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Diagnosis : Depressive Disorder And Depression And Stress Management

Satisfactory Essays
This is a 38-year-old female with a 1/10/2013 date of injury. A specific mechanism of injury has not been described.

DIAGNOSIS: Depressive disorder

01/14/16 Psychotherapy session note indicated that the patient has reported increased improvement in mood and stability in anxiety. She continues to feel anxious about not having a job. She has applied to additional jobs and hopes that one of them will work out for her. She is attempting to stay positive and is looking forward to spend time with her family. Reviewed coping skills for anxiety and worry about future. There is provided support and empathy. Reviewed self-care strategies to decrease depression. A psychiatrist, who continued her on an anti-depressant, saw her. Plan: continue to review coping skills for depression and stress management.

12/29/15 psychiatric QME report noted described that the patient reported that her job was extremely stressful. There were numerous staffing changes and management changes. She stated that over a period of time, the stress increased to the point that she dreaded going to work. She stated that it was unbearable. She also reported experiencing migraine headaches. She developed stomach problems. She gained weight. She had insomnia as a result of the stress. His PCP then placed her off work in January 2013. She was prescribed Lexapro, but did not find it helpful. In the fall of 2014, she was prescribed Effexor and Ambien. She reported that she does not feel depressed, but stated that
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