 3 - Jane Smith<\/a><\/h4>\n<\/p>\nCase study 3 – Jane Smith<\/h3>\nJane is a 45 year old single woman working in an administrative job. She is close to her family, in particular her mother and sister and her sister’s two daughters. She would quite like to have a partner. Although she is relatively happy being childless, she loves looking after her young nieces. Before she became depressed, she enjoyed her job and loved cycling. She had a fairly active social life, although many of her girlfriends have children and families so they don’t have quite as much free time as Jane, which is why she has got it into her head that they don’t want to see her anymore. This isn’t true because they do ring her quite often and are concerned she is depressed.<\/p>\nJane became quite badly depressed quite suddenly and has taken leave of absence from work to fight the depression, but this only seems to have made things worse. Although she sleeps a lot and doesn’t do much – she barely leaves the house – she is still very tired all the time and constantly frets about how the house and garden are in such a mess, because she is so exhausted she hardly ever cleans. She has stopped cycling, stopped socializing and feels like the depression is getting worse and worse, not better, which worries her further. She thinks she’ll never be able to go back to work or live her life properly again.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Jane’s situation<\/h3>\nJane’s depression is blatantly blocking her from meeting her needs. She used to satisfy her need for attention from a wide variety of sources, including work that she enjoyed, and also through belonging to a cycling club, but now she is isolated. She says her only current source of attention ‘exchange’ is with her mother, although it’s the quality of this attention isn’t clear and it is never a great idea to have only one main source of attention. It’s clear that a sign<\/em> <\/strong>that Jane is feeling better will be that she is spending more time with friends and family again but, paradoxically, starting to mix with others again will also help<\/em> <\/strong>Jane feel better.<\/p>\nSo what can we do to help Jane feel good enough to socialize again (which in turn can make her feel even<\/em> better)?<\/p>\nI would like to discover why Jane became depressed so suddenly. What stresses was she under in her life? What was she most worried about? And how did these worries relate to her basic needs – either not meeting<\/strong> them or fearing they would no longer be met<\/strong> in the future?<\/p>\nJane needs to feel stronger in herself. She hasn’t been eating properly or exercising and, although she doesn’t say so, I suspect her sleep isn’t what it could be. We can help Jane discipline herself to start eating better and to begin to move her body more. We can teach her to relax so that she feels more able<\/em> to look after her physical needs.<\/p>\nThe need for a sense of safety and security is closely tied to the need for a sense of control in life. I feel that Jane may have taken the need for a sense of safety and security perhaps a tad too literally, as she talks about her apartment being ‘in a safe neighborhood’, yet also states that she has ‘no control’ over her life – which tends to produce feelings of insecurity.<\/p>\nWe could gently start to question her depressive all-or-nothing thinking – does she really have no<\/strong> control? None at all? And what about her sense that she is a ‘bad’ friend\/relative? I might challenge this by asking if a bicycle a ‘bad bicycle’ just because it’s taking some time out to get fixed?<\/p>\nJane would love a special relationship, so we might also look to see what strategies she has used in the past to meet partners and maintain relationships, and whether they have worked for her or not.<\/p>\nIt’s clear that Jane has a strong sense of what she needs in life. Helped by a clear understanding of the basic needs, we can help her get there.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\nGo back to Session 2 Summary<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Contents 1. Purpose and Signs of Success Read this section and get the planners by clicking “Purpose and Signs of Success” below. 2. Basic Needs Planners Read this section by clicking “Basic Needs Planners” below. 3. Guidelines Read this section by clicking “Guidelines” below. 4. The basic human needs Read this section by clicking “The […]<\/p>\n","protected":false},"author":72,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[12],"tags":[],"acf":[],"yoast_head":"\nBasic Needs Assessment<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Sayed Rahman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"18 minutes\" \/>\n<script type=\"application\/ld+json\" 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Refer to the Basic human needs<\/a> as you complete your planners.<\/p>\nWe recommend that you do a basic needs review at least every three months while you are recovering, and then every six months or so. This will enable you to monitor your progress and see that your needs are being met in an adequate manner over time.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<\/a>4. The basic human needs<\/h3>\n<\/div>\n\nRead this section by clicking “The basic human needs” below.<\/p>\n\nThe basic human needs<\/a><\/h4>\n<\/p>\nHere’s a summary of the basic human needs, how you can meet them, and the consequences of missing out on those needs.\u00a0 Also, to help you get the hang of how to make the most of the planners, you can see how Rachel, Ken and Jane assessed their own situations, and Mark’s commentary, in the Case Studies<\/a> section.<\/p>\n<\/a><\/p>\n<\/p>\n<\/p>\nThis should be a useful exercise. Depression is rare in communities organized in such a way as to meet these basic needs for their members.<\/p>\n<\/div>\n\n\n“This is just depressing – now you’re on my<\/strong> side, right?”<\/p>\n<\/p><\/div>\n<\/div>\n\n\n“Depresso, you’re missing the point! Knowledge is power!<\/p>\nNow we know what we need, we can start making efforts to meet life’s basic emotional needs.<\/p>\nAnd, besides, few people have all their needs met all the time! So we can relax, whatever the outcome of the exercise.”<\/p>\n<\/p><\/div>\n<\/div>\n<\/div>\nWhat you need to do is to simply start making allowances for the fulfilment of these needs in your life. After all, you are human. Over the coming weeks, just start to notice how you can nurture your basic needs and how much better you feel for it.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<\/a>5. Important point on spreading risk<\/h3>\nDon’t put all your eggs in one basket.<\/strong><\/p>\nIf you find that many of your needs are being fulfilled by one person or by a single job, you should strongly consider ‘spreading the load’. Too much pressure on one source puts you at risk of ignoring your own boundaries and personal requirements in favor of this ‘all-providing source’. This one person or particular job simply becomes too important <\/em>in your life, causing imbalance and inequality in the power balance.<\/p>\nAnd if something does go wrong with this source, your basic needs may be heavily impacted. Strive to meet your needs from different sources. Develop friendships away from work, get interested in projects in different areas of life, and focus on gaining satisfaction in different ways.<\/p>\n\n<\/a>6. Case studies<\/h3>\nBelow are ‘case studies’ of three people – Rachel Lambarth, Ken Radford and Jane Smith (not their real names) – who have used the basic needs planners to review how their basic needs are currently being met, and what they can do to meet these needs more effectively.<\/p>\nEach case study includes a short resum\u00e9 of the individual’s current situation, their completed planner, and commentary from Mark on how each individual’s depressed state is related to imbalance in meeting their basic needs, together with ideas for how they could be helped.<\/p>\nJust click on each case study to read it.<\/p>\n<\/div>\n\nCase study 1 – Rachel Lambarth<\/h3>\n\nCase study 1 - Rachel Lambarth<\/a><\/h4>\n<\/p>\nRachel is a 32 year old woman who has been diagnosed with clinical depression. She works for a boss who does not value her and makes her do unpaid overtime. She would like to be a freelance photographer and work for herself, but lacks the confidence to leave or stand up to him.<\/p>\nShe is unhappy in her current relationship. She has lots of friends but since becoming depressed hardly ever sees them as she feels so down. She has stopped running, which she used to love, and has lost her appetite. She panics a lot about her age and how she is getting older (although she is only 32!).<\/p>\nShe is quite a high-achiever but seems to have forgotten her past successes and concentrates instead on all the failures in her life.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\nMark’s commentary on Rachel’s situation<\/h3>\nRachel’s life clearly hasn’t been working for her. She is taken advantage of at work, is not really fulfilled in her job anyway, and has become isolated. She has stopped running and lost her appetite, which are typical signs that depression has a negative impact on physical motivation. She is also unhappy in her relationship. The attention she gets (and perhaps gives to) her boyfriend isn’t good quality and her need for emotional intimacy doesn’t seem to be being met.<\/p>\nIt’s worth remembering that it’s not these issues in themselves that caused her depression, but her rumination<\/strong> about them and the fact that they are unresolved.<\/p>\nRachel feels that safety and security are not an issue for her, but then says she feels powerless in her life, suggesting that she doesn’t feel too secure. She explicitly states she feels too exhausted to pursue constructive goals and feels hopeless about making plans anyway. Although only 32, she feels she is already ‘getting old’. Depression certainly can make people feel older than their years. Ultimately she wants to work independently as a photographer. Rachel mentions that she wants a satisfying and fulfilling relationship so we need to help her build or recapture better intimacy with her partner. She has a fairly clear idea of what she needs, and has also written positive steps she needs to take to get there – a very encouraging sign that she can at least see a realistic and measurable way forward.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n\nCase study 2 – Ken Radford<\/h3>\n\nCase study 2 - Ken Radford<\/a><\/h4>\n<\/p>\nKen retired from an accountancy job a year ago and since then has become quite depressed. He was probably mildly depressed for the last ten years, but since retiring it has become a lot worse. Ken divorced more than 20 years ago. He is not concerned about his failed marriage and is not particularly interested in finding a new partner.<\/p>\nHe is a devoted father but since his sons all live in a different city he hardly ever sees them, and misses them terribly. He is concerned that they will continue to live far away, and that this will mean that he will not be able to see his grandchildren very often when they eventually make an appearance. This makes him feel like he is missing out even more (even though they’re not even born yet). He spends a lot of time lying awake at night fretting about this.<\/p>\nKen stopped going to church when he divorced as many of the people they knew from church at that time were his wife’s friends. The divorce is now ancient history and he knows he could go back with no social awkwardness if he wanted to. He has a few good friends but is very tired and feels down all the time, so hardly ever sees them although he misses their company. He spends several hours a day helping his elderly parents, who are in a rest home. They are both very frail and suffer from dementia. Ken knows they will die within the next few years and he is emotionally prepared for their passing, but worries that he will become much more depressed when visiting them is no longer a regular ‘purpose’ in his life.<\/p>\nKen used to be a keen chess player. He is quite interested in using the internet more as he likes the idea of video-chatting with his sons and playing chess online, but lacks confidence. Although his sons love him and call him often, his self-confidence has gone down and he feels like a visit would only be burdensome for them. He also worries that navigating airports would be overwhelming (although he used to fly quite a bit).<\/p>\nOver the last ten years he has put on a lot of weight and has stopped exercising because of it. He used to be a hill-walker and would still like to be able to walk to the shops, walk around the local park, and so on. He is a very caring man and would like to use his skills to volunteer somehow. He has worked his whole life and feels ‘useless’ now that he doesn’t have a paid job.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Ken’s situation<\/h3>\nIt would be easy to assume that Ken – ‘deep down’ – really does want a partner, but it’s often a mistake to make this kind of assumption. The need for intimacy does vary from person to person, and it can be met through friendships and family connections, not just through romantic partnerships. If he says it is not a priority for him, then we should take him at his word.<\/p>\nBut it seems clear that many of Ken’s basic emotional needs remain unfulfilled, and this is likely what precipitated his current depression. His need for safety and security has been thwarted by his fear and worry that he’ll lose his purpose for being once his frail parents pass away. We’d need to help him build his life in such a way that he feels more connected to his other family members and wider community, and also feels useful and valuable. It’s telling that he became more depressed after he retired. It really seems that he needs to feel useful again, not a ‘burden’. He’s lost – or shall we say ‘misplaced’ – the confidence he once had in traveling, and we could usefully talk with him about what steps are needed to travel successfully and comfortably. We might even have him mentally rehearse, while he is relaxed, travelling successfully and happily, as well as negotiating the internet technology to communicate more with his sons. Family is important to Ken, and this should be encouraged.<\/p>\nHis idea to volunteer his accountancy skills for his local church and generally get involved in community again, connecting up to people and feeling needed, is an excellent one and we should encourage this. We can help break down into manageable steps exactly what he needs to do to make it happen. He needs to start walking again as he ‘used to climb mountains’. Walking instead of driving the 10 minutes to his parents’ rest home is another great idea. We could also talk about him metaphorically as ‘the man who knows how to climb mountains’, and use this as a way of contributing to his sense of identity in a positive way. Ken has all the steps in place to build a satisfying and non-depressive life. He needs support and it would also be wise to ensure he is looking after his physical health, eating properly and sleeping well.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n\nCase study 3 – Jane Smith<\/h3>\n\nCase study 3 - Jane Smith<\/a><\/h4>\n<\/p>\nCase study 3 – Jane Smith<\/h3>\nJane is a 45 year old single woman working in an administrative job. She is close to her family, in particular her mother and sister and her sister’s two daughters. She would quite like to have a partner. Although she is relatively happy being childless, she loves looking after her young nieces. Before she became depressed, she enjoyed her job and loved cycling. She had a fairly active social life, although many of her girlfriends have children and families so they don’t have quite as much free time as Jane, which is why she has got it into her head that they don’t want to see her anymore. This isn’t true because they do ring her quite often and are concerned she is depressed.<\/p>\nJane became quite badly depressed quite suddenly and has taken leave of absence from work to fight the depression, but this only seems to have made things worse. Although she sleeps a lot and doesn’t do much – she barely leaves the house – she is still very tired all the time and constantly frets about how the house and garden are in such a mess, because she is so exhausted she hardly ever cleans. She has stopped cycling, stopped socializing and feels like the depression is getting worse and worse, not better, which worries her further. She thinks she’ll never be able to go back to work or live her life properly again.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Jane’s situation<\/h3>\nJane’s depression is blatantly blocking her from meeting her needs. She used to satisfy her need for attention from a wide variety of sources, including work that she enjoyed, and also through belonging to a cycling club, but now she is isolated. She says her only current source of attention ‘exchange’ is with her mother, although it’s the quality of this attention isn’t clear and it is never a great idea to have only one main source of attention. It’s clear that a sign<\/em> <\/strong>that Jane is feeling better will be that she is spending more time with friends and family again but, paradoxically, starting to mix with others again will also help<\/em> <\/strong>Jane feel better.<\/p>\nSo what can we do to help Jane feel good enough to socialize again (which in turn can make her feel even<\/em> better)?<\/p>\nI would like to discover why Jane became depressed so suddenly. What stresses was she under in her life? What was she most worried about? And how did these worries relate to her basic needs – either not meeting<\/strong> them or fearing they would no longer be met<\/strong> in the future?<\/p>\nJane needs to feel stronger in herself. She hasn’t been eating properly or exercising and, although she doesn’t say so, I suspect her sleep isn’t what it could be. We can help Jane discipline herself to start eating better and to begin to move her body more. We can teach her to relax so that she feels more able<\/em> to look after her physical needs.<\/p>\nThe need for a sense of safety and security is closely tied to the need for a sense of control in life. I feel that Jane may have taken the need for a sense of safety and security perhaps a tad too literally, as she talks about her apartment being ‘in a safe neighborhood’, yet also states that she has ‘no control’ over her life – which tends to produce feelings of insecurity.<\/p>\nWe could gently start to question her depressive all-or-nothing thinking – does she really have no<\/strong> control? None at all? And what about her sense that she is a ‘bad’ friend\/relative? I might challenge this by asking if a bicycle a ‘bad bicycle’ just because it’s taking some time out to get fixed?<\/p>\nJane would love a special relationship, so we might also look to see what strategies she has used in the past to meet partners and maintain relationships, and whether they have worked for her or not.<\/p>\nIt’s clear that Jane has a strong sense of what she needs in life. Helped by a clear understanding of the basic needs, we can help her get there.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\nGo back to Session 2 Summary<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Contents 1. Purpose and Signs of Success Read this section and get the planners by clicking “Purpose and Signs of Success” below. 2. Basic Needs Planners Read this section by clicking “Basic Needs Planners” below. 3. Guidelines Read this section by clicking “Guidelines” below. 4. The basic human needs Read this section by clicking “The […]<\/p>\n","protected":false},"author":72,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[12],"tags":[],"acf":[],"yoast_head":"\nBasic Needs Assessment<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Sayed Rahman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"18 minutes\" \/>\n<script type=\"application\/ld+json\" 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We recommend that you do a basic needs review at least every three months while you are recovering, and then every six months or so. This will enable you to monitor your progress and see that your needs are being met in an adequate manner over time.<\/p>\n
Read this section by clicking “The basic human needs” below.<\/p>\n
Here’s a summary of the basic human needs, how you can meet them, and the consequences of missing out on those needs.\u00a0 Also, to help you get the hang of how to make the most of the planners, you can see how Rachel, Ken and Jane assessed their own situations, and Mark’s commentary, in the Case Studies<\/a> section.<\/p>\n<\/a><\/p>\n<\/p>\n<\/p>\nThis should be a useful exercise. Depression is rare in communities organized in such a way as to meet these basic needs for their members.<\/p>\n<\/div>\n\n\n“This is just depressing – now you’re on my<\/strong> side, right?”<\/p>\n<\/p><\/div>\n<\/div>\n\n\n“Depresso, you’re missing the point! Knowledge is power!<\/p>\nNow we know what we need, we can start making efforts to meet life’s basic emotional needs.<\/p>\nAnd, besides, few people have all their needs met all the time! So we can relax, whatever the outcome of the exercise.”<\/p>\n<\/p><\/div>\n<\/div>\n<\/div>\nWhat you need to do is to simply start making allowances for the fulfilment of these needs in your life. After all, you are human. Over the coming weeks, just start to notice how you can nurture your basic needs and how much better you feel for it.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<\/a>5. Important point on spreading risk<\/h3>\nDon’t put all your eggs in one basket.<\/strong><\/p>\nIf you find that many of your needs are being fulfilled by one person or by a single job, you should strongly consider ‘spreading the load’. Too much pressure on one source puts you at risk of ignoring your own boundaries and personal requirements in favor of this ‘all-providing source’. This one person or particular job simply becomes too important <\/em>in your life, causing imbalance and inequality in the power balance.<\/p>\nAnd if something does go wrong with this source, your basic needs may be heavily impacted. Strive to meet your needs from different sources. Develop friendships away from work, get interested in projects in different areas of life, and focus on gaining satisfaction in different ways.<\/p>\n\n<\/a>6. Case studies<\/h3>\nBelow are ‘case studies’ of three people – Rachel Lambarth, Ken Radford and Jane Smith (not their real names) – who have used the basic needs planners to review how their basic needs are currently being met, and what they can do to meet these needs more effectively.<\/p>\nEach case study includes a short resum\u00e9 of the individual’s current situation, their completed planner, and commentary from Mark on how each individual’s depressed state is related to imbalance in meeting their basic needs, together with ideas for how they could be helped.<\/p>\nJust click on each case study to read it.<\/p>\n<\/div>\n\nCase study 1 – Rachel Lambarth<\/h3>\n\nCase study 1 - Rachel Lambarth<\/a><\/h4>\n<\/p>\nRachel is a 32 year old woman who has been diagnosed with clinical depression. She works for a boss who does not value her and makes her do unpaid overtime. She would like to be a freelance photographer and work for herself, but lacks the confidence to leave or stand up to him.<\/p>\nShe is unhappy in her current relationship. She has lots of friends but since becoming depressed hardly ever sees them as she feels so down. She has stopped running, which she used to love, and has lost her appetite. She panics a lot about her age and how she is getting older (although she is only 32!).<\/p>\nShe is quite a high-achiever but seems to have forgotten her past successes and concentrates instead on all the failures in her life.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\nMark’s commentary on Rachel’s situation<\/h3>\nRachel’s life clearly hasn’t been working for her. She is taken advantage of at work, is not really fulfilled in her job anyway, and has become isolated. She has stopped running and lost her appetite, which are typical signs that depression has a negative impact on physical motivation. She is also unhappy in her relationship. The attention she gets (and perhaps gives to) her boyfriend isn’t good quality and her need for emotional intimacy doesn’t seem to be being met.<\/p>\nIt’s worth remembering that it’s not these issues in themselves that caused her depression, but her rumination<\/strong> about them and the fact that they are unresolved.<\/p>\nRachel feels that safety and security are not an issue for her, but then says she feels powerless in her life, suggesting that she doesn’t feel too secure. She explicitly states she feels too exhausted to pursue constructive goals and feels hopeless about making plans anyway. Although only 32, she feels she is already ‘getting old’. Depression certainly can make people feel older than their years. Ultimately she wants to work independently as a photographer. Rachel mentions that she wants a satisfying and fulfilling relationship so we need to help her build or recapture better intimacy with her partner. She has a fairly clear idea of what she needs, and has also written positive steps she needs to take to get there – a very encouraging sign that she can at least see a realistic and measurable way forward.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n\nCase study 2 – Ken Radford<\/h3>\n\nCase study 2 - Ken Radford<\/a><\/h4>\n<\/p>\nKen retired from an accountancy job a year ago and since then has become quite depressed. He was probably mildly depressed for the last ten years, but since retiring it has become a lot worse. Ken divorced more than 20 years ago. He is not concerned about his failed marriage and is not particularly interested in finding a new partner.<\/p>\nHe is a devoted father but since his sons all live in a different city he hardly ever sees them, and misses them terribly. He is concerned that they will continue to live far away, and that this will mean that he will not be able to see his grandchildren very often when they eventually make an appearance. This makes him feel like he is missing out even more (even though they’re not even born yet). He spends a lot of time lying awake at night fretting about this.<\/p>\nKen stopped going to church when he divorced as many of the people they knew from church at that time were his wife’s friends. The divorce is now ancient history and he knows he could go back with no social awkwardness if he wanted to. He has a few good friends but is very tired and feels down all the time, so hardly ever sees them although he misses their company. He spends several hours a day helping his elderly parents, who are in a rest home. They are both very frail and suffer from dementia. Ken knows they will die within the next few years and he is emotionally prepared for their passing, but worries that he will become much more depressed when visiting them is no longer a regular ‘purpose’ in his life.<\/p>\nKen used to be a keen chess player. He is quite interested in using the internet more as he likes the idea of video-chatting with his sons and playing chess online, but lacks confidence. Although his sons love him and call him often, his self-confidence has gone down and he feels like a visit would only be burdensome for them. He also worries that navigating airports would be overwhelming (although he used to fly quite a bit).<\/p>\nOver the last ten years he has put on a lot of weight and has stopped exercising because of it. He used to be a hill-walker and would still like to be able to walk to the shops, walk around the local park, and so on. He is a very caring man and would like to use his skills to volunteer somehow. He has worked his whole life and feels ‘useless’ now that he doesn’t have a paid job.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Ken’s situation<\/h3>\nIt would be easy to assume that Ken – ‘deep down’ – really does want a partner, but it’s often a mistake to make this kind of assumption. The need for intimacy does vary from person to person, and it can be met through friendships and family connections, not just through romantic partnerships. If he says it is not a priority for him, then we should take him at his word.<\/p>\nBut it seems clear that many of Ken’s basic emotional needs remain unfulfilled, and this is likely what precipitated his current depression. His need for safety and security has been thwarted by his fear and worry that he’ll lose his purpose for being once his frail parents pass away. We’d need to help him build his life in such a way that he feels more connected to his other family members and wider community, and also feels useful and valuable. It’s telling that he became more depressed after he retired. It really seems that he needs to feel useful again, not a ‘burden’. He’s lost – or shall we say ‘misplaced’ – the confidence he once had in traveling, and we could usefully talk with him about what steps are needed to travel successfully and comfortably. We might even have him mentally rehearse, while he is relaxed, travelling successfully and happily, as well as negotiating the internet technology to communicate more with his sons. Family is important to Ken, and this should be encouraged.<\/p>\nHis idea to volunteer his accountancy skills for his local church and generally get involved in community again, connecting up to people and feeling needed, is an excellent one and we should encourage this. We can help break down into manageable steps exactly what he needs to do to make it happen. He needs to start walking again as he ‘used to climb mountains’. Walking instead of driving the 10 minutes to his parents’ rest home is another great idea. We could also talk about him metaphorically as ‘the man who knows how to climb mountains’, and use this as a way of contributing to his sense of identity in a positive way. Ken has all the steps in place to build a satisfying and non-depressive life. He needs support and it would also be wise to ensure he is looking after his physical health, eating properly and sleeping well.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n\nCase study 3 – Jane Smith<\/h3>\n\nCase study 3 - Jane Smith<\/a><\/h4>\n<\/p>\nCase study 3 – Jane Smith<\/h3>\nJane is a 45 year old single woman working in an administrative job. She is close to her family, in particular her mother and sister and her sister’s two daughters. She would quite like to have a partner. Although she is relatively happy being childless, she loves looking after her young nieces. Before she became depressed, she enjoyed her job and loved cycling. She had a fairly active social life, although many of her girlfriends have children and families so they don’t have quite as much free time as Jane, which is why she has got it into her head that they don’t want to see her anymore. This isn’t true because they do ring her quite often and are concerned she is depressed.<\/p>\nJane became quite badly depressed quite suddenly and has taken leave of absence from work to fight the depression, but this only seems to have made things worse. Although she sleeps a lot and doesn’t do much – she barely leaves the house – she is still very tired all the time and constantly frets about how the house and garden are in such a mess, because she is so exhausted she hardly ever cleans. She has stopped cycling, stopped socializing and feels like the depression is getting worse and worse, not better, which worries her further. She thinks she’ll never be able to go back to work or live her life properly again.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Jane’s situation<\/h3>\nJane’s depression is blatantly blocking her from meeting her needs. She used to satisfy her need for attention from a wide variety of sources, including work that she enjoyed, and also through belonging to a cycling club, but now she is isolated. She says her only current source of attention ‘exchange’ is with her mother, although it’s the quality of this attention isn’t clear and it is never a great idea to have only one main source of attention. It’s clear that a sign<\/em> <\/strong>that Jane is feeling better will be that she is spending more time with friends and family again but, paradoxically, starting to mix with others again will also help<\/em> <\/strong>Jane feel better.<\/p>\nSo what can we do to help Jane feel good enough to socialize again (which in turn can make her feel even<\/em> better)?<\/p>\nI would like to discover why Jane became depressed so suddenly. What stresses was she under in her life? What was she most worried about? And how did these worries relate to her basic needs – either not meeting<\/strong> them or fearing they would no longer be met<\/strong> in the future?<\/p>\nJane needs to feel stronger in herself. She hasn’t been eating properly or exercising and, although she doesn’t say so, I suspect her sleep isn’t what it could be. We can help Jane discipline herself to start eating better and to begin to move her body more. We can teach her to relax so that she feels more able<\/em> to look after her physical needs.<\/p>\nThe need for a sense of safety and security is closely tied to the need for a sense of control in life. I feel that Jane may have taken the need for a sense of safety and security perhaps a tad too literally, as she talks about her apartment being ‘in a safe neighborhood’, yet also states that she has ‘no control’ over her life – which tends to produce feelings of insecurity.<\/p>\nWe could gently start to question her depressive all-or-nothing thinking – does she really have no<\/strong> control? None at all? And what about her sense that she is a ‘bad’ friend\/relative? I might challenge this by asking if a bicycle a ‘bad bicycle’ just because it’s taking some time out to get fixed?<\/p>\nJane would love a special relationship, so we might also look to see what strategies she has used in the past to meet partners and maintain relationships, and whether they have worked for her or not.<\/p>\nIt’s clear that Jane has a strong sense of what she needs in life. Helped by a clear understanding of the basic needs, we can help her get there.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\nGo back to Session 2 Summary<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Contents 1. Purpose and Signs of Success Read this section and get the planners by clicking “Purpose and Signs of Success” below. 2. Basic Needs Planners Read this section by clicking “Basic Needs Planners” below. 3. Guidelines Read this section by clicking “Guidelines” below. 4. The basic human needs Read this section by clicking “The […]<\/p>\n","protected":false},"author":72,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[12],"tags":[],"acf":[],"yoast_head":"\nBasic Needs Assessment<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Sayed Rahman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"18 minutes\" \/>\n<script type=\"application\/ld+json\" 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<\/a><\/p>\n<\/p>\n<\/p>\nThis should be a useful exercise. Depression is rare in communities organized in such a way as to meet these basic needs for their members.<\/p>\n<\/div>\n\n\n“This is just depressing – now you’re on my<\/strong> side, right?”<\/p>\n<\/p><\/div>\n<\/div>\n\n\n“Depresso, you’re missing the point! Knowledge is power!<\/p>\nNow we know what we need, we can start making efforts to meet life’s basic emotional needs.<\/p>\nAnd, besides, few people have all their needs met all the time! So we can relax, whatever the outcome of the exercise.”<\/p>\n<\/p><\/div>\n<\/div>\n<\/div>\nWhat you need to do is to simply start making allowances for the fulfilment of these needs in your life. After all, you are human. Over the coming weeks, just start to notice how you can nurture your basic needs and how much better you feel for it.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<\/a>5. Important point on spreading risk<\/h3>\nDon’t put all your eggs in one basket.<\/strong><\/p>\nIf you find that many of your needs are being fulfilled by one person or by a single job, you should strongly consider ‘spreading the load’. Too much pressure on one source puts you at risk of ignoring your own boundaries and personal requirements in favor of this ‘all-providing source’. This one person or particular job simply becomes too important <\/em>in your life, causing imbalance and inequality in the power balance.<\/p>\nAnd if something does go wrong with this source, your basic needs may be heavily impacted. Strive to meet your needs from different sources. Develop friendships away from work, get interested in projects in different areas of life, and focus on gaining satisfaction in different ways.<\/p>\n\n<\/a>6. Case studies<\/h3>\nBelow are ‘case studies’ of three people – Rachel Lambarth, Ken Radford and Jane Smith (not their real names) – who have used the basic needs planners to review how their basic needs are currently being met, and what they can do to meet these needs more effectively.<\/p>\nEach case study includes a short resum\u00e9 of the individual’s current situation, their completed planner, and commentary from Mark on how each individual’s depressed state is related to imbalance in meeting their basic needs, together with ideas for how they could be helped.<\/p>\nJust click on each case study to read it.<\/p>\n<\/div>\n\nCase study 1 – Rachel Lambarth<\/h3>\n\nCase study 1 - Rachel Lambarth<\/a><\/h4>\n<\/p>\nRachel is a 32 year old woman who has been diagnosed with clinical depression. She works for a boss who does not value her and makes her do unpaid overtime. She would like to be a freelance photographer and work for herself, but lacks the confidence to leave or stand up to him.<\/p>\nShe is unhappy in her current relationship. She has lots of friends but since becoming depressed hardly ever sees them as she feels so down. She has stopped running, which she used to love, and has lost her appetite. She panics a lot about her age and how she is getting older (although she is only 32!).<\/p>\nShe is quite a high-achiever but seems to have forgotten her past successes and concentrates instead on all the failures in her life.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\nMark’s commentary on Rachel’s situation<\/h3>\nRachel’s life clearly hasn’t been working for her. She is taken advantage of at work, is not really fulfilled in her job anyway, and has become isolated. She has stopped running and lost her appetite, which are typical signs that depression has a negative impact on physical motivation. She is also unhappy in her relationship. The attention she gets (and perhaps gives to) her boyfriend isn’t good quality and her need for emotional intimacy doesn’t seem to be being met.<\/p>\nIt’s worth remembering that it’s not these issues in themselves that caused her depression, but her rumination<\/strong> about them and the fact that they are unresolved.<\/p>\nRachel feels that safety and security are not an issue for her, but then says she feels powerless in her life, suggesting that she doesn’t feel too secure. She explicitly states she feels too exhausted to pursue constructive goals and feels hopeless about making plans anyway. Although only 32, she feels she is already ‘getting old’. Depression certainly can make people feel older than their years. Ultimately she wants to work independently as a photographer. Rachel mentions that she wants a satisfying and fulfilling relationship so we need to help her build or recapture better intimacy with her partner. She has a fairly clear idea of what she needs, and has also written positive steps she needs to take to get there – a very encouraging sign that she can at least see a realistic and measurable way forward.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n\nCase study 2 – Ken Radford<\/h3>\n\nCase study 2 - Ken Radford<\/a><\/h4>\n<\/p>\nKen retired from an accountancy job a year ago and since then has become quite depressed. He was probably mildly depressed for the last ten years, but since retiring it has become a lot worse. Ken divorced more than 20 years ago. He is not concerned about his failed marriage and is not particularly interested in finding a new partner.<\/p>\nHe is a devoted father but since his sons all live in a different city he hardly ever sees them, and misses them terribly. He is concerned that they will continue to live far away, and that this will mean that he will not be able to see his grandchildren very often when they eventually make an appearance. This makes him feel like he is missing out even more (even though they’re not even born yet). He spends a lot of time lying awake at night fretting about this.<\/p>\nKen stopped going to church when he divorced as many of the people they knew from church at that time were his wife’s friends. The divorce is now ancient history and he knows he could go back with no social awkwardness if he wanted to. He has a few good friends but is very tired and feels down all the time, so hardly ever sees them although he misses their company. He spends several hours a day helping his elderly parents, who are in a rest home. They are both very frail and suffer from dementia. Ken knows they will die within the next few years and he is emotionally prepared for their passing, but worries that he will become much more depressed when visiting them is no longer a regular ‘purpose’ in his life.<\/p>\nKen used to be a keen chess player. He is quite interested in using the internet more as he likes the idea of video-chatting with his sons and playing chess online, but lacks confidence. Although his sons love him and call him often, his self-confidence has gone down and he feels like a visit would only be burdensome for them. He also worries that navigating airports would be overwhelming (although he used to fly quite a bit).<\/p>\nOver the last ten years he has put on a lot of weight and has stopped exercising because of it. He used to be a hill-walker and would still like to be able to walk to the shops, walk around the local park, and so on. He is a very caring man and would like to use his skills to volunteer somehow. He has worked his whole life and feels ‘useless’ now that he doesn’t have a paid job.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Ken’s situation<\/h3>\nIt would be easy to assume that Ken – ‘deep down’ – really does want a partner, but it’s often a mistake to make this kind of assumption. The need for intimacy does vary from person to person, and it can be met through friendships and family connections, not just through romantic partnerships. If he says it is not a priority for him, then we should take him at his word.<\/p>\nBut it seems clear that many of Ken’s basic emotional needs remain unfulfilled, and this is likely what precipitated his current depression. His need for safety and security has been thwarted by his fear and worry that he’ll lose his purpose for being once his frail parents pass away. We’d need to help him build his life in such a way that he feels more connected to his other family members and wider community, and also feels useful and valuable. It’s telling that he became more depressed after he retired. It really seems that he needs to feel useful again, not a ‘burden’. He’s lost – or shall we say ‘misplaced’ – the confidence he once had in traveling, and we could usefully talk with him about what steps are needed to travel successfully and comfortably. We might even have him mentally rehearse, while he is relaxed, travelling successfully and happily, as well as negotiating the internet technology to communicate more with his sons. Family is important to Ken, and this should be encouraged.<\/p>\nHis idea to volunteer his accountancy skills for his local church and generally get involved in community again, connecting up to people and feeling needed, is an excellent one and we should encourage this. We can help break down into manageable steps exactly what he needs to do to make it happen. He needs to start walking again as he ‘used to climb mountains’. Walking instead of driving the 10 minutes to his parents’ rest home is another great idea. We could also talk about him metaphorically as ‘the man who knows how to climb mountains’, and use this as a way of contributing to his sense of identity in a positive way. Ken has all the steps in place to build a satisfying and non-depressive life. He needs support and it would also be wise to ensure he is looking after his physical health, eating properly and sleeping well.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n\nCase study 3 – Jane Smith<\/h3>\n\nCase study 3 - Jane Smith<\/a><\/h4>\n<\/p>\nCase study 3 – Jane Smith<\/h3>\nJane is a 45 year old single woman working in an administrative job. She is close to her family, in particular her mother and sister and her sister’s two daughters. She would quite like to have a partner. Although she is relatively happy being childless, she loves looking after her young nieces. Before she became depressed, she enjoyed her job and loved cycling. She had a fairly active social life, although many of her girlfriends have children and families so they don’t have quite as much free time as Jane, which is why she has got it into her head that they don’t want to see her anymore. This isn’t true because they do ring her quite often and are concerned she is depressed.<\/p>\nJane became quite badly depressed quite suddenly and has taken leave of absence from work to fight the depression, but this only seems to have made things worse. Although she sleeps a lot and doesn’t do much – she barely leaves the house – she is still very tired all the time and constantly frets about how the house and garden are in such a mess, because she is so exhausted she hardly ever cleans. She has stopped cycling, stopped socializing and feels like the depression is getting worse and worse, not better, which worries her further. She thinks she’ll never be able to go back to work or live her life properly again.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Jane’s situation<\/h3>\nJane’s depression is blatantly blocking her from meeting her needs. She used to satisfy her need for attention from a wide variety of sources, including work that she enjoyed, and also through belonging to a cycling club, but now she is isolated. She says her only current source of attention ‘exchange’ is with her mother, although it’s the quality of this attention isn’t clear and it is never a great idea to have only one main source of attention. It’s clear that a sign<\/em> <\/strong>that Jane is feeling better will be that she is spending more time with friends and family again but, paradoxically, starting to mix with others again will also help<\/em> <\/strong>Jane feel better.<\/p>\nSo what can we do to help Jane feel good enough to socialize again (which in turn can make her feel even<\/em> better)?<\/p>\nI would like to discover why Jane became depressed so suddenly. What stresses was she under in her life? What was she most worried about? And how did these worries relate to her basic needs – either not meeting<\/strong> them or fearing they would no longer be met<\/strong> in the future?<\/p>\nJane needs to feel stronger in herself. She hasn’t been eating properly or exercising and, although she doesn’t say so, I suspect her sleep isn’t what it could be. We can help Jane discipline herself to start eating better and to begin to move her body more. We can teach her to relax so that she feels more able<\/em> to look after her physical needs.<\/p>\nThe need for a sense of safety and security is closely tied to the need for a sense of control in life. I feel that Jane may have taken the need for a sense of safety and security perhaps a tad too literally, as she talks about her apartment being ‘in a safe neighborhood’, yet also states that she has ‘no control’ over her life – which tends to produce feelings of insecurity.<\/p>\nWe could gently start to question her depressive all-or-nothing thinking – does she really have no<\/strong> control? None at all? And what about her sense that she is a ‘bad’ friend\/relative? I might challenge this by asking if a bicycle a ‘bad bicycle’ just because it’s taking some time out to get fixed?<\/p>\nJane would love a special relationship, so we might also look to see what strategies she has used in the past to meet partners and maintain relationships, and whether they have worked for her or not.<\/p>\nIt’s clear that Jane has a strong sense of what she needs in life. Helped by a clear understanding of the basic needs, we can help her get there.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\nGo back to Session 2 Summary<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Contents 1. Purpose and Signs of Success Read this section and get the planners by clicking “Purpose and Signs of Success” below. 2. Basic Needs Planners Read this section by clicking “Basic Needs Planners” below. 3. Guidelines Read this section by clicking “Guidelines” below. 4. The basic human needs Read this section by clicking “The […]<\/p>\n","protected":false},"author":72,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[12],"tags":[],"acf":[],"yoast_head":"\nBasic Needs Assessment<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Sayed Rahman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"18 minutes\" \/>\n<script type=\"application\/ld+json\" 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This should be a useful exercise. Depression is rare in communities organized in such a way as to meet these basic needs for their members.<\/p>\n
“This is just depressing – now you’re on my<\/strong> side, right?”<\/p>\n<\/p><\/div>\n<\/div>\n\n\n“Depresso, you’re missing the point! Knowledge is power!<\/p>\nNow we know what we need, we can start making efforts to meet life’s basic emotional needs.<\/p>\nAnd, besides, few people have all their needs met all the time! So we can relax, whatever the outcome of the exercise.”<\/p>\n<\/p><\/div>\n<\/div>\n<\/div>\nWhat you need to do is to simply start making allowances for the fulfilment of these needs in your life. After all, you are human. Over the coming weeks, just start to notice how you can nurture your basic needs and how much better you feel for it.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<\/a>5. Important point on spreading risk<\/h3>\nDon’t put all your eggs in one basket.<\/strong><\/p>\nIf you find that many of your needs are being fulfilled by one person or by a single job, you should strongly consider ‘spreading the load’. Too much pressure on one source puts you at risk of ignoring your own boundaries and personal requirements in favor of this ‘all-providing source’. This one person or particular job simply becomes too important <\/em>in your life, causing imbalance and inequality in the power balance.<\/p>\nAnd if something does go wrong with this source, your basic needs may be heavily impacted. Strive to meet your needs from different sources. Develop friendships away from work, get interested in projects in different areas of life, and focus on gaining satisfaction in different ways.<\/p>\n\n<\/a>6. Case studies<\/h3>\nBelow are ‘case studies’ of three people – Rachel Lambarth, Ken Radford and Jane Smith (not their real names) – who have used the basic needs planners to review how their basic needs are currently being met, and what they can do to meet these needs more effectively.<\/p>\nEach case study includes a short resum\u00e9 of the individual’s current situation, their completed planner, and commentary from Mark on how each individual’s depressed state is related to imbalance in meeting their basic needs, together with ideas for how they could be helped.<\/p>\nJust click on each case study to read it.<\/p>\n<\/div>\n\nCase study 1 – Rachel Lambarth<\/h3>\n\nCase study 1 - Rachel Lambarth<\/a><\/h4>\n<\/p>\nRachel is a 32 year old woman who has been diagnosed with clinical depression. She works for a boss who does not value her and makes her do unpaid overtime. She would like to be a freelance photographer and work for herself, but lacks the confidence to leave or stand up to him.<\/p>\nShe is unhappy in her current relationship. She has lots of friends but since becoming depressed hardly ever sees them as she feels so down. She has stopped running, which she used to love, and has lost her appetite. She panics a lot about her age and how she is getting older (although she is only 32!).<\/p>\nShe is quite a high-achiever but seems to have forgotten her past successes and concentrates instead on all the failures in her life.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\nMark’s commentary on Rachel’s situation<\/h3>\nRachel’s life clearly hasn’t been working for her. She is taken advantage of at work, is not really fulfilled in her job anyway, and has become isolated. She has stopped running and lost her appetite, which are typical signs that depression has a negative impact on physical motivation. She is also unhappy in her relationship. The attention she gets (and perhaps gives to) her boyfriend isn’t good quality and her need for emotional intimacy doesn’t seem to be being met.<\/p>\nIt’s worth remembering that it’s not these issues in themselves that caused her depression, but her rumination<\/strong> about them and the fact that they are unresolved.<\/p>\nRachel feels that safety and security are not an issue for her, but then says she feels powerless in her life, suggesting that she doesn’t feel too secure. She explicitly states she feels too exhausted to pursue constructive goals and feels hopeless about making plans anyway. Although only 32, she feels she is already ‘getting old’. Depression certainly can make people feel older than their years. Ultimately she wants to work independently as a photographer. Rachel mentions that she wants a satisfying and fulfilling relationship so we need to help her build or recapture better intimacy with her partner. She has a fairly clear idea of what she needs, and has also written positive steps she needs to take to get there – a very encouraging sign that she can at least see a realistic and measurable way forward.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n\nCase study 2 – Ken Radford<\/h3>\n\nCase study 2 - Ken Radford<\/a><\/h4>\n<\/p>\nKen retired from an accountancy job a year ago and since then has become quite depressed. He was probably mildly depressed for the last ten years, but since retiring it has become a lot worse. Ken divorced more than 20 years ago. He is not concerned about his failed marriage and is not particularly interested in finding a new partner.<\/p>\nHe is a devoted father but since his sons all live in a different city he hardly ever sees them, and misses them terribly. He is concerned that they will continue to live far away, and that this will mean that he will not be able to see his grandchildren very often when they eventually make an appearance. This makes him feel like he is missing out even more (even though they’re not even born yet). He spends a lot of time lying awake at night fretting about this.<\/p>\nKen stopped going to church when he divorced as many of the people they knew from church at that time were his wife’s friends. The divorce is now ancient history and he knows he could go back with no social awkwardness if he wanted to. He has a few good friends but is very tired and feels down all the time, so hardly ever sees them although he misses their company. He spends several hours a day helping his elderly parents, who are in a rest home. They are both very frail and suffer from dementia. Ken knows they will die within the next few years and he is emotionally prepared for their passing, but worries that he will become much more depressed when visiting them is no longer a regular ‘purpose’ in his life.<\/p>\nKen used to be a keen chess player. He is quite interested in using the internet more as he likes the idea of video-chatting with his sons and playing chess online, but lacks confidence. Although his sons love him and call him often, his self-confidence has gone down and he feels like a visit would only be burdensome for them. He also worries that navigating airports would be overwhelming (although he used to fly quite a bit).<\/p>\nOver the last ten years he has put on a lot of weight and has stopped exercising because of it. He used to be a hill-walker and would still like to be able to walk to the shops, walk around the local park, and so on. He is a very caring man and would like to use his skills to volunteer somehow. He has worked his whole life and feels ‘useless’ now that he doesn’t have a paid job.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Ken’s situation<\/h3>\nIt would be easy to assume that Ken – ‘deep down’ – really does want a partner, but it’s often a mistake to make this kind of assumption. The need for intimacy does vary from person to person, and it can be met through friendships and family connections, not just through romantic partnerships. If he says it is not a priority for him, then we should take him at his word.<\/p>\nBut it seems clear that many of Ken’s basic emotional needs remain unfulfilled, and this is likely what precipitated his current depression. His need for safety and security has been thwarted by his fear and worry that he’ll lose his purpose for being once his frail parents pass away. We’d need to help him build his life in such a way that he feels more connected to his other family members and wider community, and also feels useful and valuable. It’s telling that he became more depressed after he retired. It really seems that he needs to feel useful again, not a ‘burden’. He’s lost – or shall we say ‘misplaced’ – the confidence he once had in traveling, and we could usefully talk with him about what steps are needed to travel successfully and comfortably. We might even have him mentally rehearse, while he is relaxed, travelling successfully and happily, as well as negotiating the internet technology to communicate more with his sons. Family is important to Ken, and this should be encouraged.<\/p>\nHis idea to volunteer his accountancy skills for his local church and generally get involved in community again, connecting up to people and feeling needed, is an excellent one and we should encourage this. We can help break down into manageable steps exactly what he needs to do to make it happen. He needs to start walking again as he ‘used to climb mountains’. Walking instead of driving the 10 minutes to his parents’ rest home is another great idea. We could also talk about him metaphorically as ‘the man who knows how to climb mountains’, and use this as a way of contributing to his sense of identity in a positive way. Ken has all the steps in place to build a satisfying and non-depressive life. He needs support and it would also be wise to ensure he is looking after his physical health, eating properly and sleeping well.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n\nCase study 3 – Jane Smith<\/h3>\n\nCase study 3 - Jane Smith<\/a><\/h4>\n<\/p>\nCase study 3 – Jane Smith<\/h3>\nJane is a 45 year old single woman working in an administrative job. She is close to her family, in particular her mother and sister and her sister’s two daughters. She would quite like to have a partner. Although she is relatively happy being childless, she loves looking after her young nieces. Before she became depressed, she enjoyed her job and loved cycling. She had a fairly active social life, although many of her girlfriends have children and families so they don’t have quite as much free time as Jane, which is why she has got it into her head that they don’t want to see her anymore. This isn’t true because they do ring her quite often and are concerned she is depressed.<\/p>\nJane became quite badly depressed quite suddenly and has taken leave of absence from work to fight the depression, but this only seems to have made things worse. Although she sleeps a lot and doesn’t do much – she barely leaves the house – she is still very tired all the time and constantly frets about how the house and garden are in such a mess, because she is so exhausted she hardly ever cleans. She has stopped cycling, stopped socializing and feels like the depression is getting worse and worse, not better, which worries her further. She thinks she’ll never be able to go back to work or live her life properly again.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Jane’s situation<\/h3>\nJane’s depression is blatantly blocking her from meeting her needs. She used to satisfy her need for attention from a wide variety of sources, including work that she enjoyed, and also through belonging to a cycling club, but now she is isolated. She says her only current source of attention ‘exchange’ is with her mother, although it’s the quality of this attention isn’t clear and it is never a great idea to have only one main source of attention. It’s clear that a sign<\/em> <\/strong>that Jane is feeling better will be that she is spending more time with friends and family again but, paradoxically, starting to mix with others again will also help<\/em> <\/strong>Jane feel better.<\/p>\nSo what can we do to help Jane feel good enough to socialize again (which in turn can make her feel even<\/em> better)?<\/p>\nI would like to discover why Jane became depressed so suddenly. What stresses was she under in her life? What was she most worried about? And how did these worries relate to her basic needs – either not meeting<\/strong> them or fearing they would no longer be met<\/strong> in the future?<\/p>\nJane needs to feel stronger in herself. She hasn’t been eating properly or exercising and, although she doesn’t say so, I suspect her sleep isn’t what it could be. We can help Jane discipline herself to start eating better and to begin to move her body more. We can teach her to relax so that she feels more able<\/em> to look after her physical needs.<\/p>\nThe need for a sense of safety and security is closely tied to the need for a sense of control in life. I feel that Jane may have taken the need for a sense of safety and security perhaps a tad too literally, as she talks about her apartment being ‘in a safe neighborhood’, yet also states that she has ‘no control’ over her life – which tends to produce feelings of insecurity.<\/p>\nWe could gently start to question her depressive all-or-nothing thinking – does she really have no<\/strong> control? None at all? And what about her sense that she is a ‘bad’ friend\/relative? I might challenge this by asking if a bicycle a ‘bad bicycle’ just because it’s taking some time out to get fixed?<\/p>\nJane would love a special relationship, so we might also look to see what strategies she has used in the past to meet partners and maintain relationships, and whether they have worked for her or not.<\/p>\nIt’s clear that Jane has a strong sense of what she needs in life. Helped by a clear understanding of the basic needs, we can help her get there.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\nGo back to Session 2 Summary<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Contents 1. Purpose and Signs of Success Read this section and get the planners by clicking “Purpose and Signs of Success” below. 2. Basic Needs Planners Read this section by clicking “Basic Needs Planners” below. 3. Guidelines Read this section by clicking “Guidelines” below. 4. The basic human needs Read this section by clicking “The […]<\/p>\n","protected":false},"author":72,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[12],"tags":[],"acf":[],"yoast_head":"\nBasic Needs Assessment<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Sayed Rahman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"18 minutes\" \/>\n<script type=\"application\/ld+json\" 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“Depresso, you’re missing the point! Knowledge is power!<\/p>\n
Now we know what we need, we can start making efforts to meet life’s basic emotional needs.<\/p>\n
And, besides, few people have all their needs met all the time! So we can relax, whatever the outcome of the exercise.”<\/p>\n<\/p><\/div>\n<\/div>\n
What you need to do is to simply start making allowances for the fulfilment of these needs in your life. After all, you are human. Over the coming weeks, just start to notice how you can nurture your basic needs and how much better you feel for it.<\/p>\n
Don’t put all your eggs in one basket.<\/strong><\/p>\nIf you find that many of your needs are being fulfilled by one person or by a single job, you should strongly consider ‘spreading the load’. Too much pressure on one source puts you at risk of ignoring your own boundaries and personal requirements in favor of this ‘all-providing source’. This one person or particular job simply becomes too important <\/em>in your life, causing imbalance and inequality in the power balance.<\/p>\nAnd if something does go wrong with this source, your basic needs may be heavily impacted. Strive to meet your needs from different sources. Develop friendships away from work, get interested in projects in different areas of life, and focus on gaining satisfaction in different ways.<\/p>\n\n<\/a>6. Case studies<\/h3>\nBelow are ‘case studies’ of three people – Rachel Lambarth, Ken Radford and Jane Smith (not their real names) – who have used the basic needs planners to review how their basic needs are currently being met, and what they can do to meet these needs more effectively.<\/p>\nEach case study includes a short resum\u00e9 of the individual’s current situation, their completed planner, and commentary from Mark on how each individual’s depressed state is related to imbalance in meeting their basic needs, together with ideas for how they could be helped.<\/p>\nJust click on each case study to read it.<\/p>\n<\/div>\n\nCase study 1 – Rachel Lambarth<\/h3>\n\nCase study 1 - Rachel Lambarth<\/a><\/h4>\n<\/p>\nRachel is a 32 year old woman who has been diagnosed with clinical depression. She works for a boss who does not value her and makes her do unpaid overtime. She would like to be a freelance photographer and work for herself, but lacks the confidence to leave or stand up to him.<\/p>\nShe is unhappy in her current relationship. She has lots of friends but since becoming depressed hardly ever sees them as she feels so down. She has stopped running, which she used to love, and has lost her appetite. She panics a lot about her age and how she is getting older (although she is only 32!).<\/p>\nShe is quite a high-achiever but seems to have forgotten her past successes and concentrates instead on all the failures in her life.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\nMark’s commentary on Rachel’s situation<\/h3>\nRachel’s life clearly hasn’t been working for her. She is taken advantage of at work, is not really fulfilled in her job anyway, and has become isolated. She has stopped running and lost her appetite, which are typical signs that depression has a negative impact on physical motivation. She is also unhappy in her relationship. The attention she gets (and perhaps gives to) her boyfriend isn’t good quality and her need for emotional intimacy doesn’t seem to be being met.<\/p>\nIt’s worth remembering that it’s not these issues in themselves that caused her depression, but her rumination<\/strong> about them and the fact that they are unresolved.<\/p>\nRachel feels that safety and security are not an issue for her, but then says she feels powerless in her life, suggesting that she doesn’t feel too secure. She explicitly states she feels too exhausted to pursue constructive goals and feels hopeless about making plans anyway. Although only 32, she feels she is already ‘getting old’. Depression certainly can make people feel older than their years. Ultimately she wants to work independently as a photographer. Rachel mentions that she wants a satisfying and fulfilling relationship so we need to help her build or recapture better intimacy with her partner. She has a fairly clear idea of what she needs, and has also written positive steps she needs to take to get there – a very encouraging sign that she can at least see a realistic and measurable way forward.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n\nCase study 2 – Ken Radford<\/h3>\n\nCase study 2 - Ken Radford<\/a><\/h4>\n<\/p>\nKen retired from an accountancy job a year ago and since then has become quite depressed. He was probably mildly depressed for the last ten years, but since retiring it has become a lot worse. Ken divorced more than 20 years ago. He is not concerned about his failed marriage and is not particularly interested in finding a new partner.<\/p>\nHe is a devoted father but since his sons all live in a different city he hardly ever sees them, and misses them terribly. He is concerned that they will continue to live far away, and that this will mean that he will not be able to see his grandchildren very often when they eventually make an appearance. This makes him feel like he is missing out even more (even though they’re not even born yet). He spends a lot of time lying awake at night fretting about this.<\/p>\nKen stopped going to church when he divorced as many of the people they knew from church at that time were his wife’s friends. The divorce is now ancient history and he knows he could go back with no social awkwardness if he wanted to. He has a few good friends but is very tired and feels down all the time, so hardly ever sees them although he misses their company. He spends several hours a day helping his elderly parents, who are in a rest home. They are both very frail and suffer from dementia. Ken knows they will die within the next few years and he is emotionally prepared for their passing, but worries that he will become much more depressed when visiting them is no longer a regular ‘purpose’ in his life.<\/p>\nKen used to be a keen chess player. He is quite interested in using the internet more as he likes the idea of video-chatting with his sons and playing chess online, but lacks confidence. Although his sons love him and call him often, his self-confidence has gone down and he feels like a visit would only be burdensome for them. He also worries that navigating airports would be overwhelming (although he used to fly quite a bit).<\/p>\nOver the last ten years he has put on a lot of weight and has stopped exercising because of it. He used to be a hill-walker and would still like to be able to walk to the shops, walk around the local park, and so on. He is a very caring man and would like to use his skills to volunteer somehow. He has worked his whole life and feels ‘useless’ now that he doesn’t have a paid job.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Ken’s situation<\/h3>\nIt would be easy to assume that Ken – ‘deep down’ – really does want a partner, but it’s often a mistake to make this kind of assumption. The need for intimacy does vary from person to person, and it can be met through friendships and family connections, not just through romantic partnerships. If he says it is not a priority for him, then we should take him at his word.<\/p>\nBut it seems clear that many of Ken’s basic emotional needs remain unfulfilled, and this is likely what precipitated his current depression. His need for safety and security has been thwarted by his fear and worry that he’ll lose his purpose for being once his frail parents pass away. We’d need to help him build his life in such a way that he feels more connected to his other family members and wider community, and also feels useful and valuable. It’s telling that he became more depressed after he retired. It really seems that he needs to feel useful again, not a ‘burden’. He’s lost – or shall we say ‘misplaced’ – the confidence he once had in traveling, and we could usefully talk with him about what steps are needed to travel successfully and comfortably. We might even have him mentally rehearse, while he is relaxed, travelling successfully and happily, as well as negotiating the internet technology to communicate more with his sons. Family is important to Ken, and this should be encouraged.<\/p>\nHis idea to volunteer his accountancy skills for his local church and generally get involved in community again, connecting up to people and feeling needed, is an excellent one and we should encourage this. We can help break down into manageable steps exactly what he needs to do to make it happen. He needs to start walking again as he ‘used to climb mountains’. Walking instead of driving the 10 minutes to his parents’ rest home is another great idea. We could also talk about him metaphorically as ‘the man who knows how to climb mountains’, and use this as a way of contributing to his sense of identity in a positive way. Ken has all the steps in place to build a satisfying and non-depressive life. He needs support and it would also be wise to ensure he is looking after his physical health, eating properly and sleeping well.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n\nCase study 3 – Jane Smith<\/h3>\n\nCase study 3 - Jane Smith<\/a><\/h4>\n<\/p>\nCase study 3 – Jane Smith<\/h3>\nJane is a 45 year old single woman working in an administrative job. She is close to her family, in particular her mother and sister and her sister’s two daughters. She would quite like to have a partner. Although she is relatively happy being childless, she loves looking after her young nieces. Before she became depressed, she enjoyed her job and loved cycling. She had a fairly active social life, although many of her girlfriends have children and families so they don’t have quite as much free time as Jane, which is why she has got it into her head that they don’t want to see her anymore. This isn’t true because they do ring her quite often and are concerned she is depressed.<\/p>\nJane became quite badly depressed quite suddenly and has taken leave of absence from work to fight the depression, but this only seems to have made things worse. Although she sleeps a lot and doesn’t do much – she barely leaves the house – she is still very tired all the time and constantly frets about how the house and garden are in such a mess, because she is so exhausted she hardly ever cleans. She has stopped cycling, stopped socializing and feels like the depression is getting worse and worse, not better, which worries her further. She thinks she’ll never be able to go back to work or live her life properly again.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Jane’s situation<\/h3>\nJane’s depression is blatantly blocking her from meeting her needs. She used to satisfy her need for attention from a wide variety of sources, including work that she enjoyed, and also through belonging to a cycling club, but now she is isolated. She says her only current source of attention ‘exchange’ is with her mother, although it’s the quality of this attention isn’t clear and it is never a great idea to have only one main source of attention. It’s clear that a sign<\/em> <\/strong>that Jane is feeling better will be that she is spending more time with friends and family again but, paradoxically, starting to mix with others again will also help<\/em> <\/strong>Jane feel better.<\/p>\nSo what can we do to help Jane feel good enough to socialize again (which in turn can make her feel even<\/em> better)?<\/p>\nI would like to discover why Jane became depressed so suddenly. What stresses was she under in her life? What was she most worried about? And how did these worries relate to her basic needs – either not meeting<\/strong> them or fearing they would no longer be met<\/strong> in the future?<\/p>\nJane needs to feel stronger in herself. She hasn’t been eating properly or exercising and, although she doesn’t say so, I suspect her sleep isn’t what it could be. We can help Jane discipline herself to start eating better and to begin to move her body more. We can teach her to relax so that she feels more able<\/em> to look after her physical needs.<\/p>\nThe need for a sense of safety and security is closely tied to the need for a sense of control in life. I feel that Jane may have taken the need for a sense of safety and security perhaps a tad too literally, as she talks about her apartment being ‘in a safe neighborhood’, yet also states that she has ‘no control’ over her life – which tends to produce feelings of insecurity.<\/p>\nWe could gently start to question her depressive all-or-nothing thinking – does she really have no<\/strong> control? None at all? And what about her sense that she is a ‘bad’ friend\/relative? I might challenge this by asking if a bicycle a ‘bad bicycle’ just because it’s taking some time out to get fixed?<\/p>\nJane would love a special relationship, so we might also look to see what strategies she has used in the past to meet partners and maintain relationships, and whether they have worked for her or not.<\/p>\nIt’s clear that Jane has a strong sense of what she needs in life. Helped by a clear understanding of the basic needs, we can help her get there.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\nGo back to Session 2 Summary<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Contents 1. Purpose and Signs of Success Read this section and get the planners by clicking “Purpose and Signs of Success” below. 2. Basic Needs Planners Read this section by clicking “Basic Needs Planners” below. 3. Guidelines Read this section by clicking “Guidelines” below. 4. The basic human needs Read this section by clicking “The […]<\/p>\n","protected":false},"author":72,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[12],"tags":[],"acf":[],"yoast_head":"\nBasic Needs Assessment<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Sayed Rahman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"18 minutes\" \/>\n<script type=\"application\/ld+json\" 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If you find that many of your needs are being fulfilled by one person or by a single job, you should strongly consider ‘spreading the load’. Too much pressure on one source puts you at risk of ignoring your own boundaries and personal requirements in favor of this ‘all-providing source’. This one person or particular job simply becomes too important <\/em>in your life, causing imbalance and inequality in the power balance.<\/p>\nAnd if something does go wrong with this source, your basic needs may be heavily impacted. Strive to meet your needs from different sources. Develop friendships away from work, get interested in projects in different areas of life, and focus on gaining satisfaction in different ways.<\/p>\n\n<\/a>6. Case studies<\/h3>\nBelow are ‘case studies’ of three people – Rachel Lambarth, Ken Radford and Jane Smith (not their real names) – who have used the basic needs planners to review how their basic needs are currently being met, and what they can do to meet these needs more effectively.<\/p>\nEach case study includes a short resum\u00e9 of the individual’s current situation, their completed planner, and commentary from Mark on how each individual’s depressed state is related to imbalance in meeting their basic needs, together with ideas for how they could be helped.<\/p>\nJust click on each case study to read it.<\/p>\n<\/div>\n\nCase study 1 – Rachel Lambarth<\/h3>\n\nCase study 1 - Rachel Lambarth<\/a><\/h4>\n<\/p>\nRachel is a 32 year old woman who has been diagnosed with clinical depression. She works for a boss who does not value her and makes her do unpaid overtime. She would like to be a freelance photographer and work for herself, but lacks the confidence to leave or stand up to him.<\/p>\nShe is unhappy in her current relationship. She has lots of friends but since becoming depressed hardly ever sees them as she feels so down. She has stopped running, which she used to love, and has lost her appetite. She panics a lot about her age and how she is getting older (although she is only 32!).<\/p>\nShe is quite a high-achiever but seems to have forgotten her past successes and concentrates instead on all the failures in her life.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\nMark’s commentary on Rachel’s situation<\/h3>\nRachel’s life clearly hasn’t been working for her. She is taken advantage of at work, is not really fulfilled in her job anyway, and has become isolated. She has stopped running and lost her appetite, which are typical signs that depression has a negative impact on physical motivation. She is also unhappy in her relationship. The attention she gets (and perhaps gives to) her boyfriend isn’t good quality and her need for emotional intimacy doesn’t seem to be being met.<\/p>\nIt’s worth remembering that it’s not these issues in themselves that caused her depression, but her rumination<\/strong> about them and the fact that they are unresolved.<\/p>\nRachel feels that safety and security are not an issue for her, but then says she feels powerless in her life, suggesting that she doesn’t feel too secure. She explicitly states she feels too exhausted to pursue constructive goals and feels hopeless about making plans anyway. Although only 32, she feels she is already ‘getting old’. Depression certainly can make people feel older than their years. Ultimately she wants to work independently as a photographer. Rachel mentions that she wants a satisfying and fulfilling relationship so we need to help her build or recapture better intimacy with her partner. She has a fairly clear idea of what she needs, and has also written positive steps she needs to take to get there – a very encouraging sign that she can at least see a realistic and measurable way forward.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n\nCase study 2 – Ken Radford<\/h3>\n\nCase study 2 - Ken Radford<\/a><\/h4>\n<\/p>\nKen retired from an accountancy job a year ago and since then has become quite depressed. He was probably mildly depressed for the last ten years, but since retiring it has become a lot worse. Ken divorced more than 20 years ago. He is not concerned about his failed marriage and is not particularly interested in finding a new partner.<\/p>\nHe is a devoted father but since his sons all live in a different city he hardly ever sees them, and misses them terribly. He is concerned that they will continue to live far away, and that this will mean that he will not be able to see his grandchildren very often when they eventually make an appearance. This makes him feel like he is missing out even more (even though they’re not even born yet). He spends a lot of time lying awake at night fretting about this.<\/p>\nKen stopped going to church when he divorced as many of the people they knew from church at that time were his wife’s friends. The divorce is now ancient history and he knows he could go back with no social awkwardness if he wanted to. He has a few good friends but is very tired and feels down all the time, so hardly ever sees them although he misses their company. He spends several hours a day helping his elderly parents, who are in a rest home. They are both very frail and suffer from dementia. Ken knows they will die within the next few years and he is emotionally prepared for their passing, but worries that he will become much more depressed when visiting them is no longer a regular ‘purpose’ in his life.<\/p>\nKen used to be a keen chess player. He is quite interested in using the internet more as he likes the idea of video-chatting with his sons and playing chess online, but lacks confidence. Although his sons love him and call him often, his self-confidence has gone down and he feels like a visit would only be burdensome for them. He also worries that navigating airports would be overwhelming (although he used to fly quite a bit).<\/p>\nOver the last ten years he has put on a lot of weight and has stopped exercising because of it. He used to be a hill-walker and would still like to be able to walk to the shops, walk around the local park, and so on. He is a very caring man and would like to use his skills to volunteer somehow. He has worked his whole life and feels ‘useless’ now that he doesn’t have a paid job.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Ken’s situation<\/h3>\nIt would be easy to assume that Ken – ‘deep down’ – really does want a partner, but it’s often a mistake to make this kind of assumption. The need for intimacy does vary from person to person, and it can be met through friendships and family connections, not just through romantic partnerships. If he says it is not a priority for him, then we should take him at his word.<\/p>\nBut it seems clear that many of Ken’s basic emotional needs remain unfulfilled, and this is likely what precipitated his current depression. His need for safety and security has been thwarted by his fear and worry that he’ll lose his purpose for being once his frail parents pass away. We’d need to help him build his life in such a way that he feels more connected to his other family members and wider community, and also feels useful and valuable. It’s telling that he became more depressed after he retired. It really seems that he needs to feel useful again, not a ‘burden’. He’s lost – or shall we say ‘misplaced’ – the confidence he once had in traveling, and we could usefully talk with him about what steps are needed to travel successfully and comfortably. We might even have him mentally rehearse, while he is relaxed, travelling successfully and happily, as well as negotiating the internet technology to communicate more with his sons. Family is important to Ken, and this should be encouraged.<\/p>\nHis idea to volunteer his accountancy skills for his local church and generally get involved in community again, connecting up to people and feeling needed, is an excellent one and we should encourage this. We can help break down into manageable steps exactly what he needs to do to make it happen. He needs to start walking again as he ‘used to climb mountains’. Walking instead of driving the 10 minutes to his parents’ rest home is another great idea. We could also talk about him metaphorically as ‘the man who knows how to climb mountains’, and use this as a way of contributing to his sense of identity in a positive way. Ken has all the steps in place to build a satisfying and non-depressive life. He needs support and it would also be wise to ensure he is looking after his physical health, eating properly and sleeping well.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n\nCase study 3 – Jane Smith<\/h3>\n\nCase study 3 - Jane Smith<\/a><\/h4>\n<\/p>\nCase study 3 – Jane Smith<\/h3>\nJane is a 45 year old single woman working in an administrative job. She is close to her family, in particular her mother and sister and her sister’s two daughters. She would quite like to have a partner. Although she is relatively happy being childless, she loves looking after her young nieces. Before she became depressed, she enjoyed her job and loved cycling. She had a fairly active social life, although many of her girlfriends have children and families so they don’t have quite as much free time as Jane, which is why she has got it into her head that they don’t want to see her anymore. This isn’t true because they do ring her quite often and are concerned she is depressed.<\/p>\nJane became quite badly depressed quite suddenly and has taken leave of absence from work to fight the depression, but this only seems to have made things worse. Although she sleeps a lot and doesn’t do much – she barely leaves the house – she is still very tired all the time and constantly frets about how the house and garden are in such a mess, because she is so exhausted she hardly ever cleans. She has stopped cycling, stopped socializing and feels like the depression is getting worse and worse, not better, which worries her further. She thinks she’ll never be able to go back to work or live her life properly again.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Jane’s situation<\/h3>\nJane’s depression is blatantly blocking her from meeting her needs. She used to satisfy her need for attention from a wide variety of sources, including work that she enjoyed, and also through belonging to a cycling club, but now she is isolated. She says her only current source of attention ‘exchange’ is with her mother, although it’s the quality of this attention isn’t clear and it is never a great idea to have only one main source of attention. It’s clear that a sign<\/em> <\/strong>that Jane is feeling better will be that she is spending more time with friends and family again but, paradoxically, starting to mix with others again will also help<\/em> <\/strong>Jane feel better.<\/p>\nSo what can we do to help Jane feel good enough to socialize again (which in turn can make her feel even<\/em> better)?<\/p>\nI would like to discover why Jane became depressed so suddenly. What stresses was she under in her life? What was she most worried about? And how did these worries relate to her basic needs – either not meeting<\/strong> them or fearing they would no longer be met<\/strong> in the future?<\/p>\nJane needs to feel stronger in herself. She hasn’t been eating properly or exercising and, although she doesn’t say so, I suspect her sleep isn’t what it could be. We can help Jane discipline herself to start eating better and to begin to move her body more. We can teach her to relax so that she feels more able<\/em> to look after her physical needs.<\/p>\nThe need for a sense of safety and security is closely tied to the need for a sense of control in life. I feel that Jane may have taken the need for a sense of safety and security perhaps a tad too literally, as she talks about her apartment being ‘in a safe neighborhood’, yet also states that she has ‘no control’ over her life – which tends to produce feelings of insecurity.<\/p>\nWe could gently start to question her depressive all-or-nothing thinking – does she really have no<\/strong> control? None at all? And what about her sense that she is a ‘bad’ friend\/relative? I might challenge this by asking if a bicycle a ‘bad bicycle’ just because it’s taking some time out to get fixed?<\/p>\nJane would love a special relationship, so we might also look to see what strategies she has used in the past to meet partners and maintain relationships, and whether they have worked for her or not.<\/p>\nIt’s clear that Jane has a strong sense of what she needs in life. Helped by a clear understanding of the basic needs, we can help her get there.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\nGo back to Session 2 Summary<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Contents 1. Purpose and Signs of Success Read this section and get the planners by clicking “Purpose and Signs of Success” below. 2. Basic Needs Planners Read this section by clicking “Basic Needs Planners” below. 3. Guidelines Read this section by clicking “Guidelines” below. 4. The basic human needs Read this section by clicking “The […]<\/p>\n","protected":false},"author":72,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[12],"tags":[],"acf":[],"yoast_head":"\nBasic Needs Assessment<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Sayed Rahman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"18 minutes\" \/>\n<script type=\"application\/ld+json\" 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And if something does go wrong with this source, your basic needs may be heavily impacted. Strive to meet your needs from different sources. Develop friendships away from work, get interested in projects in different areas of life, and focus on gaining satisfaction in different ways.<\/p>\n
Below are ‘case studies’ of three people – Rachel Lambarth, Ken Radford and Jane Smith (not their real names) – who have used the basic needs planners to review how their basic needs are currently being met, and what they can do to meet these needs more effectively.<\/p>\n
Each case study includes a short resum\u00e9 of the individual’s current situation, their completed planner, and commentary from Mark on how each individual’s depressed state is related to imbalance in meeting their basic needs, together with ideas for how they could be helped.<\/p>\n
Just click on each case study to read it.<\/p>\n
Rachel is a 32 year old woman who has been diagnosed with clinical depression. She works for a boss who does not value her and makes her do unpaid overtime. She would like to be a freelance photographer and work for herself, but lacks the confidence to leave or stand up to him.<\/p>\n
She is unhappy in her current relationship. She has lots of friends but since becoming depressed hardly ever sees them as she feels so down. She has stopped running, which she used to love, and has lost her appetite. She panics a lot about her age and how she is getting older (although she is only 32!).<\/p>\n
She is quite a high-achiever but seems to have forgotten her past successes and concentrates instead on all the failures in her life.<\/p>\n
(Click on the image to enlarge it)<\/p>\n
<\/a><\/p>\nMark’s commentary on Rachel’s situation<\/h3>\nRachel’s life clearly hasn’t been working for her. She is taken advantage of at work, is not really fulfilled in her job anyway, and has become isolated. She has stopped running and lost her appetite, which are typical signs that depression has a negative impact on physical motivation. She is also unhappy in her relationship. The attention she gets (and perhaps gives to) her boyfriend isn’t good quality and her need for emotional intimacy doesn’t seem to be being met.<\/p>\nIt’s worth remembering that it’s not these issues in themselves that caused her depression, but her rumination<\/strong> about them and the fact that they are unresolved.<\/p>\nRachel feels that safety and security are not an issue for her, but then says she feels powerless in her life, suggesting that she doesn’t feel too secure. She explicitly states she feels too exhausted to pursue constructive goals and feels hopeless about making plans anyway. Although only 32, she feels she is already ‘getting old’. Depression certainly can make people feel older than their years. Ultimately she wants to work independently as a photographer. Rachel mentions that she wants a satisfying and fulfilling relationship so we need to help her build or recapture better intimacy with her partner. She has a fairly clear idea of what she needs, and has also written positive steps she needs to take to get there – a very encouraging sign that she can at least see a realistic and measurable way forward.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n\nCase study 2 – Ken Radford<\/h3>\n\nCase study 2 - Ken Radford<\/a><\/h4>\n<\/p>\nKen retired from an accountancy job a year ago and since then has become quite depressed. He was probably mildly depressed for the last ten years, but since retiring it has become a lot worse. Ken divorced more than 20 years ago. He is not concerned about his failed marriage and is not particularly interested in finding a new partner.<\/p>\nHe is a devoted father but since his sons all live in a different city he hardly ever sees them, and misses them terribly. He is concerned that they will continue to live far away, and that this will mean that he will not be able to see his grandchildren very often when they eventually make an appearance. This makes him feel like he is missing out even more (even though they’re not even born yet). He spends a lot of time lying awake at night fretting about this.<\/p>\nKen stopped going to church when he divorced as many of the people they knew from church at that time were his wife’s friends. The divorce is now ancient history and he knows he could go back with no social awkwardness if he wanted to. He has a few good friends but is very tired and feels down all the time, so hardly ever sees them although he misses their company. He spends several hours a day helping his elderly parents, who are in a rest home. They are both very frail and suffer from dementia. Ken knows they will die within the next few years and he is emotionally prepared for their passing, but worries that he will become much more depressed when visiting them is no longer a regular ‘purpose’ in his life.<\/p>\nKen used to be a keen chess player. He is quite interested in using the internet more as he likes the idea of video-chatting with his sons and playing chess online, but lacks confidence. Although his sons love him and call him often, his self-confidence has gone down and he feels like a visit would only be burdensome for them. He also worries that navigating airports would be overwhelming (although he used to fly quite a bit).<\/p>\nOver the last ten years he has put on a lot of weight and has stopped exercising because of it. He used to be a hill-walker and would still like to be able to walk to the shops, walk around the local park, and so on. He is a very caring man and would like to use his skills to volunteer somehow. He has worked his whole life and feels ‘useless’ now that he doesn’t have a paid job.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Ken’s situation<\/h3>\nIt would be easy to assume that Ken – ‘deep down’ – really does want a partner, but it’s often a mistake to make this kind of assumption. The need for intimacy does vary from person to person, and it can be met through friendships and family connections, not just through romantic partnerships. If he says it is not a priority for him, then we should take him at his word.<\/p>\nBut it seems clear that many of Ken’s basic emotional needs remain unfulfilled, and this is likely what precipitated his current depression. His need for safety and security has been thwarted by his fear and worry that he’ll lose his purpose for being once his frail parents pass away. We’d need to help him build his life in such a way that he feels more connected to his other family members and wider community, and also feels useful and valuable. It’s telling that he became more depressed after he retired. It really seems that he needs to feel useful again, not a ‘burden’. He’s lost – or shall we say ‘misplaced’ – the confidence he once had in traveling, and we could usefully talk with him about what steps are needed to travel successfully and comfortably. We might even have him mentally rehearse, while he is relaxed, travelling successfully and happily, as well as negotiating the internet technology to communicate more with his sons. Family is important to Ken, and this should be encouraged.<\/p>\nHis idea to volunteer his accountancy skills for his local church and generally get involved in community again, connecting up to people and feeling needed, is an excellent one and we should encourage this. We can help break down into manageable steps exactly what he needs to do to make it happen. He needs to start walking again as he ‘used to climb mountains’. Walking instead of driving the 10 minutes to his parents’ rest home is another great idea. We could also talk about him metaphorically as ‘the man who knows how to climb mountains’, and use this as a way of contributing to his sense of identity in a positive way. Ken has all the steps in place to build a satisfying and non-depressive life. He needs support and it would also be wise to ensure he is looking after his physical health, eating properly and sleeping well.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n\nCase study 3 – Jane Smith<\/h3>\n\nCase study 3 - Jane Smith<\/a><\/h4>\n<\/p>\nCase study 3 – Jane Smith<\/h3>\nJane is a 45 year old single woman working in an administrative job. She is close to her family, in particular her mother and sister and her sister’s two daughters. She would quite like to have a partner. Although she is relatively happy being childless, she loves looking after her young nieces. Before she became depressed, she enjoyed her job and loved cycling. She had a fairly active social life, although many of her girlfriends have children and families so they don’t have quite as much free time as Jane, which is why she has got it into her head that they don’t want to see her anymore. This isn’t true because they do ring her quite often and are concerned she is depressed.<\/p>\nJane became quite badly depressed quite suddenly and has taken leave of absence from work to fight the depression, but this only seems to have made things worse. Although she sleeps a lot and doesn’t do much – she barely leaves the house – she is still very tired all the time and constantly frets about how the house and garden are in such a mess, because she is so exhausted she hardly ever cleans. She has stopped cycling, stopped socializing and feels like the depression is getting worse and worse, not better, which worries her further. She thinks she’ll never be able to go back to work or live her life properly again.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Jane’s situation<\/h3>\nJane’s depression is blatantly blocking her from meeting her needs. She used to satisfy her need for attention from a wide variety of sources, including work that she enjoyed, and also through belonging to a cycling club, but now she is isolated. She says her only current source of attention ‘exchange’ is with her mother, although it’s the quality of this attention isn’t clear and it is never a great idea to have only one main source of attention. It’s clear that a sign<\/em> <\/strong>that Jane is feeling better will be that she is spending more time with friends and family again but, paradoxically, starting to mix with others again will also help<\/em> <\/strong>Jane feel better.<\/p>\nSo what can we do to help Jane feel good enough to socialize again (which in turn can make her feel even<\/em> better)?<\/p>\nI would like to discover why Jane became depressed so suddenly. What stresses was she under in her life? What was she most worried about? And how did these worries relate to her basic needs – either not meeting<\/strong> them or fearing they would no longer be met<\/strong> in the future?<\/p>\nJane needs to feel stronger in herself. She hasn’t been eating properly or exercising and, although she doesn’t say so, I suspect her sleep isn’t what it could be. We can help Jane discipline herself to start eating better and to begin to move her body more. We can teach her to relax so that she feels more able<\/em> to look after her physical needs.<\/p>\nThe need for a sense of safety and security is closely tied to the need for a sense of control in life. I feel that Jane may have taken the need for a sense of safety and security perhaps a tad too literally, as she talks about her apartment being ‘in a safe neighborhood’, yet also states that she has ‘no control’ over her life – which tends to produce feelings of insecurity.<\/p>\nWe could gently start to question her depressive all-or-nothing thinking – does she really have no<\/strong> control? None at all? And what about her sense that she is a ‘bad’ friend\/relative? I might challenge this by asking if a bicycle a ‘bad bicycle’ just because it’s taking some time out to get fixed?<\/p>\nJane would love a special relationship, so we might also look to see what strategies she has used in the past to meet partners and maintain relationships, and whether they have worked for her or not.<\/p>\nIt’s clear that Jane has a strong sense of what she needs in life. Helped by a clear understanding of the basic needs, we can help her get there.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\nGo back to Session 2 Summary<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Contents 1. Purpose and Signs of Success Read this section and get the planners by clicking “Purpose and Signs of Success” below. 2. Basic Needs Planners Read this section by clicking “Basic Needs Planners” below. 3. Guidelines Read this section by clicking “Guidelines” below. 4. The basic human needs Read this section by clicking “The […]<\/p>\n","protected":false},"author":72,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[12],"tags":[],"acf":[],"yoast_head":"\nBasic Needs Assessment<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Sayed Rahman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"18 minutes\" \/>\n<script type=\"application\/ld+json\" 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Rachel’s life clearly hasn’t been working for her. She is taken advantage of at work, is not really fulfilled in her job anyway, and has become isolated. She has stopped running and lost her appetite, which are typical signs that depression has a negative impact on physical motivation. She is also unhappy in her relationship. The attention she gets (and perhaps gives to) her boyfriend isn’t good quality and her need for emotional intimacy doesn’t seem to be being met.<\/p>\n
It’s worth remembering that it’s not these issues in themselves that caused her depression, but her rumination<\/strong> about them and the fact that they are unresolved.<\/p>\nRachel feels that safety and security are not an issue for her, but then says she feels powerless in her life, suggesting that she doesn’t feel too secure. She explicitly states she feels too exhausted to pursue constructive goals and feels hopeless about making plans anyway. Although only 32, she feels she is already ‘getting old’. Depression certainly can make people feel older than their years. Ultimately she wants to work independently as a photographer. Rachel mentions that she wants a satisfying and fulfilling relationship so we need to help her build or recapture better intimacy with her partner. She has a fairly clear idea of what she needs, and has also written positive steps she needs to take to get there – a very encouraging sign that she can at least see a realistic and measurable way forward.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n\nCase study 2 – Ken Radford<\/h3>\n\nCase study 2 - Ken Radford<\/a><\/h4>\n<\/p>\nKen retired from an accountancy job a year ago and since then has become quite depressed. He was probably mildly depressed for the last ten years, but since retiring it has become a lot worse. Ken divorced more than 20 years ago. He is not concerned about his failed marriage and is not particularly interested in finding a new partner.<\/p>\nHe is a devoted father but since his sons all live in a different city he hardly ever sees them, and misses them terribly. He is concerned that they will continue to live far away, and that this will mean that he will not be able to see his grandchildren very often when they eventually make an appearance. This makes him feel like he is missing out even more (even though they’re not even born yet). He spends a lot of time lying awake at night fretting about this.<\/p>\nKen stopped going to church when he divorced as many of the people they knew from church at that time were his wife’s friends. The divorce is now ancient history and he knows he could go back with no social awkwardness if he wanted to. He has a few good friends but is very tired and feels down all the time, so hardly ever sees them although he misses their company. He spends several hours a day helping his elderly parents, who are in a rest home. They are both very frail and suffer from dementia. Ken knows they will die within the next few years and he is emotionally prepared for their passing, but worries that he will become much more depressed when visiting them is no longer a regular ‘purpose’ in his life.<\/p>\nKen used to be a keen chess player. He is quite interested in using the internet more as he likes the idea of video-chatting with his sons and playing chess online, but lacks confidence. Although his sons love him and call him often, his self-confidence has gone down and he feels like a visit would only be burdensome for them. He also worries that navigating airports would be overwhelming (although he used to fly quite a bit).<\/p>\nOver the last ten years he has put on a lot of weight and has stopped exercising because of it. He used to be a hill-walker and would still like to be able to walk to the shops, walk around the local park, and so on. He is a very caring man and would like to use his skills to volunteer somehow. He has worked his whole life and feels ‘useless’ now that he doesn’t have a paid job.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Ken’s situation<\/h3>\nIt would be easy to assume that Ken – ‘deep down’ – really does want a partner, but it’s often a mistake to make this kind of assumption. The need for intimacy does vary from person to person, and it can be met through friendships and family connections, not just through romantic partnerships. If he says it is not a priority for him, then we should take him at his word.<\/p>\nBut it seems clear that many of Ken’s basic emotional needs remain unfulfilled, and this is likely what precipitated his current depression. His need for safety and security has been thwarted by his fear and worry that he’ll lose his purpose for being once his frail parents pass away. We’d need to help him build his life in such a way that he feels more connected to his other family members and wider community, and also feels useful and valuable. It’s telling that he became more depressed after he retired. It really seems that he needs to feel useful again, not a ‘burden’. He’s lost – or shall we say ‘misplaced’ – the confidence he once had in traveling, and we could usefully talk with him about what steps are needed to travel successfully and comfortably. We might even have him mentally rehearse, while he is relaxed, travelling successfully and happily, as well as negotiating the internet technology to communicate more with his sons. Family is important to Ken, and this should be encouraged.<\/p>\nHis idea to volunteer his accountancy skills for his local church and generally get involved in community again, connecting up to people and feeling needed, is an excellent one and we should encourage this. We can help break down into manageable steps exactly what he needs to do to make it happen. He needs to start walking again as he ‘used to climb mountains’. Walking instead of driving the 10 minutes to his parents’ rest home is another great idea. We could also talk about him metaphorically as ‘the man who knows how to climb mountains’, and use this as a way of contributing to his sense of identity in a positive way. Ken has all the steps in place to build a satisfying and non-depressive life. He needs support and it would also be wise to ensure he is looking after his physical health, eating properly and sleeping well.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n\nCase study 3 – Jane Smith<\/h3>\n\nCase study 3 - Jane Smith<\/a><\/h4>\n<\/p>\nCase study 3 – Jane Smith<\/h3>\nJane is a 45 year old single woman working in an administrative job. She is close to her family, in particular her mother and sister and her sister’s two daughters. She would quite like to have a partner. Although she is relatively happy being childless, she loves looking after her young nieces. Before she became depressed, she enjoyed her job and loved cycling. She had a fairly active social life, although many of her girlfriends have children and families so they don’t have quite as much free time as Jane, which is why she has got it into her head that they don’t want to see her anymore. This isn’t true because they do ring her quite often and are concerned she is depressed.<\/p>\nJane became quite badly depressed quite suddenly and has taken leave of absence from work to fight the depression, but this only seems to have made things worse. Although she sleeps a lot and doesn’t do much – she barely leaves the house – she is still very tired all the time and constantly frets about how the house and garden are in such a mess, because she is so exhausted she hardly ever cleans. She has stopped cycling, stopped socializing and feels like the depression is getting worse and worse, not better, which worries her further. She thinks she’ll never be able to go back to work or live her life properly again.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Jane’s situation<\/h3>\nJane’s depression is blatantly blocking her from meeting her needs. She used to satisfy her need for attention from a wide variety of sources, including work that she enjoyed, and also through belonging to a cycling club, but now she is isolated. She says her only current source of attention ‘exchange’ is with her mother, although it’s the quality of this attention isn’t clear and it is never a great idea to have only one main source of attention. It’s clear that a sign<\/em> <\/strong>that Jane is feeling better will be that she is spending more time with friends and family again but, paradoxically, starting to mix with others again will also help<\/em> <\/strong>Jane feel better.<\/p>\nSo what can we do to help Jane feel good enough to socialize again (which in turn can make her feel even<\/em> better)?<\/p>\nI would like to discover why Jane became depressed so suddenly. What stresses was she under in her life? What was she most worried about? And how did these worries relate to her basic needs – either not meeting<\/strong> them or fearing they would no longer be met<\/strong> in the future?<\/p>\nJane needs to feel stronger in herself. She hasn’t been eating properly or exercising and, although she doesn’t say so, I suspect her sleep isn’t what it could be. We can help Jane discipline herself to start eating better and to begin to move her body more. We can teach her to relax so that she feels more able<\/em> to look after her physical needs.<\/p>\nThe need for a sense of safety and security is closely tied to the need for a sense of control in life. I feel that Jane may have taken the need for a sense of safety and security perhaps a tad too literally, as she talks about her apartment being ‘in a safe neighborhood’, yet also states that she has ‘no control’ over her life – which tends to produce feelings of insecurity.<\/p>\nWe could gently start to question her depressive all-or-nothing thinking – does she really have no<\/strong> control? None at all? And what about her sense that she is a ‘bad’ friend\/relative? I might challenge this by asking if a bicycle a ‘bad bicycle’ just because it’s taking some time out to get fixed?<\/p>\nJane would love a special relationship, so we might also look to see what strategies she has used in the past to meet partners and maintain relationships, and whether they have worked for her or not.<\/p>\nIt’s clear that Jane has a strong sense of what she needs in life. Helped by a clear understanding of the basic needs, we can help her get there.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\nGo back to Session 2 Summary<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Contents 1. Purpose and Signs of Success Read this section and get the planners by clicking “Purpose and Signs of Success” below. 2. Basic Needs Planners Read this section by clicking “Basic Needs Planners” below. 3. Guidelines Read this section by clicking “Guidelines” below. 4. The basic human needs Read this section by clicking “The […]<\/p>\n","protected":false},"author":72,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[12],"tags":[],"acf":[],"yoast_head":"\nBasic Needs Assessment<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Sayed Rahman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"18 minutes\" \/>\n<script type=\"application\/ld+json\" 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Rachel feels that safety and security are not an issue for her, but then says she feels powerless in her life, suggesting that she doesn’t feel too secure. She explicitly states she feels too exhausted to pursue constructive goals and feels hopeless about making plans anyway. Although only 32, she feels she is already ‘getting old’. Depression certainly can make people feel older than their years. Ultimately she wants to work independently as a photographer. Rachel mentions that she wants a satisfying and fulfilling relationship so we need to help her build or recapture better intimacy with her partner. She has a fairly clear idea of what she needs, and has also written positive steps she needs to take to get there – a very encouraging sign that she can at least see a realistic and measurable way forward.<\/p>\n<\/div>\n
Ken retired from an accountancy job a year ago and since then has become quite depressed. He was probably mildly depressed for the last ten years, but since retiring it has become a lot worse. Ken divorced more than 20 years ago. He is not concerned about his failed marriage and is not particularly interested in finding a new partner.<\/p>\n
He is a devoted father but since his sons all live in a different city he hardly ever sees them, and misses them terribly. He is concerned that they will continue to live far away, and that this will mean that he will not be able to see his grandchildren very often when they eventually make an appearance. This makes him feel like he is missing out even more (even though they’re not even born yet). He spends a lot of time lying awake at night fretting about this.<\/p>\n
Ken stopped going to church when he divorced as many of the people they knew from church at that time were his wife’s friends. The divorce is now ancient history and he knows he could go back with no social awkwardness if he wanted to. He has a few good friends but is very tired and feels down all the time, so hardly ever sees them although he misses their company. He spends several hours a day helping his elderly parents, who are in a rest home. They are both very frail and suffer from dementia. Ken knows they will die within the next few years and he is emotionally prepared for their passing, but worries that he will become much more depressed when visiting them is no longer a regular ‘purpose’ in his life.<\/p>\n
Ken used to be a keen chess player. He is quite interested in using the internet more as he likes the idea of video-chatting with his sons and playing chess online, but lacks confidence. Although his sons love him and call him often, his self-confidence has gone down and he feels like a visit would only be burdensome for them. He also worries that navigating airports would be overwhelming (although he used to fly quite a bit).<\/p>\n
Over the last ten years he has put on a lot of weight and has stopped exercising because of it. He used to be a hill-walker and would still like to be able to walk to the shops, walk around the local park, and so on. He is a very caring man and would like to use his skills to volunteer somehow. He has worked his whole life and feels ‘useless’ now that he doesn’t have a paid job.<\/p>\n
<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Ken’s situation<\/h3>\nIt would be easy to assume that Ken – ‘deep down’ – really does want a partner, but it’s often a mistake to make this kind of assumption. The need for intimacy does vary from person to person, and it can be met through friendships and family connections, not just through romantic partnerships. If he says it is not a priority for him, then we should take him at his word.<\/p>\nBut it seems clear that many of Ken’s basic emotional needs remain unfulfilled, and this is likely what precipitated his current depression. His need for safety and security has been thwarted by his fear and worry that he’ll lose his purpose for being once his frail parents pass away. We’d need to help him build his life in such a way that he feels more connected to his other family members and wider community, and also feels useful and valuable. It’s telling that he became more depressed after he retired. It really seems that he needs to feel useful again, not a ‘burden’. He’s lost – or shall we say ‘misplaced’ – the confidence he once had in traveling, and we could usefully talk with him about what steps are needed to travel successfully and comfortably. We might even have him mentally rehearse, while he is relaxed, travelling successfully and happily, as well as negotiating the internet technology to communicate more with his sons. Family is important to Ken, and this should be encouraged.<\/p>\nHis idea to volunteer his accountancy skills for his local church and generally get involved in community again, connecting up to people and feeling needed, is an excellent one and we should encourage this. We can help break down into manageable steps exactly what he needs to do to make it happen. He needs to start walking again as he ‘used to climb mountains’. Walking instead of driving the 10 minutes to his parents’ rest home is another great idea. We could also talk about him metaphorically as ‘the man who knows how to climb mountains’, and use this as a way of contributing to his sense of identity in a positive way. Ken has all the steps in place to build a satisfying and non-depressive life. He needs support and it would also be wise to ensure he is looking after his physical health, eating properly and sleeping well.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n\nCase study 3 – Jane Smith<\/h3>\n\nCase study 3 - Jane Smith<\/a><\/h4>\n<\/p>\nCase study 3 – Jane Smith<\/h3>\nJane is a 45 year old single woman working in an administrative job. She is close to her family, in particular her mother and sister and her sister’s two daughters. She would quite like to have a partner. Although she is relatively happy being childless, she loves looking after her young nieces. Before she became depressed, she enjoyed her job and loved cycling. She had a fairly active social life, although many of her girlfriends have children and families so they don’t have quite as much free time as Jane, which is why she has got it into her head that they don’t want to see her anymore. This isn’t true because they do ring her quite often and are concerned she is depressed.<\/p>\nJane became quite badly depressed quite suddenly and has taken leave of absence from work to fight the depression, but this only seems to have made things worse. Although she sleeps a lot and doesn’t do much – she barely leaves the house – she is still very tired all the time and constantly frets about how the house and garden are in such a mess, because she is so exhausted she hardly ever cleans. She has stopped cycling, stopped socializing and feels like the depression is getting worse and worse, not better, which worries her further. She thinks she’ll never be able to go back to work or live her life properly again.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Jane’s situation<\/h3>\nJane’s depression is blatantly blocking her from meeting her needs. She used to satisfy her need for attention from a wide variety of sources, including work that she enjoyed, and also through belonging to a cycling club, but now she is isolated. She says her only current source of attention ‘exchange’ is with her mother, although it’s the quality of this attention isn’t clear and it is never a great idea to have only one main source of attention. It’s clear that a sign<\/em> <\/strong>that Jane is feeling better will be that she is spending more time with friends and family again but, paradoxically, starting to mix with others again will also help<\/em> <\/strong>Jane feel better.<\/p>\nSo what can we do to help Jane feel good enough to socialize again (which in turn can make her feel even<\/em> better)?<\/p>\nI would like to discover why Jane became depressed so suddenly. What stresses was she under in her life? What was she most worried about? And how did these worries relate to her basic needs – either not meeting<\/strong> them or fearing they would no longer be met<\/strong> in the future?<\/p>\nJane needs to feel stronger in herself. She hasn’t been eating properly or exercising and, although she doesn’t say so, I suspect her sleep isn’t what it could be. We can help Jane discipline herself to start eating better and to begin to move her body more. We can teach her to relax so that she feels more able<\/em> to look after her physical needs.<\/p>\nThe need for a sense of safety and security is closely tied to the need for a sense of control in life. I feel that Jane may have taken the need for a sense of safety and security perhaps a tad too literally, as she talks about her apartment being ‘in a safe neighborhood’, yet also states that she has ‘no control’ over her life – which tends to produce feelings of insecurity.<\/p>\nWe could gently start to question her depressive all-or-nothing thinking – does she really have no<\/strong> control? None at all? And what about her sense that she is a ‘bad’ friend\/relative? I might challenge this by asking if a bicycle a ‘bad bicycle’ just because it’s taking some time out to get fixed?<\/p>\nJane would love a special relationship, so we might also look to see what strategies she has used in the past to meet partners and maintain relationships, and whether they have worked for her or not.<\/p>\nIt’s clear that Jane has a strong sense of what she needs in life. Helped by a clear understanding of the basic needs, we can help her get there.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\nGo back to Session 2 Summary<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Contents 1. Purpose and Signs of Success Read this section and get the planners by clicking “Purpose and Signs of Success” below. 2. Basic Needs Planners Read this section by clicking “Basic Needs Planners” below. 3. Guidelines Read this section by clicking “Guidelines” below. 4. The basic human needs Read this section by clicking “The […]<\/p>\n","protected":false},"author":72,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[12],"tags":[],"acf":[],"yoast_head":"\nBasic Needs Assessment<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Sayed Rahman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"18 minutes\" \/>\n<script type=\"application\/ld+json\" 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<\/a><\/p>\nMark’s commentary on Ken’s situation<\/h3>\nIt would be easy to assume that Ken – ‘deep down’ – really does want a partner, but it’s often a mistake to make this kind of assumption. The need for intimacy does vary from person to person, and it can be met through friendships and family connections, not just through romantic partnerships. If he says it is not a priority for him, then we should take him at his word.<\/p>\nBut it seems clear that many of Ken’s basic emotional needs remain unfulfilled, and this is likely what precipitated his current depression. His need for safety and security has been thwarted by his fear and worry that he’ll lose his purpose for being once his frail parents pass away. We’d need to help him build his life in such a way that he feels more connected to his other family members and wider community, and also feels useful and valuable. It’s telling that he became more depressed after he retired. It really seems that he needs to feel useful again, not a ‘burden’. He’s lost – or shall we say ‘misplaced’ – the confidence he once had in traveling, and we could usefully talk with him about what steps are needed to travel successfully and comfortably. We might even have him mentally rehearse, while he is relaxed, travelling successfully and happily, as well as negotiating the internet technology to communicate more with his sons. Family is important to Ken, and this should be encouraged.<\/p>\nHis idea to volunteer his accountancy skills for his local church and generally get involved in community again, connecting up to people and feeling needed, is an excellent one and we should encourage this. We can help break down into manageable steps exactly what he needs to do to make it happen. He needs to start walking again as he ‘used to climb mountains’. Walking instead of driving the 10 minutes to his parents’ rest home is another great idea. We could also talk about him metaphorically as ‘the man who knows how to climb mountains’, and use this as a way of contributing to his sense of identity in a positive way. Ken has all the steps in place to build a satisfying and non-depressive life. He needs support and it would also be wise to ensure he is looking after his physical health, eating properly and sleeping well.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n\nCase study 3 – Jane Smith<\/h3>\n\nCase study 3 - Jane Smith<\/a><\/h4>\n<\/p>\nCase study 3 – Jane Smith<\/h3>\nJane is a 45 year old single woman working in an administrative job. She is close to her family, in particular her mother and sister and her sister’s two daughters. She would quite like to have a partner. Although she is relatively happy being childless, she loves looking after her young nieces. Before she became depressed, she enjoyed her job and loved cycling. She had a fairly active social life, although many of her girlfriends have children and families so they don’t have quite as much free time as Jane, which is why she has got it into her head that they don’t want to see her anymore. This isn’t true because they do ring her quite often and are concerned she is depressed.<\/p>\nJane became quite badly depressed quite suddenly and has taken leave of absence from work to fight the depression, but this only seems to have made things worse. Although she sleeps a lot and doesn’t do much – she barely leaves the house – she is still very tired all the time and constantly frets about how the house and garden are in such a mess, because she is so exhausted she hardly ever cleans. She has stopped cycling, stopped socializing and feels like the depression is getting worse and worse, not better, which worries her further. She thinks she’ll never be able to go back to work or live her life properly again.<\/p>\n(Click on the image to enlarge it)<\/p>\n<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Jane’s situation<\/h3>\nJane’s depression is blatantly blocking her from meeting her needs. She used to satisfy her need for attention from a wide variety of sources, including work that she enjoyed, and also through belonging to a cycling club, but now she is isolated. She says her only current source of attention ‘exchange’ is with her mother, although it’s the quality of this attention isn’t clear and it is never a great idea to have only one main source of attention. It’s clear that a sign<\/em> <\/strong>that Jane is feeling better will be that she is spending more time with friends and family again but, paradoxically, starting to mix with others again will also help<\/em> <\/strong>Jane feel better.<\/p>\nSo what can we do to help Jane feel good enough to socialize again (which in turn can make her feel even<\/em> better)?<\/p>\nI would like to discover why Jane became depressed so suddenly. What stresses was she under in her life? What was she most worried about? And how did these worries relate to her basic needs – either not meeting<\/strong> them or fearing they would no longer be met<\/strong> in the future?<\/p>\nJane needs to feel stronger in herself. She hasn’t been eating properly or exercising and, although she doesn’t say so, I suspect her sleep isn’t what it could be. We can help Jane discipline herself to start eating better and to begin to move her body more. We can teach her to relax so that she feels more able<\/em> to look after her physical needs.<\/p>\nThe need for a sense of safety and security is closely tied to the need for a sense of control in life. I feel that Jane may have taken the need for a sense of safety and security perhaps a tad too literally, as she talks about her apartment being ‘in a safe neighborhood’, yet also states that she has ‘no control’ over her life – which tends to produce feelings of insecurity.<\/p>\nWe could gently start to question her depressive all-or-nothing thinking – does she really have no<\/strong> control? None at all? And what about her sense that she is a ‘bad’ friend\/relative? I might challenge this by asking if a bicycle a ‘bad bicycle’ just because it’s taking some time out to get fixed?<\/p>\nJane would love a special relationship, so we might also look to see what strategies she has used in the past to meet partners and maintain relationships, and whether they have worked for her or not.<\/p>\nIt’s clear that Jane has a strong sense of what she needs in life. Helped by a clear understanding of the basic needs, we can help her get there.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\nGo back to Session 2 Summary<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Contents 1. Purpose and Signs of Success Read this section and get the planners by clicking “Purpose and Signs of Success” below. 2. Basic Needs Planners Read this section by clicking “Basic Needs Planners” below. 3. Guidelines Read this section by clicking “Guidelines” below. 4. The basic human needs Read this section by clicking “The […]<\/p>\n","protected":false},"author":72,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[12],"tags":[],"acf":[],"yoast_head":"\nBasic Needs Assessment<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Sayed Rahman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"18 minutes\" \/>\n<script type=\"application\/ld+json\" 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It would be easy to assume that Ken – ‘deep down’ – really does want a partner, but it’s often a mistake to make this kind of assumption. The need for intimacy does vary from person to person, and it can be met through friendships and family connections, not just through romantic partnerships. If he says it is not a priority for him, then we should take him at his word.<\/p>\n
But it seems clear that many of Ken’s basic emotional needs remain unfulfilled, and this is likely what precipitated his current depression. His need for safety and security has been thwarted by his fear and worry that he’ll lose his purpose for being once his frail parents pass away. We’d need to help him build his life in such a way that he feels more connected to his other family members and wider community, and also feels useful and valuable. It’s telling that he became more depressed after he retired. It really seems that he needs to feel useful again, not a ‘burden’. He’s lost – or shall we say ‘misplaced’ – the confidence he once had in traveling, and we could usefully talk with him about what steps are needed to travel successfully and comfortably. We might even have him mentally rehearse, while he is relaxed, travelling successfully and happily, as well as negotiating the internet technology to communicate more with his sons. Family is important to Ken, and this should be encouraged.<\/p>\n
His idea to volunteer his accountancy skills for his local church and generally get involved in community again, connecting up to people and feeling needed, is an excellent one and we should encourage this. We can help break down into manageable steps exactly what he needs to do to make it happen. He needs to start walking again as he ‘used to climb mountains’. Walking instead of driving the 10 minutes to his parents’ rest home is another great idea. We could also talk about him metaphorically as ‘the man who knows how to climb mountains’, and use this as a way of contributing to his sense of identity in a positive way. Ken has all the steps in place to build a satisfying and non-depressive life. He needs support and it would also be wise to ensure he is looking after his physical health, eating properly and sleeping well.<\/p>\n<\/div>\n
Jane is a 45 year old single woman working in an administrative job. She is close to her family, in particular her mother and sister and her sister’s two daughters. She would quite like to have a partner. Although she is relatively happy being childless, she loves looking after her young nieces. Before she became depressed, she enjoyed her job and loved cycling. She had a fairly active social life, although many of her girlfriends have children and families so they don’t have quite as much free time as Jane, which is why she has got it into her head that they don’t want to see her anymore. This isn’t true because they do ring her quite often and are concerned she is depressed.<\/p>\n
Jane became quite badly depressed quite suddenly and has taken leave of absence from work to fight the depression, but this only seems to have made things worse. Although she sleeps a lot and doesn’t do much – she barely leaves the house – she is still very tired all the time and constantly frets about how the house and garden are in such a mess, because she is so exhausted she hardly ever cleans. She has stopped cycling, stopped socializing and feels like the depression is getting worse and worse, not better, which worries her further. She thinks she’ll never be able to go back to work or live her life properly again.<\/p>\n
<\/a><\/p>\n<\/a><\/p>\nMark’s commentary on Jane’s situation<\/h3>\nJane’s depression is blatantly blocking her from meeting her needs. She used to satisfy her need for attention from a wide variety of sources, including work that she enjoyed, and also through belonging to a cycling club, but now she is isolated. She says her only current source of attention ‘exchange’ is with her mother, although it’s the quality of this attention isn’t clear and it is never a great idea to have only one main source of attention. It’s clear that a sign<\/em> <\/strong>that Jane is feeling better will be that she is spending more time with friends and family again but, paradoxically, starting to mix with others again will also help<\/em> <\/strong>Jane feel better.<\/p>\nSo what can we do to help Jane feel good enough to socialize again (which in turn can make her feel even<\/em> better)?<\/p>\nI would like to discover why Jane became depressed so suddenly. What stresses was she under in her life? What was she most worried about? And how did these worries relate to her basic needs – either not meeting<\/strong> them or fearing they would no longer be met<\/strong> in the future?<\/p>\nJane needs to feel stronger in herself. She hasn’t been eating properly or exercising and, although she doesn’t say so, I suspect her sleep isn’t what it could be. We can help Jane discipline herself to start eating better and to begin to move her body more. We can teach her to relax so that she feels more able<\/em> to look after her physical needs.<\/p>\nThe need for a sense of safety and security is closely tied to the need for a sense of control in life. I feel that Jane may have taken the need for a sense of safety and security perhaps a tad too literally, as she talks about her apartment being ‘in a safe neighborhood’, yet also states that she has ‘no control’ over her life – which tends to produce feelings of insecurity.<\/p>\nWe could gently start to question her depressive all-or-nothing thinking – does she really have no<\/strong> control? None at all? And what about her sense that she is a ‘bad’ friend\/relative? I might challenge this by asking if a bicycle a ‘bad bicycle’ just because it’s taking some time out to get fixed?<\/p>\nJane would love a special relationship, so we might also look to see what strategies she has used in the past to meet partners and maintain relationships, and whether they have worked for her or not.<\/p>\nIt’s clear that Jane has a strong sense of what she needs in life. Helped by a clear understanding of the basic needs, we can help her get there.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\nGo back to Session 2 Summary<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Contents 1. Purpose and Signs of Success Read this section and get the planners by clicking “Purpose and Signs of Success” below. 2. Basic Needs Planners Read this section by clicking “Basic Needs Planners” below. 3. Guidelines Read this section by clicking “Guidelines” below. 4. The basic human needs Read this section by clicking “The […]<\/p>\n","protected":false},"author":72,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[12],"tags":[],"acf":[],"yoast_head":"\nBasic Needs Assessment<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Sayed Rahman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"18 minutes\" \/>\n<script type=\"application\/ld+json\" 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<\/a><\/p>\nMark’s commentary on Jane’s situation<\/h3>\nJane’s depression is blatantly blocking her from meeting her needs. She used to satisfy her need for attention from a wide variety of sources, including work that she enjoyed, and also through belonging to a cycling club, but now she is isolated. She says her only current source of attention ‘exchange’ is with her mother, although it’s the quality of this attention isn’t clear and it is never a great idea to have only one main source of attention. It’s clear that a sign<\/em> <\/strong>that Jane is feeling better will be that she is spending more time with friends and family again but, paradoxically, starting to mix with others again will also help<\/em> <\/strong>Jane feel better.<\/p>\nSo what can we do to help Jane feel good enough to socialize again (which in turn can make her feel even<\/em> better)?<\/p>\nI would like to discover why Jane became depressed so suddenly. What stresses was she under in her life? What was she most worried about? And how did these worries relate to her basic needs – either not meeting<\/strong> them or fearing they would no longer be met<\/strong> in the future?<\/p>\nJane needs to feel stronger in herself. She hasn’t been eating properly or exercising and, although she doesn’t say so, I suspect her sleep isn’t what it could be. We can help Jane discipline herself to start eating better and to begin to move her body more. We can teach her to relax so that she feels more able<\/em> to look after her physical needs.<\/p>\nThe need for a sense of safety and security is closely tied to the need for a sense of control in life. I feel that Jane may have taken the need for a sense of safety and security perhaps a tad too literally, as she talks about her apartment being ‘in a safe neighborhood’, yet also states that she has ‘no control’ over her life – which tends to produce feelings of insecurity.<\/p>\nWe could gently start to question her depressive all-or-nothing thinking – does she really have no<\/strong> control? None at all? And what about her sense that she is a ‘bad’ friend\/relative? I might challenge this by asking if a bicycle a ‘bad bicycle’ just because it’s taking some time out to get fixed?<\/p>\nJane would love a special relationship, so we might also look to see what strategies she has used in the past to meet partners and maintain relationships, and whether they have worked for her or not.<\/p>\nIt’s clear that Jane has a strong sense of what she needs in life. Helped by a clear understanding of the basic needs, we can help her get there.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\nGo back to Session 2 Summary<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Contents 1. Purpose and Signs of Success Read this section and get the planners by clicking “Purpose and Signs of Success” below. 2. Basic Needs Planners Read this section by clicking “Basic Needs Planners” below. 3. Guidelines Read this section by clicking “Guidelines” below. 4. 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Jane’s depression is blatantly blocking her from meeting her needs. She used to satisfy her need for attention from a wide variety of sources, including work that she enjoyed, and also through belonging to a cycling club, but now she is isolated. She says her only current source of attention ‘exchange’ is with her mother, although it’s the quality of this attention isn’t clear and it is never a great idea to have only one main source of attention. It’s clear that a sign<\/em> <\/strong>that Jane is feeling better will be that she is spending more time with friends and family again but, paradoxically, starting to mix with others again will also help<\/em> <\/strong>Jane feel better.<\/p>\nSo what can we do to help Jane feel good enough to socialize again (which in turn can make her feel even<\/em> better)?<\/p>\nI would like to discover why Jane became depressed so suddenly. What stresses was she under in her life? What was she most worried about? And how did these worries relate to her basic needs – either not meeting<\/strong> them or fearing they would no longer be met<\/strong> in the future?<\/p>\nJane needs to feel stronger in herself. She hasn’t been eating properly or exercising and, although she doesn’t say so, I suspect her sleep isn’t what it could be. We can help Jane discipline herself to start eating better and to begin to move her body more. We can teach her to relax so that she feels more able<\/em> to look after her physical needs.<\/p>\nThe need for a sense of safety and security is closely tied to the need for a sense of control in life. I feel that Jane may have taken the need for a sense of safety and security perhaps a tad too literally, as she talks about her apartment being ‘in a safe neighborhood’, yet also states that she has ‘no control’ over her life – which tends to produce feelings of insecurity.<\/p>\nWe could gently start to question her depressive all-or-nothing thinking – does she really have no<\/strong> control? None at all? And what about her sense that she is a ‘bad’ friend\/relative? I might challenge this by asking if a bicycle a ‘bad bicycle’ just because it’s taking some time out to get fixed?<\/p>\nJane would love a special relationship, so we might also look to see what strategies she has used in the past to meet partners and maintain relationships, and whether they have worked for her or not.<\/p>\nIt’s clear that Jane has a strong sense of what she needs in life. Helped by a clear understanding of the basic needs, we can help her get there.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\nGo back to Session 2 Summary<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Contents 1. Purpose and Signs of Success Read this section and get the planners by clicking “Purpose and Signs of Success” below. 2. Basic Needs Planners Read this section by clicking “Basic Needs Planners” below. 3. Guidelines Read this section by clicking “Guidelines” below. 4. The basic human needs Read this section by clicking “The […]<\/p>\n","protected":false},"author":72,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[12],"tags":[],"acf":[],"yoast_head":"\nBasic Needs Assessment<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Sayed Rahman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"18 minutes\" \/>\n<script type=\"application\/ld+json\" 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So what can we do to help Jane feel good enough to socialize again (which in turn can make her feel even<\/em> better)?<\/p>\nI would like to discover why Jane became depressed so suddenly. What stresses was she under in her life? What was she most worried about? And how did these worries relate to her basic needs – either not meeting<\/strong> them or fearing they would no longer be met<\/strong> in the future?<\/p>\nJane needs to feel stronger in herself. She hasn’t been eating properly or exercising and, although she doesn’t say so, I suspect her sleep isn’t what it could be. We can help Jane discipline herself to start eating better and to begin to move her body more. We can teach her to relax so that she feels more able<\/em> to look after her physical needs.<\/p>\nThe need for a sense of safety and security is closely tied to the need for a sense of control in life. I feel that Jane may have taken the need for a sense of safety and security perhaps a tad too literally, as she talks about her apartment being ‘in a safe neighborhood’, yet also states that she has ‘no control’ over her life – which tends to produce feelings of insecurity.<\/p>\nWe could gently start to question her depressive all-or-nothing thinking – does she really have no<\/strong> control? None at all? And what about her sense that she is a ‘bad’ friend\/relative? I might challenge this by asking if a bicycle a ‘bad bicycle’ just because it’s taking some time out to get fixed?<\/p>\nJane would love a special relationship, so we might also look to see what strategies she has used in the past to meet partners and maintain relationships, and whether they have worked for her or not.<\/p>\nIt’s clear that Jane has a strong sense of what she needs in life. Helped by a clear understanding of the basic needs, we can help her get there.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\nGo back to Session 2 Summary<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Contents 1. Purpose and Signs of Success Read this section and get the planners by clicking “Purpose and Signs of Success” below. 2. Basic Needs Planners Read this section by clicking “Basic Needs Planners” below. 3. Guidelines Read this section by clicking “Guidelines” below. 4. The basic human needs Read this section by clicking “The […]<\/p>\n","protected":false},"author":72,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[12],"tags":[],"acf":[],"yoast_head":"\nBasic Needs Assessment<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Sayed Rahman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"18 minutes\" \/>\n<script type=\"application\/ld+json\" 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I would like to discover why Jane became depressed so suddenly. What stresses was she under in her life? What was she most worried about? And how did these worries relate to her basic needs – either not meeting<\/strong> them or fearing they would no longer be met<\/strong> in the future?<\/p>\nJane needs to feel stronger in herself. She hasn’t been eating properly or exercising and, although she doesn’t say so, I suspect her sleep isn’t what it could be. We can help Jane discipline herself to start eating better and to begin to move her body more. We can teach her to relax so that she feels more able<\/em> to look after her physical needs.<\/p>\nThe need for a sense of safety and security is closely tied to the need for a sense of control in life. I feel that Jane may have taken the need for a sense of safety and security perhaps a tad too literally, as she talks about her apartment being ‘in a safe neighborhood’, yet also states that she has ‘no control’ over her life – which tends to produce feelings of insecurity.<\/p>\nWe could gently start to question her depressive all-or-nothing thinking – does she really have no<\/strong> control? None at all? And what about her sense that she is a ‘bad’ friend\/relative? I might challenge this by asking if a bicycle a ‘bad bicycle’ just because it’s taking some time out to get fixed?<\/p>\nJane would love a special relationship, so we might also look to see what strategies she has used in the past to meet partners and maintain relationships, and whether they have worked for her or not.<\/p>\nIt’s clear that Jane has a strong sense of what she needs in life. Helped by a clear understanding of the basic needs, we can help her get there.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\nGo back to Session 2 Summary<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Contents 1. Purpose and Signs of Success Read this section and get the planners by clicking “Purpose and Signs of Success” below. 2. Basic Needs Planners Read this section by clicking “Basic Needs Planners” below. 3. Guidelines Read this section by clicking “Guidelines” below. 4. The basic human needs Read this section by clicking “The […]<\/p>\n","protected":false},"author":72,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[12],"tags":[],"acf":[],"yoast_head":"\nBasic Needs Assessment<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Sayed Rahman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"18 minutes\" \/>\n<script type=\"application\/ld+json\" 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Jane needs to feel stronger in herself. She hasn’t been eating properly or exercising and, although she doesn’t say so, I suspect her sleep isn’t what it could be. We can help Jane discipline herself to start eating better and to begin to move her body more. We can teach her to relax so that she feels more able<\/em> to look after her physical needs.<\/p>\nThe need for a sense of safety and security is closely tied to the need for a sense of control in life. I feel that Jane may have taken the need for a sense of safety and security perhaps a tad too literally, as she talks about her apartment being ‘in a safe neighborhood’, yet also states that she has ‘no control’ over her life – which tends to produce feelings of insecurity.<\/p>\nWe could gently start to question her depressive all-or-nothing thinking – does she really have no<\/strong> control? None at all? And what about her sense that she is a ‘bad’ friend\/relative? I might challenge this by asking if a bicycle a ‘bad bicycle’ just because it’s taking some time out to get fixed?<\/p>\nJane would love a special relationship, so we might also look to see what strategies she has used in the past to meet partners and maintain relationships, and whether they have worked for her or not.<\/p>\nIt’s clear that Jane has a strong sense of what she needs in life. Helped by a clear understanding of the basic needs, we can help her get there.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\nGo back to Session 2 Summary<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Contents 1. Purpose and Signs of Success Read this section and get the planners by clicking “Purpose and Signs of Success” below. 2. Basic Needs Planners Read this section by clicking “Basic Needs Planners” below. 3. Guidelines Read this section by clicking “Guidelines” below. 4. The basic human needs Read this section by clicking “The […]<\/p>\n","protected":false},"author":72,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[12],"tags":[],"acf":[],"yoast_head":"\nBasic Needs Assessment<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Sayed Rahman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"18 minutes\" \/>\n<script type=\"application\/ld+json\" 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The need for a sense of safety and security is closely tied to the need for a sense of control in life. I feel that Jane may have taken the need for a sense of safety and security perhaps a tad too literally, as she talks about her apartment being ‘in a safe neighborhood’, yet also states that she has ‘no control’ over her life – which tends to produce feelings of insecurity.<\/p>\n
We could gently start to question her depressive all-or-nothing thinking – does she really have no<\/strong> control? None at all? And what about her sense that she is a ‘bad’ friend\/relative? I might challenge this by asking if a bicycle a ‘bad bicycle’ just because it’s taking some time out to get fixed?<\/p>\nJane would love a special relationship, so we might also look to see what strategies she has used in the past to meet partners and maintain relationships, and whether they have worked for her or not.<\/p>\nIt’s clear that Jane has a strong sense of what she needs in life. Helped by a clear understanding of the basic needs, we can help her get there.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\nGo back to Session 2 Summary<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Contents 1. Purpose and Signs of Success Read this section and get the planners by clicking “Purpose and Signs of Success” below. 2. Basic Needs Planners Read this section by clicking “Basic Needs Planners” below. 3. Guidelines Read this section by clicking “Guidelines” below. 4. The basic human needs Read this section by clicking “The […]<\/p>\n","protected":false},"author":72,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[12],"tags":[],"acf":[],"yoast_head":"\nBasic Needs Assessment<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Sayed Rahman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"18 minutes\" \/>\n<script type=\"application\/ld+json\" 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Jane would love a special relationship, so we might also look to see what strategies she has used in the past to meet partners and maintain relationships, and whether they have worked for her or not.<\/p>\n
It’s clear that Jane has a strong sense of what she needs in life. Helped by a clear understanding of the basic needs, we can help her get there.<\/p>\n<\/div>\n
Go back to Session 2 Summary<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Contents 1. Purpose and Signs of Success Read this section and get the planners by clicking “Purpose and Signs of Success” below. 2. Basic Needs Planners Read this section by clicking “Basic Needs Planners” below. 3. Guidelines Read this section by clicking “Guidelines” below. 4. The basic human needs Read this section by clicking “The […]<\/p>\n","protected":false},"author":72,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[12],"tags":[],"acf":[],"yoast_head":"\nBasic Needs Assessment<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Sayed Rahman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"18 minutes\" \/>\n<script type=\"application\/ld+json\" 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Contents 1. Purpose and Signs of Success Read this section and get the planners by clicking “Purpose and Signs of Success” below. 2. Basic Needs Planners Read this section by clicking “Basic Needs Planners” below. 3. Guidelines Read this section by clicking “Guidelines” below. 4. The basic human needs Read this section by clicking “The […]<\/p>\n","protected":false},"author":72,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[12],"tags":[],"acf":[],"yoast_head":"\n
![\"Basic](\"https:\/\/www.unk.com\/u\/wp-content\/uploads\/2015\/03\/basic-needs-assessment-header.jpg\")
<\/p>\n<\/p>\n![\"Challenge](\"\/u\/wp-content\/uploads\/2015\/03\/challenge-and-creativity-table.jpg\")
<\/p>\n![\"This](\"\/u\/wp-content\/uploads\/2015\/03\/basic-human-needs-table1.jpg\")
<\/a><\/p>\n![\"NOTE](\"\/u\/wp-content\/uploads\/2015\/03\/basic-human-needs-table2.jpg\")
<\/p>\n![\"Basic](\"\/u\/wp-content\/uploads\/2015\/03\/basic-human-needs-table3.jpg\")
<\/p>\n![\"Case](\"https:\/\/www.unk.com\/u\/wp-content\/uploads\/2015\/03\/case-study-1-rachel-lambarth.jpg\")
<\/a><\/p>\n![\"Case](\"\/u\/wp-content\/uploads\/2015\/03\/case-study-2-ken-radford.jpg\")
<\/a><\/p>\n![\"Case](\"\/u\/wp-content\/uploads\/2015\/03\/case-study-2-ken-radford-2.jpg\")
<\/a><\/p>\n![\"Case](\"\/u\/wp-content\/uploads\/2015\/03\/case-study-3-jane-smith.jpg\")
<\/a><\/p>\n![\"Case](\"\/u\/wp-content\/uploads\/2015\/03\/case-study-3-jane-smith-2.jpg\")
<\/a><\/p>\n