Jerome, a 23-year-old Asian male, stated that he was referred to your agency by his pastor due to his "low mood". Jerome was dressed appropriately for the setting and appeared to keep good hygiene. He made infrequent eye contact and used his hands to support his head throughout most of the meeting. He provided quiet and restricted answers to questions initially, but opened up as the session progressed.

Jerome stated that he was raised in a Christian household and has a respectful relationship with his parents. He said that he is the youngest of three brothers and that he lives at home while his two older brothers are married and living on their own. He reported feeling like a burden to his family and embarrassed for depending on them, but lacking the interest and motivation to explore more stable careers and housing options. He mentioned that he's been working in construction for three years, and that he's passed up jobs over the past few months.

When asked, Jerome stated that he used to enjoy spending time with friends and family, playing basketball, soccer, video games, going out for meals, and going to church. He indicated that he's been avoiding "everything" over the past few months and has been spending a lot of time alone in his room listening to music and playing his key board. Jerome indicated that he prefers to be alone and that going out is too much effort. He stated that he has a reduced appetite and has lost weight recently.

Jerome shared that he does not have a girlfriend. He stated that his last girlfriend was when he was in his teens and that he broke up with her because he "wasn't feeling it". When asked about current romantic interests, Jerome stated, "I'm all messed up. There's something wrong with me". Jerome noted, "I think that's why the pastor sent he here. He knows I'm not normal". When asked to elaborate, Jerome said, "I don't make sense. I wish I could just disappear". Jerome endorsed frequent thoughts of death. He denied the will, intent, or having a plan to end his life. He denied use of recreational drugs and alcohol.

1. What are the current risk and protective factors for Jerome?
2. How might your own social location impact your work with Jerome?
3. How might Jerome be feeling down and oppressed? How would you take a strength-based and anti-oppressive approach in your work with him?