# Case Report: Treating depression and alexithymia in a 15-year-old girl: an emotion-focused therapy case study

**Authors:** Feifei Xu, Hang Zhang

PMC · DOI: 10.3389/fpsyt.2025.1715173 · Frontiers in Psychiatry · 2026-01-12

## TL;DR

A 15-year-old girl with depression and alexithymia showed significant improvement after 18 sessions of emotion-focused therapy.

## Contribution

This case study demonstrates the effectiveness of emotion-focused therapy in treating depression and alexithymia in adolescents.

## Key findings

- Pre-intervention scores on psychological assessments were significantly reduced post-intervention.
- Emotion-focused therapy facilitated better acceptance and understanding of negative emotions.
- Improvements were observed in depression, anxiety, and alexithymia measures.

## Abstract

This single-case study aimed to examine the effects of emotion-focused therapy (EFT) on the psychological status of a 15-year-old female high school student diagnosed with depression and alexithymia.

The study employed a single-case design comprising 18 sessions of EFT. Psychological assessment was conducted using the Symptom Checklist-90-Revised (SCL-90-R), Self-Rating Depression Scale (SDS), Self-Rating Anxiety Scale (SAS), and the Toronto Alexithymia Scale (TAS-20). Data obtained throughout the counseling process were systematically organized and analyzed.

Pre-intervention scores were as follows: SCL-90-R total score = 190, SDS = 72, SAS = 60, and TAS-20 = 60. Post-intervention assessments indicated notable improvements across all measures: SCL-90-R total score = 140, SDS = 45, SAS = 38, and TAS-20 = 45.

The results suggest that emotion-focused therapy may effectively reduce emotional avoidance and improve the acceptance and comprehension of negative emotional experiences by facilitating the progressive processing of core emotions.

## Linked entities

- **Diseases:** depression (MONDO:0002050), alexithymia (MONDO:0000661)

## Full-text entities

- **Diseases:** Anxiety (MESH:D001007), Depression (MESH:D003866)

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC12832952/full.md

## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC12832952/full.md

## References

25 references — full list in the complete paper: https://tomesphere.com/paper/PMC12832952/full.md

---
Source: https://tomesphere.com/paper/PMC12832952