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Transcript of Jim Carrey
"The Sad Clown" Purpose for Evaluation Personal History Psychological History Assessment Procedures Diagnostic Interview with Mental Status Examination Mental Status Examination Diagnosis Diagnostic DSM-IV axis:
Axis-I: 300.4 Dysthymic disorder
Axis-II: V71.09 (No diagnosis on Axis II)
Axis-III: No diagnosis on Axis III
Axis-IV:Break up with Jenny McCarthy, significant inactivity in his career
Axis-V: current 55- highest of last 12 mo. 60 Justification/ Rationalization History of low self-esteem, feelings of hopelessness
Currently: decreased motivation, low self-worth Etiology & Conceptualization Psychodynamic Perspective Treatment Recommendations
& Prognosis Client needs:
1. sense of value for motivation
2. sense of reassurance of successful treatment
What can be done:
Alternate treatment from meds,
Self-motivation & self esteem therapy References
Damour, L., & Hansell, J. (2008). Mood and the Mood Disorders. Abnormal
Psychology: Second Edition (166-170). Jefferson City: John Wiley & Sons, Inc.
Jim Carrey Biography. (2012, January 1). Retrieved
Kroft, Steve (2006, June 14). Jim Carrey the Sad Clown.
CBS News.Retrieved from
Rollings, Grant (2008, March 19). Jim Carrey comedian
talks about his battle with depression. Retrieved from
http://www.thesun.co.uk/sol/homepage/showbiz/bizarre/934514/Jim-Carrey.html “My doctor asked me how I got out of bed every morning because I had no dopamine and no serotonin in my brain.” "If you aren't in the moment, you are either looking forward to uncertainty, or back to pain and regret."- Jim Carrey A Bit About Jim Carrey Interview with Jim Carrey http://www.cbsnews.com/video/watch/?id=656632n Successful comedic actor and producer
Born in 1962 in Ontario Canada,
Raised as a Catholic in a family of six (three older brothers)
Family faced extreme financial hardships
As motivation to become a successfuk actor, he wrote himself a check in 1987 for ten million dollars, dating it for Thanksgiving 1995,
Moved to Los Angeles in 1987
First major break-through film, Dumb and Dumber, 1995:
7+ Million Dollars
Received US/Canada Duel Citizenship in 2004
Current resides in Los Angeles, California near daughter and grandson.
Youngest of four siblings
Financial Issues- "I just got angry," says Carrey. "I was
angry at the world for doing that to my father. I wanted
to bash somebody's head in, basically."
At age 16, took a job in Toronto as a stand-up comedien
Criticisms throught early years of career
Moved to Los Angeles in 1979 to purse acting
Mother died in 1991
First major succesful film "Dumb and Dumber" in 1995,
the same year his father died and had first divorce Personal History Continued Relationships:
First Divorce after 8 years in 1995 (one daughter)
Second Divorce after 8 months in 2004 (Major Depressive Episode)
Many long-term failed relationships (one other engagement)
Recent breakup with girlfriend of five years who had a young son Carrey considered his own.
Became a grandfather on March 1, 2010 Ongoing therapy since age 18
48 years old, recently single, white male
Professional actor, producer, and comedian
Motivation for visit:
Very recent breakup from Jenny McCarthy (April 6 2010)
Goal: Treat ongoing dysthymic disorder to prevent a major depressive episode. Seeks emotional stability and a sense of direction for effective treatment
-Increased loss of Confidence & Sense of Hopelessness over past week since breakup
-Stopped taking antidepressant medications
Well groomed Low self-esteem and sense of hopelessness in regards to finding love is apparent Good insight to nature of depression Attentive, alert, good eye contact Childhood experiences
Experience of loss Career has been inactive for a year Attention Deficit Disorder during childhood
Dysthymic Disorder at age 18
Double Depression after second divorce
Medicated with prozac off and on, continues psychotherapy
Adaptive behaviors are positive
Precipitation of Event: Recent breakup
Current Admission: Dysthymic, not majorly depressed
current medication: antidepressent supplements "There are peaks, there are valleys. But they're all kind of carved and
smoothed out, and it feels like a low level of despair you live in where you're
not getting any answers, but you're living OK and you can smile at the office
... But it's a low level of despair."