Case Study Diana Spechler

Based on the DSM-V (2013) diagnostic criteria Keisha experiences Persistent Depressive Disorder 300.4 (F34.1), recurrent, moderate, with early onset. The client experiences the following symptoms: depressed mood for most of the day, for more days than not, as indicated by either subjective accounts (e.g., feels sad, worthless and hopeless) or observation by others (e.g. appears sad, cries), for at least one year (she is an adolescent). In addition, while depressed, there is a presence of the following symptoms: the client experiences poor appetite, she is eating one or two meals per day and lost ten pounds in one year. Keisha also experiences hypersomnia nearly every day by sleeping twelve or more hours per night. The client reports low energy/fatigue very often, even though she is sleeping well during the night. During the one year period of disturbance, the individual has never been without the symptoms in criteria A and B for more than two months at a time. In addition, the criteria for a major depressive disorder has been continuously present for one year. There has never been a manic episode or a hypomanic episode, and criteria have never been met for cyclothymic disorder. Furthermore, the disturbance is not better explained by a persistent schizoaffective disorder, schizophrenia, delusional disorder, or other specified or

2- She is diagnosed with the season affective disorder (SAD), she feels, lonely, isolated, and depression.

As it appears on Disco Di’s document she’s currently diagnosed with two distinct types of psychological disorder, first being major depressive disorder, and second being borderline personality disorder. However, the term major depression is only one part of the disorder Disco Di is facing. The type of the disorder in which Disco Di is suffering from, is called mood disorder, and to further narrow it down she’s specifically experiencing what is known as “Bipolar I” that according to DSM-5, is defined as a disorder in which individuals experience cycling episodes of mania and major depression (American Psychiatric Association, 2013). Furthermore major depression also in accordance to DSM-5 is marked by chronically low mood which has certain symptoms such as being fatigue, feelings of guilt, and impaired concentration appearing almost every day. In the case of Disco Di, Even though she goes through some of these symptoms, but they are not all the symptoms that she experiences. As it is stated on her document, Disco Di being a cheerful, outgoing 12 year

Side Effects: Frequent urge to urinate, headache (continuing), loss of appetite (continuing), mood or mental changes, muscle pain or twitching, nausea or vomiting, nervousness or restlessness, slow breathing, swelling of feet or lower legs, unpleasant taste, unusual tiredness or weakness

Some of the side effects of Depakote are liver problems, blood elevation, swelling, bleeding in the gum, confusion, crying, delusions, dementia, dysphoria, paranoia, labored breathing, rapid

Through extensive medical studies and hours of testing, scientists have found no problems with their subject’s ability to fall asleep after taking the drug. the reactions that occur within your brain that are enacted by the drug don’t mess with your sleep cycle after the drug has effectively kept you awake.

Report any adverse event from Frovatriptan, such as: dizzy, headache, flushing, skeletal pain, fatigue, cold or hot sensation, paresthesia, or xerostomia. Inform her that 3-10% patients experience these adverse effects (Arcangelo & Peterson, 2013).

Have you ever wondered what are the side effects to your medication? Or do you ever

Zyprexa can only be used by adults and children that are at least 13 years old, and there are many side affects. Those side affects included headaches, dizziness, stomach, weight gain, dry mouth, memory lost, etc. Patients must remember to notify their doctor the medicine they're tooling recently because Zyprexa may react with other medication that can cause serious problem such as irregular heart beats.

The main reason why patients should read the Ativan product description is to know the list of possible side effects from taking the medication. The most common side effects are drowsiness, headaches, and constipation, lack or increasement of appetite, change in sex drive, nausea and blurred vision. If these symptoms get worse over time and begin to disrupt your normal life, check with your

Daphne’s diagnosis of Major depressions absolutely meets the DSM IV diagnostic criteria. She presents with key symptoms of depressed mood and loss of interest with above the required minimum associated symptoms, hence giving a total that is adequate to meet the diagnosis of major depression. DSM IV 1994 (as cited in Sakashita, Slade & Andrews, 2007, p. 17) diagnosis of major Depressive Disorder, at least one of the two key symptoms of depressed mood and loss of interest, together with at least three associated symptoms to result in a total of five or more of nine depressive symptoms. Daphne has a depressed mood, fails to find enjoyment in her painting, she is socially isolated from her family, experiences trouble sleeping, reports feeling hopeless

Two of the most common side effects of donepezil include nausea and headache (Cheewakriengkrai & Gauthier, 2013

In additional to the above main uses, lorazepam is also used to treat insomnia due to anxiety. (Lorazepam (generic) Ativan (brand), 2012).Most common side effects of the drug is sedation ,tremor and agitation .other side effects seen are drowsiness ,dizziness ,low blood pressure ,Hypersomnia ,increased sweating ,unsteadiness in walking, loss of strength and energy .(drugs.com).

Side effects: Some of the expected common side effects include: nausea, diarrhea, vomiting, headache, dizziness.

There is no indication she has had a manic or hypomanic episode. Her depression may be complicated by grief due to her father’s death one year ago. Her symptoms seem to get worse after his passing.