Clinical Depression: A Case Study

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.

A review of the records reveals the member to be an adult female with a birth date of 12/31/1952. The member has a diagnosis of increased weakness and decreased conditioning and a history of multiple falls over the past couple of months. The member’s treating provider, Marianne Nikas, MD has recommended that the member be admitted to a skilled inpatient facility from home.

There will be many topics covered as you continue to read that are related to depression. Clinical Depression is a very serious disorder that affects millions of people in the United States every year. There are many reasons for depression and there are also many signs and symptoms that can help you to identify depression that is affecting someone close to you. Depression can be treated in different forms weather it is through the use of anti depressants, coping, cognitive-behavioral and psychotherapy. There are many situations that can cause each person to get depressed for different reasons and may affect everyone in different ways and have different severities.

Sadness is an emotional response that is typically triggered by a difficult or hurtful event in a persons life. Whereas, depression is a mental illness that may or may not be set off by a specific trigger.

Client “B” has struggled with major depression for over 30 years- unable to work, poor hygiene,

Client is showing signs of suffering from Major Depression Disorder, categorized under the DSM-V 296.34 (F33.3). Under the DSM-V MDD is characterized as overwhelming feeling of sadness, isolation, and despair that lasts two weeks or longer at a time. Under the characteristics for Major Depression Disorder, the person undergoes a period of major weight loss or weight gain; as well the persons experience psychomotor agitation or slowing. One may experience physical impairments following episodes of insomnia or hypersomnia, fatigue or loss of energy and significant weight loss or gain. The low emotional stability demonstrates change with feelings of depressed mood, self-harm, loneliness, guilt or shame, self-depreciation and pessimism. The final

According to Whitbourne (2014), Major Depressive Disorder involves acute, but time-limited, periods of depressive symptoms that are called major depressive episodes (p. 164) . For major depressive diagnosis, as with any other disorder, clinicians must rule out other disorders whose symptoms are similar in order to effectively and properly diagnosis a client. There are several disorders that are often found to exist at the same time and yet independently from major depressive, which is why it is essential to understand the criteria for a major depressive disorder. It is also essential to know the history of major depressive disorder as a disorder at large and as it related to the client being diagnosed so that proper and effective treatment is offered.

Computerized cognitive-bias modification (CBM-I) has swiftly made a presence in experimental medicine, but according to Williams, Mackenzie, Blackwell, Holmes, and Andrews (2013), has not been previously explored in combination with Internet-based cognitive behavioral therapy (iCBT) for effectiveness in treating depression. The authors recognized the benefits of creating more accessible and affordable methods of treatment for depression and the use of internet based approaches can be an effective way to provide access to evidence-based therapies (Williams, et al., 2013). This paper will provide an overview of CBM-I and how it can complement the use of

A patient can easily slip back into depression and therefore we as practitioners need to constantly be vigilant to identify any problems or needs and try to help a patient through

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.

A major behavior that is mentioned twice in the description of what Cecile is going through is loss of interest in doing activities that she once used to do regularly. A criteria for major depressive disorder as stated in the DSM is diminished interest or pleasure in all, or almost all, activities most of the day, nearly everyday. She has had almost no interest in climbing or spending time with her best friends and her dog outdoors. She would climb frequently (three times a week) where now she has only climbed three times in the past five weeks. Cecile has also been missing classes and not seeing her friends frequently like she did in the past.

Depression has become more and more common throughout the years with Major Depressive Disorder ranging from 4 - 8 % (Carter et al., 2015) and 20% of adolescents experiencing at least one episode of major depression before they reach 18. Carter et al. (2015) states that exercise has been shown to improve an individual’s mood, self-esteem, self-worth, anxiety, and depression in adults. According to Carter and colleagues, some possible explanations for the relationship between depression and physical exercise are the distraction hypothesis, the idea that physical idea serves as the distractor to whatever may be bothering the individual (Craft & Perna, 2004); the self-efficacy hypothesis; and the mastery hypothesis. Although there are so many

The aforementioned questions are very critical to my role as a healthcare professional in the industry. Having worked in an outpatient setting. I have had several encounters with individuals’ who are being treated for depression. The reason for their condition can be ascribed to the physical pain they are experiencing. According to the National Alliance on Mental Illness, depression is a psychological disorder that is serious, it necessitates empathy and treatment management to address the debilitating condition and thwart it from getting life-threatening ("Mental Health Conditions," n.d.). The National Institute of Mental Health has highlighted that clinical depression, as it is commonly referred is a disorder of the brain ("Depression," n.d.). The organization has supplemented that medical technologies such as magnetic

Introduction Psychiatric disorders, including despondence, schizophrenia, and bipolar disorder affect millions of people around the world. Without intervention, they can interfere with daily life. Decades of research led to a variety of therapeutic options for people with psychiatric disorders, but how well they work varies greatly from person to person. Researchers in neuroscience and cognate disciplines are studying genes and brain areas affected b psychiatric diseases in animals and humans in an effort to develop better therapies alongside more traditional treatments (Mark and Berkow 2004).

Jessica is a twenty-eight-year-old married female who works at a large hospital. She has high expectations for herself because she has graduated with honors at both college and medical school. For the past few weeks, she has been feeling tired and unhappy. She has had a demanding and high stressful job at a large hospital for two years. She feels that she is unable to perform well at her job and has trouble concentrating at work and at home. She is uninterested in her usual activities and has many negative thoughts that keep her awake at night. Two diagnoses that best fit this case study are Major Depressive Disorder and Generalized Anxiety Disorder.