This is a 47-year-old male with a 12/15/2005 date of injury. A specific mechanism of injury has not been described.
DIAGNOSIS: Major depressive disorder, recurrent.
01/11/16 Progress report by the requesting provider documented that the patient was unable to come to the appointment due to his physical condition and distance. Phone conversation with the patient was noted. He described his depression s mild. His sleep has been decreased. He uses CPAP machine. He enjoys being outside. He has occasional feelings of hopelessness. His energy and concentration have been fair. His appetite has decreased ad he has lost weight. He now weights 207 pounds. He denies any suicidal or homicidal ideation. Plan was to continue Pristiq 100 mg daily for depression. He also gets Temazepam, methocarbamol muscle relaxants, and Buspar. Patient education was discussed in detail about medication risks and benefits, adverse effects, side effects and therapeutic effects.
12/03/15 UDT Report showed that the patient is consistent with the opioids.
10/29/15 Psychological QME indicated that the patient had an injury in December 2005. He noticed an immediate onset of soreness in the right elbow. He was diagnose dwith right epicondylitis. According to 10/29/13 report the patient was stable on his current pain medication regimen. He was having a lot of trouble sleeping. He brought his old sleep medications, including Benzodiazepines, Trazodone, and Ambien. He had been taking Relpax intermittently for
Major depressive disorder is one of the most common mental disorders, with a 12-month prevalence of 6.7% of adults in the United States (NIMH). There is no definite etiology of depression, but several risk factors have been identified. Functional and structural changes in the brain have also been explored. The most common treatment for depression is the use of drugs that act on monoamine transmitters, including norepinephrine, dopamine, and serotonin. Decreases in these transmitters, especially serotonin, were hypothesized to play an important role in the cause of depression (Breedlove & Watson, 2013). The serotonin hypothesis led to the development of selective-serotonin reuptake inhibitors (SSRIs), which increase the amount of serotonin in the brain. Further research suggests that the serotonin hypothesis is not entirely accurate and the neurobiology of depression is much more complex. The “chemical imbalance” explanation of depression may not reflect the full range of causes and may be given greater credibility by patients and doctors than is supported by evidence based research.
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.
Mental disorder is a common term to refer people’s mental health conditions in Canada and internationally. People who have studied Hamlet, a play that’s written by William Shakespeare, know that Ophelia is one of the characters who suffer from a mental disorder, which known as major depressive disorder. At the beginning of the play, Ophelia’s mental state is very healthy, she falls in love with her boyfriend Hamlet, yet their relationship is controlled by her father. During the play, Ophelia experiences a transformation of her mindset, which causes by Hamlet. As the play closer to the end, the death of Polonius, father of Ophelia, makes Ophelia’s mental becomes more unstable, which leads her to suicide at the end. Thus, due to all the unhappy events that happen to Ophelia’s life all at once, the psychological harms slowly turn Ophelia becomes insane and eventually brings her to death.
d. A nurse gives a PRN dose of an antipsychotic drug to a patient to prevent violent acting out because
In an attempt to better understand depression in today’s youth, I have chosen to explore the depths of Major Depressive Disorder and how it affects the young people in our society. Depression amongst school age children and adolescents are the primary focus. The prevalence, adversities, and treatment of the depression are discussed as well. After exploring these few facets of the disorder, I will talk briefly about the Ecological Model developed by Urie Bronfenbrenner and Morris in 1998 that is used by counselors to help evaluate and assess the children who are referred by teachers or medical
This is a 52-year-old male with a 9/24/2014 date of injury. A specific mechanism of injury has not been described.
Depression is a clinical condition associated with the normal emotions of bereavement and sadness. However, this condition does not pass on when the external causes of these emotions dissolve and is usually inconsistent to their cause. In essence, the classic severe conditions of depression have not been attributed to external precipitating cause. One of the most common conditions of depression is Major Depressive Disorder (MDD), which is a psychiatric condition that impairs moods, behavioral patterns, and thoughts for a protracted duration. This psychiatric illness tends to impair the patient’s social functioning and quality of life due to its impacts on cognitive functioning. Some of the most common symptoms of the condition include difficulty in concentration, weight change, minimal interest in pleasure, high rate of suicide, and physical impairment. The severity of this disease was evident in the year 2000 when the World Health Organization ranked it as the fourth cause of disability and premature death across the globe.
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.
This is a 54-year-old male with a 1/17/2012 date of injury. A specific mechanism of injury has not been described.
The typical description of a disease would be something that causes unwanted effects on the body; however, mental illnesses show few physical symptoms and cause problems that outsiders can rarely see. Major Depressive Disorder (MDD), to be specific, is a complex disorder that occurs when a person has five of the following symptoms: a depressed mood, diminished pleasure, weight loss or gain, insomnia, lethargy, problems with concentrating, fatigue, feeling worthless, or having thoughts of suicide (Myers 3). While MDD is chronic, depression is the infrequent counterpart. The official etiology of depression is important because it is widespread and is becoming increasingly more common. Knowing why an illness occurs, in theory, can help physicians
296.32 (F33.1) Major Depressive Disorder, recurrent episode, moderate severity, with anxious distress. Ms. Client meets eight of the nine diagnostic criteria for Major Depressive Disorder (MDD). Specifically, during several periods of time she experienced depressed mood, diminished interest in things she enjoyed to do, hypersomnia, psychomotor agitation, fatigue, feelings of worthlessness, decreased concentration, and suicidal thoughts without intent. Additionally, as Ms. Client expressed, these symptoms are source of continuing distress and interfere with her academics and social functioning. Also, her symptoms started four years prior to the psychological assessment and persisted intermittently since then, lasting for several weeks to several months, with the most recent period of extended length (enduring two weeks) approximately one year ago. Since the last episode she has experienced these symptoms for two to three days at a time. Although the last episode that met the criterion of two weeks duration occurred approximately a year ago, the symptoms have not disappeared, but they occur periodically since then and when they do, they cause considerable distress and impairment in functioning. Thus, the disorder cannot be coded as ‘in partial or full remission’. The specifier ‘with anxious distress’ was given, because Ms. Client reports feelings of difficulty in concentration because of worry and restlessness.
Major Depressive Disorder or MDD is a very common clinical condition that affects millions of people every year. According to the Agency for Health Care Policy & Research, “ depression is under diagnosed & untreated by most medical doctors, despite the fact that it can almost always be treated successfully.
This paper examines Major Depressive Disorder (MDD). As MDD is one of the most commonly diagnosed psychiatric disorders in the world, it represents one of the most important topics for research and clinical treatment strategies. The severity and duration of MDD is what distinguishes it from other forms of depressive mood disorders. It represents the most serious manifestation of the depressive mood disorders. The paper will provide a detailed description of the disease, its etiology, treatment strategies and options and social consequences associated with MDD.
Major depression is categorized as a mood disorder. There are consistent feelings of sadness and loss of interest. Emotional and physical problems are normally associated with major depression disorder or MDD. Feelings and behavior are changed due to this mood disorder. Activities of daily living and even carrying on with life period may be a struggle for those who suffer from MDD.
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.