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Case Study Diana Spechler

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Diana Spechler had Major Depressive Disorder and now has Major Depressive Disorder in partial remission. According to the DSM a person needs five of the nine symptoms to be diagnosed with Major Depressive Disorder. Diana has or has had the following five: 1. Depressed mood most of the day, nearly every day as indicated by her hopelessness and unrelenting despair. While she had this symptom in the past, she doesn’t currently meet this criteria. 2. At her lowest point she had markedly diminished interest or pleasure in all or almost all activities most of the day. Diana states that she has little identity outside of writing which demonstrates little interest or pleasure in other activities. Currently she finds some pleasure and relief in sunshine,…show more content…
Side effects of lorazepam include drowsiness, dizziness, tiredness, blurred vision, insomnia, muscle weakness, lack of balance or coordination, amnesia or forgetfulness, trouble concentrating, nausea, vomiting, constipation, appetite changes, and skin rash. Side effects of trazadone include headache, muscle ache, nausea, vomiting, loss of appetite, stomachache, constipation or diarrhea, loss of interest in sex, dizziness, loss of balance, dry mouth and eyes, numbness, burning, or tingling sensations, confusion, blurred vision, ringing in the ears, nervousness, confusion, rash, sweating, weakness and fatigue. Diana reports that while she is on medication she can’t write and, “the words were stuck inside me.” she explain that when she lowers the medication bupropion, “my words flow more easily, brain to fingers to screen.” Because a side effect of Klonopin is difficulty with thinking and memory, and lorazepam can cause trouble with concentration, these medications could affect her ability to write, however, bupropion does not have those side effects and should not impair her
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