Daniel Fields
HUS 219 Community Mental Health
Case Study, Week 1: Matthew
Due: 11/03/2024
1. As Matthew’s friend, should you be concerned?
With the drastic changes in Matthew’s behavior, I would be concerned about him. Not attending classes
when he previously had never missed them is a warning sign, as is his complaining about always being
tired and inability to concentrate. He seems as though he is withdrawing from everything.
2. What things would you like to talk about with Matthew?
As mentioned above, there are changes in Matthew’s behavior that are concerning. His lack of appetite
and weight loss would likely be visible to most but as his roommate I would also notice and be
concerned about his change in sleep habits and constant brooding. It would also be worthwhile to talk
about his breakup and try to see why it is hitting him so hard.
3. How do you think you can help Matthew as his friend?
One of the best things to do is to just be there for him and let him know that you are a judgement free
sounding board for what is bothering him. Encouraging him to take steps to reverse the negative trends
in his life and getting back to his good study habits, eating, and sleep cycle would be important, as well.
4. What might be some resources available to Matthew?
The primary resource I would suggest would be visiting the Student Health Center where there would be
a counsellor he could talk to if he doesn’t have a private counsellor or therapist that he is already
working with. He could also talk to a religious figure, if he has faith in his upbringing. I’m sure there are
also other community groups around depression, loss and relationships he could consult as well.
5. What can be done to reduce stigma for people like Matthew?
Overcoming stigma is a huge barrier to people seeking the help they could benefit from. Normalizing the
idea of asking for help would be a step in the right direction, as would avoiding negative speak like “what
is wrong with you” or telling him to “snap out of it.” Perhaps offering to attend a group meeting along
with so that they don’t feel like they are going alone could be an option to show solidarity and support
would be something that could be done.
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Matthew is a junior and computer science major at a four-year public university. He has always been a
bright student and is on a scholarship. You are his roommate and know that last year he had a breakup
with his longtime girlfriend and has been upset ever since but does not like to talk. For the past three
months, he has complained of chronic fatigue and being unable to concentrate on his studies.
He has also been missing classes, something he never did in the past. He remains sad and does not want
to socialize. His sleeping is also disturbed, and he wakes up early in the morning and keeps brooding. He
has lost his appetite and is losing weight. He is further stressed by the end-of-semester exams and due
dates of assignments and has been procrastinating.
