Client A Case Study: Victims Of Depression

“WHAT WILL A THERAPIST NEED TO CONSIDER WHEN PLANNING THE TREATMENT OF A DEPRESSED CLIENT?”

A major depressive episode is not a disorder in itself, but rather more of a description or symptoms of part of a disorder most often depressive disorder or bipolar. A person suffering from a major depressive episode must have a depressed mood or a loss of interest in daily activities consistently for a minimum of a two-week time span (Psych Central, 2013). In diagnosing the mood must reflect a change from the person’s normal mood. A person’s daily activities and functions, such as work, social routines and friends, education, family, and relationships must also have been negatively impacted by the change in their mood. A major depressive episode is also identified by presence of five or more of the following symptoms. The patient can show signs of significant weight loss or weight gain even not dieting or trying to lose or gain weight. The patient will also display a change in appetite almost everyday, either with an increase or a decrease in their normal eating habits. The weight change is typically set at an increase or decrease in weight of more than 5% per month. The patient will display a depressed mood almost the entire day and this sadness, emptiness, loneliness, crying, and distant is observed by others or indicted by the patient, is typically

Major Depressive Disorder has claimed the lives of up to 15% of those suffering from the disorder through suicide (Belmaker & Agam, 2008). Different people are effected by depression in different ways. Some individuals, like Raquel, suffer from loss of interest, feelings of worthlessness, along with thoughts of suicide (Fave & Kendler, 2000). Others go on with their daily routine with a smile on their face, while hiding their emotions. Although most individuals will experience depressed mood or general loss of interest in activities they once enjoyed (Spaner, Bland, & Newman, 2007).

The patient is a 49-year-old female who I saw last on July 8, 2015. Please see details of that note. She states ever since increasing her dose of citalopram from 20 mg one p.o. daily to one and a half p.o. daily, she has been feeling much better. She is much more motivated to take better care of herself. She is doing things like getting her eyes checked, new eyeglasses, exercising more, trying to be more social. She continues to see her counselor from Exeter Counseling and likes her a lot. She will be talking with her about finding couples counselor as well, to see if this will help with her relationship with her wife. She continues on her Adderall XR 10 mg one p.o. daily and does find that this is helpful.

The following essay is a case study of a client named John who is suffering from major depression and was sent to see me for treatment by his concerned wife. I will provide brief background information about John then further discuss interventions and strategies I believe can be applied in each session with my client in order to make John's life more manageable. In the essay, I will be writing as the therapist, and the sessions are based on a ten week period.

D) Client met with is counselor for his one on one session to discuss if he completing his treatment plan goals assignments ? Client this week has completed the identity four barriers that threaten his recovery. Client reported that anger not completing what the judge order him to do a 52 week batter class, and child support, are only a few. The harmful consequence of his meth usage, losing employment , family self-esteem, and committing to something that he really does want to do just a few at this time. A) Client seems to have a difficult time with saying no , he end up taking things on that makes him feel uncomfortable and getting overwhelmed . P) Client will learn communication skills and practice using them 80 percent of the.

Major depressive disorder, we all have probably heard of it, but do we really know what is it is ? Major depressive disorder is “a mood disorder that causes a persistent feeling of sadness and loss of interest… major depressive disorder or clinical depression, affects how you feel, think and behave and can lead to a variety of emotional and physical problems”(Mayo Clinic Staff). Having this disorder puts you in a very unstable position because you are constantly feeling depressed so it affects the way you think and feel and that can be very dangerous. Sometimes this happens to a person for one day, but put yourself in the shoes of someone who experiencing this for more than two weeks? When you have major depressive disorder, the signs of depression disorder can last for two weeks or more(myers646). This dis order must be treated immediately because “depression may make you feel as if life isn 't worth living”(Mayo Clinic Staff). Feeling this way can lead you to doing things that you can not take back such as committing suicide and sadly that can happen when you have major depressive disorder. Kiyohara and Yoshimasu conducted a research that showed that 90% of suicides have were dealing with major depressive disorder(qtd. in The World Health Organization). Throughout this paper I will be discussing the causes, symptoms and treatment when dealing with major depressive disorder.

Major depressive disorder (MDD) is a common mental health disorder seen in primary care. It effects all age groups, although the presenting signs and symptoms will vary at different ages. Many clients have somatic symptoms that mask the depression symptoms and make it difficult for physicians to diagnose MDD. Patients with this disorder have difficulty with work and social functioning. There is an increase in comorbidity with chronic illnesses. These clients are 30% to 40% more likely to have MDD (McCarron, 2009). Potential for suicide is high with this diagnosis. Not surprisingly, the majority of these clients are seen in primary care setting supporting the need for screening clients

People of all ages, backgrounds, and walks of life have felt depressed and unhappy at some time in their lives. These periods of sadness usually pass after a short time, but for some people, this feeling can remain for weeks, months, and even years. (1) This prolonged state of unhappiness is called major (or clinical) depression and is characterized by a persistent sad or "empty" mood, loss of interest in favorite activities, difficulty concentrating, and many other symptoms. It is not simply a mental state but an illness that interferes with the way people feel, function, and think.(2)

In the case study, the client symptoms of depression included weight gain, trouble concentrating, and sleep disturbance. The client gained approximately 15 pounds in a two month period. In the scenario, he verbalized that he had been having difficulty sleeping for the past 6 months. A treatment plan based on the client’s presented symptoms should be established. Yet, it imperative to rule out other medical causes for depression.

This paper introduces a 35-year-old female who is exhibiting signs of sadness, lack of interest in daily activities and suicidal tendencies. She has no interest in hobbies, which have been very important to her in the past. Her lack of ambition and her suicidal tendencies are causing great concern for her family members. She is also exhibiting signs of hypersomnia, which will put her in dangerous situations if left untreated. The family has great concern about her leaving the hospital at this time, fearing that she may be a danger to herself. A treatment plan and ethical considerations will be discussed.

Client's symptoms are the following:Depressed mood most of the time at least five days a week, irritability, withdrawn, feeling lonely, isolate herself as she does not to talk with others, does not feel that she wants to be with friends and socialize with them, she feels anxious when she thinks that she will be with her father again as a future scenario, she is experiencing bad dreams, has flash back when her father was hitting and abusing her mother, some times has nightmares at least 3 times per week, intrusive thoughts of trauma, difficulty concentrating at school, and she does not like to do homework especially the long assignment. Client reported that she has these symptoms at least five days per week and some of them in a daily bases.

Therapist will reinforce success by allowing the client to cook a meal with the staff. The client slightly appeared to be triggered for the major depressive disorder aeb reporting that he does not like the therapy and has negative experiences with the previous therapists. The client made some progress by reporting the goals the he wants to work on in the therapy session. In order to move on to the next objective, the client needs continue to identify and utilize coping skills such as affirmation and deep breathing from when triggering situations for Major Depressive Disorder arise.

1. No matter how hard we try to prepare ourselves for challenging experiences and try to stay positive, it becomes harder to do than planned when the time comes. It was the end of the last semester and I was on the verge of emotional depression that totally overwhelmed me. During the exam period, I wasted my weekends on the Internet, chatting and Facebook-ing. I needed to submit an important paper on Tuesday morning. On Sunday night, after wasting so much time of mine and having a little red eyes because of so much exposure to electronic screens, I sat down to write my paper. Only then did I realize that the paper was due the next morning, not on Tuesday. I was extremely nervous because it was too little a time to finish it. Moreover, I was so angry with myself that I wanted to cry. It was a realization that I was off course in my study habits and that I had not overcome my habit of willingly putting myself in difficult positions. The more I thought about being in that mess, the angrier I got with myself. I got even angrier thinking about how it was not the first time in my life that I put myself in such a situation. I could not concentrate on my paper because of that emotional response. Then suddenly I thought that I just needed to talk to someone and calm down. I called my classmate and just told her about everything. She said that the instructor had actually extended the deadline until Thursday. It was such a relief. I thanked her profusely and decided

Overcoming depression has revealed to me the importance of mental health. The painful journey of climbing out of depression was one that ultimately made me stronger. After experiencing two years of academic success in college, it made sense to expect that my junior year will be even better, but unfortunately life took a different turn. Since high school until I took a leave of absence from college, my life had been under excruciating pressure. Pressure that originated through coming from an immigrant family, and understanding how much my parents had to sacrifice. I felt a lot of pressure to succeed in college, my older siblings had struggled which put even more emphasis on me as the next runner up. Being socioeconomically isolated, and