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In my psychologist role as a couples counsellor who works with depressed individuals, I often suggest that the depressed individual in a couple be offered a “limited sick role.” This involves assisting couples or family members in lowering their expectations and renegotiating relationship responsibilities while the individual with depression continues receiving therapy (Datillio 2010).

Family members can play a crucial role in supporting the recovery of a loved one with depression by actively working on their relationships. It's important to address the intensity of conflict, the impact of the depression on the individual, and the frustration felt by spouses or other family members. In some cases, this may be best addressed through separate sessions with family members or by involving the spouse in the individual's therapy. By learning specialized coping strategies, family members can better navigate the challenges of living with someone who is depressed, fostering a healthier and more supportive environment.

Dattilio, F. M. (2010).Cognitive-behavioral therapy with couples and families: A comprehensive guide for clinicians.The Guilford Press.

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