We both work on a psychiatric department of a general hospital. At this department we have to deal with the serious depressed patient a lot.
Serious depression is accompanied by severe loss of hope and energy.
These patients often don't believe that therapy will be helpful. A lack of commitment and motivation exists. Therefore working as a psychomotor therapist in this situation requires special skills. With the help of the 'Dordts Strategic Model' hypotheses are formulated concerning aetiology and maintenance of depression. We then develop goals for treatment.