Depression And Anxiety Disorders: A Case Study

31 y/o AA male patient seen today for psychiatric-mental health assessment. He is awake, alert and oriented x4. He is calm, cooperative and follows commands during assessment. The patient reports he is depressed, difficulty sleeping and nightmares at night. The patient explained his depression is as a result of deep thinking from a news he received two days ago from his elder brother that his mother is ill. Stressors identified by the patient include losing his job a week ago before the news about his mother; his wife is 6-months pregnant with their first child, who currently works part-time at her present job; patient relates difficulty paying monthly bills and inability to provide adequately for his family as a man. The patient denies mood swings, suicidal/homicidal thoughts and ideation. Patient reports his spouse is at work at the moment and he does not want to put stress on his wife due to her current condition. Patient denies been hospitalized for depression or psychiatric illness; and denies family history of mental illness. Patient reports he is seeking help because he does not like feeling this way using terms of “helpless and loss of worth from his spouse”. Patient reports he needs help with his depression and nightmares before his current condition get out of hands and ruined his marriage.

On 6/30/2016, CM met with the client to complete to Bi-Weekly ILP Review. In the meeting, client was dressed appropriately for the weather. She was very loquacious and client. Client appears to have difficulty sustaining attention, client does not seem to listen when spoken to directly and she is unable to follow through on tasks. Client affect is inappropriate and she denied suicidal or homicidal ideation.

I: CM guided client through ISP goals. CM inquired about updates related to the client’s housing goals. CM used open ended questions to inquired about the client most recent drug use. CM reminded client that starting Monday the 2nd he would have to meet with CCM for weekly case management going forward. CM continued to assess for PTSD symptoms, substance abuse, and medication compliance.

Mental Health Update: Client was diagnosed with Clinical Depression and client reported she wasn’t attending her mental health counseling at BATF (“Bridging Access to Care”).

last 4 months. The client has bipolar disorder has erratic behavior since she has not been on

This is a complex medication visit. This is a young woman who I have treated for (lipastimea) and depression last seen a year ago. She returns now complaining of increasing depression over the past several months culminating an emergency room visit.

Mental Health Update and Substance Abuse: Client has been diagnosed with clinical depression and she was referred to Woodhull Mental Counseling to address her depression. Client initial assessment is scheduled for 8/25/2015.

A visit note from Dr. Carico, dated 04/25/2017, indicated that the claimant had scalp area pain, upper back pain, and spares the face. Objective findings showed a blood pressure of 136/84 with a BMI of 44.1. She was referred to neurology.

Sgt. Wilson and Cpl. Arreola recalled the claimant called in sick on LDW: 11/18/2015; when the claimant said he was “Too stressed out to come to work.” The claimant’s two supervisors found that the claimant’s attitude and work performance declined as soon as he was transferred to the Day Reporting Center in March 2015. They found some unexcused absenteeism is from the claimant in conjunction with the claimant’s regular day’s

This patient has been referred to me by her primary care physician. Patient states she has been suffering from irritability. She states that she has been very irritable for short periods of time. She associates these feelings with her depression.

Sarah Jennings is a 45 years old female, 5 feet 6inches tall, 130lbs. Today she came in to see Dr. Wallace for 3-month appointment. She has been diagnosed with hypertension, diabetes, and cholesterol. Due her cholesterol medication she was asked to come in to get her liver function checked. During her visit today she mentioned to the doctor she has had knee pain for the past few days. It started after she tripped while hiking last week. Sarah also suffers with bipolar disorder, but she has been doing well with the anti-depressant she is on. She is a very sweet, tiny, determined lady who is trying her best to keep up with all her health issues. She has changed her diet and has been good with exercising daily.

UCM:CPSW received a text from Ms. Borkovec reporting that she has scheduled an appoitnemtns with Phyllis Wheatley and her first intake appointment is on11/29/16 at 3pm. Also, CPSW reminded Ms. Borkovec to schedule with her mental health assessment and let this worker know time and date for her 1st session. Goal 1-2

Rationale: Jennifer has been presenting with symptoms for unspecified amount of time. Jennifer meets six of the criteria for symptoms being present during the same 2-week period and represents a change from previous functioning. Jennifer is depressed most of the day, nearly every day, has diminished interest in all or almost all activities most of the days, nearly every day, has fatigue or loss of energy nearly every day, feelings of worthlessness, and diminished ability to think or concentrate, is having recurrent thoughts of death, recurrent suicidal ideation without a specific plan. The symptoms have cause clinically significant distress or impairment in social, occupational, and other functioning areas. There is no know substance or medical condition and occurrence is not better explained by Schizophrenia Spectrum or Psychotic Disorders. Jennifer has never had a manic episode or a hypomanic episode. Possible family history of depression - mother.

MT has build rapport with the client to help him with stress management strategies and coping skills. The client is currently staying with another family member for the summer and through this change of environment has allow the client to accept the treatment and work on bettering himself as the client has had no behavior incident since being discharge from Dover Behavioral Health to his other family member house. The client’s MT will continue to provide the client resources to help him control his emotion and express himself to others, which would provide help when he moves back with his guardian. In addition, the MT will assist the client’s guardian in improving communication with

Patient is a 75 year old female who presented to the ED with depressive symptoms and suicidal ideation. Patient reports for the past 3 months she has been treating a UTI. She expressed that she has been complaint with medications, however has been to the hospital 4 to 5 times within the last 2 months for the same. Patient reports since been diagnosed with the shingles last year everything has been going downhill. The patient has been treated for the shingles since. The patient reports multiple stressor including: medical conditions, inability to care for herself, financial concerns, and poor familial support.