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Philip is 36 years old (this is not the patient's real name) endured a challenging upbringing characterised by distressing occurrences. He experienced the loss of

Philip is 36 years old (this is not the patient's real name) endured a challenging upbringing characterised by distressing occurrences. He experienced the loss of both parents and endured physical, sexual abuse. In addition, he experienced neglect and was subsequently sent to reside with unsympathetic and ill-tempered relatives. He endured sexual trauma, including rape and molestation, perpetrated by family members and trusted individuals, which led to early-onset depression. This chronic depression originated during childhood and persisted throughout adolescence, young adulthood, and later life. One of his relatives escorted him to a mental health care service provider after they were unable to give the necessary care at home. He was oblivious to his despair until recently. He managed his despair by drawing strength from his religious convictions and engaging in religious routines. He demonstrated resilience, a coping behaviour that was culturally approved. Philip's life was profoundly affected by depression, resulting in feelings of solitude, anxiety, and diminished drive. His capacity to operate in a normal manner was impaired, and he encountered difficulties in adhering to regular routines and doing duties. Depression has profoundly altered his existence, impeding him from pursuing the life he desired. Philip, like many others in his community, lacks awareness regarding depression. He only became aware of their depression when he attended group sessions at his mental health support residence. He had the belief that depression was a typical response to challenging life situations and did not perceive the necessity of seeking professional intervention. He ascribed his depression to the painful incidents he encountered during his life.

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