Case study ( 1640 views as of April 20, 2018 )
Jonathan is a 38-year-old long haul truck driver who has been feeling tired and hopeless for months. He has confessed to an old friend that there are times when he feels like pulling his truck into oncoming traffic or a bridge support and "ending it all". He is approaching the 1-year anniversary of a divorce, and has been working extra contracts to pay for alimony and child support. To stay awake, Jonathan has been using stimulants, and he's been buying sleeping pills on the road to shut his brain off when he gets a chance for a few hours of sleep.
Jonathan needs to see his primary care provider urgently for assessment. If he feels like he is a risk to himself or others, getting him to the emergency department, or even involving the police to get him help may be required. Jonathan has had several losses, is abusing substances, and is having thoughts of ending his life. Situational crisis with depression, hopelessness and suicidal thoughts is a mental health emergency. Medications may be part of what he needs to get better, but counselling, family therapy, addiction support services and other interventions may help Jonathan get back to a better place psychologically.
Once Jonathan has his acute mental health needs under control, he may benefit from incorporating some healthier lifestyle habits into his routine, such as regular physical activity and health eating to support his mental and physical health.Author: Dr. Adam Lund