Diagnosis Of A Major Depressive Disorder

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Diagnosis of a Major Depressive Disorder In agreeing with the previous clinicians’ diagnosis of Vanessa exhibiting a major depressive disorder support for this diagnosis follows on from her verbal and DASS score reports, which reported a moderate level of depression. She has corresponded with numbers— 1) depressed mood most of the day, 2) diminished interest or pleasure, 4) insomnia 6) fatigue or loss of energy 7) feelings of worthlessness or inappropriate guilt, of criterion A of the DSM5 diagnosis of major depressive disorder. Vanessa further corresponds with criterion B; where her symptoms have been causing distress and social impairment in occupation, C; where her symptoms have not been as a result of substances or another medical…show more content…
Other studies conducted indicate that a high stressful life event has a high significant association with consequent major depressive episodes at an astounding 75% proportion; evidently stating a causal relationship (Kendler et al. 1999). Kendler et al. (1999) supported that a higher causal relationship with stressor events was more evident in the first stage of depression over recurrent episodes of major depression and furthermore, found that 85.4% of the sample indicated the stressful event and the arrival of depressive symptoms occurred in the same month. Furthermore supporting the findings previously stated by Kendall et al (2004), not all major depressive episodes are as a result of stressor events, but may instead be attributed to the predisposition of neurotic temperaments (Kendler et al 1999). Further support for Vanessa suffering a major depressive episode is further ensued by the theory of ‘ambiguous loss’ termed by Boss (1999) who describes this term as a situation that stalls the grieving process through the obstruction of coping and stress management, as a result of physical absence and psychological presence, usually leading to feelings of guilt, anxiety and uncertainty and ultimately leading to depression. Finally, in an attempt to demonstrate that Vanessa’s reactions to a romantic breakup Parker et al.’s (2015) study demonstrates that depressive symptoms is a primary response to her stressor.
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