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Mary is a 41-year-old woman who lives with her husband and three children aged 17, 14 and 10 years. Mary holds down a responsible position in a large organisation and loves the work she does. Her husband is supportive, and they have been married for 18 years. Mary describes moments of despair where she is tearful and has little or no energy to move from her bed. She believes she is a burden to her family. At these times, she lacks motivation to complete simple activities such as eating and dressing. In the past, Mary has always looked smart and ensured she showered on a daily basis yet over the last month Mary’s family have noticed that she sits in her dressing gown for long periods of time and her personal hygiene has deteriorated. She is currently on sick leave from work.
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