Diagnostic Characteristics And Treatment Of Major Depressive Disorder

It’s estimated that the onset of 50% of chronic mental illnesses occurs by the age of fourteen, and about 75% by the age of 24 (NAMI, 2015). The most common mental health diagnoses in the United States are mood disorders, which include the spectrums of anxiety disorders, depression, bipolar disorder and schizophrenia. Unfortunately, 60% of adults and 50% of youth did not receive medical services for their mental health conditions in the previous fiscal year (NAMI, 2015).

d. A nurse gives a PRN dose of an antipsychotic drug to a patient to prevent violent acting out because

2. Andrews, G. & Slade, T. (2001) ‘Interpreting scores on the Kessler Psychological Distress Scale (K10)’, Australian and New Zealand Journal of Public Health, Vol 25(6), 494-7.3. Australian Institute of Health and Welfare (2011) The health of Australia’s prisoners 2010, Cat. No. PHE 149, Canberra.4. Beck, A.T. & Steer, R.A. (1987) Beck Hopelessness Scale Manual. The Psychological Corporation, San Antonio.5. Beck, A. T. & Steer, R. A. (1990) Beck Anxiety Inventory Manual, San Antonio: Psychological Corporation.6. Beck, A.T., Steer, R.A. & Brown, G.K. (1996) Beck Depression Inventory II Manual, The Psychological Corporation, San Antonio.7. Berwick, D., Murphy, J., Goldman, P., Ware, J., Barsky, A. and Weinstein, M., Performance of a five-item mental health screening test, Medical Care 1991, 29:169-176.8. Beyond Blue n.d., ‘Checklists to Identify Depression and Anxiety’, viewed 16 January 2012, 9. Commonwealth of Australia (2009) Fourth National Mental Health Plan, An agenda for collaborative government action in mental health 2009–2014, Attorney-General’s Department, Barton, Australian Capital Territory. 10. Commonwealth of Australia (2009) National Mental Health Policy 2008, Attorney-General’s Department, Barton, Australian Capital Territory.11. Coombs, T. (2005) ‘Australian Mental Health Outcomes and Classification Network; Kessler -10 Training Manual’, NSW Institute of Psychiatry.

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.

According to Smarr (2003), the instrument was validated using college students, adult and adolescent psychiatric outpatients (Smarr, 2003). Today, the BDI-II is widely used for those patients as well as normal populations. According to Wang & Gorenstein (2013), the BDI-II can be easily adapted in most clinical settings for detecting major depression and recommending a suitable intervention (Wang & Gorenstein, 2013). Thus, in health care settings the BDI-II has been BDI-II has been expanding in practice in the pathologically ill to assess depressive states that occur at high prevalence (Wang & Gorenstein, 2013).

This is a 47-year-old male with a 12/15/2005 date of injury. A specific mechanism of injury has not been described.

The Beck Depression Inventory- Second Edition (BDI-II) is a 21-item mental health instrument for assessing the occurrence and severity of depression in adults and adolescents, 13 years and older (Beck, Steer, & Brown, 1996, pg. 1). According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition the diagnostic criteria for Major Depressive Disorder (MDD) includes: depressed mood, loss of interest or pleasure, weight loss, insomnia or hypersomnia, fatigue or loss of energy, and feelings of worthlessness or guilt. The BDI-II accurately portrays questions addressing these diagnostic features within the instrument. The face validity shows the test is transparent and purports to measure what it claims. For example, question

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.

A disabling, painful, and costly mental disorder that can affect adults, teens, and children in debilitating ways; this is how Major Depressive Disorder (MDD) is viewed. Depression stems from a mixture of nature and nurture; it is compiled with factors such as genetics, socio-cultural, environment, and psychology (Marsella, 2003). It is important that clinicians, social workers, health care providers, and those that provide care and service of others recognize the symptoms of MDD and know the forms of treatment for this disorder.

Lucy Lee is a 30years old African American that was referred to the Community Behavioral Health Agency by her mother. She attended the intake session with her mother Grace who appeared to be very worried about Lucy. Lucy is a single mother with one daughter currently in high school. Lucy stated that even thou she loved her job because she had few friends who also worked there, she had to quit her job, as she does not feel the need as well as the energy to leave the house. She mentioned that prior to this feelings, she would go out to the mall with her daughter to shop as well as the movies; but lately, Lucy has not been interested in participating in any of her usual fun activities. She has been unable

Mood Disorders are the result of severe or manic depression that occurs past a normal state of depression. When one has a normal depressed mood, he or she responds to the quandary of news or event in his or her own life however, are usually able to return to their normal state within a short time. Those who are diagnosed with a Mood Disorder are not able to return to their normal state. The DSM-IV segregates and identifies the distinctiveness of the mood disorders into axes that are then utilized in classifying the disorders to ensure the proper treatment associated for the sufferer. This technique assisted psychiatrists in efficiently rendering a fair diagnosis in moderate to severe disorders. There are more than ten million people

The current American Psychiatric Association Diagnostic and Statistical Manual (DSM-IV), criteria for the diagnosis of depression include: (1) changes in appetite and weight; (2) disturbed sleep; (3) motor agitation or retardation; (4) fatigue and loss of energy; (5) depressed or irritable mood; (6) loss of interest or pleasure in usual activities; (7) feelings of worthlessness, self-reproach, excessive guilt; (8) suicidal thinking or attempts; and (9) difficulty with thinking or concentration. (Espinoza & Kaufman, 2014, p.2).

I will discuss the diagnostic issues and diagnoses with Major depressive disorder as a primary diagnosis and several other differential diagnoses. We will look at the etiology relationship problem between mom and daughter. We will take into account gender and race. Lastly we will discuss the prognostic treatment for the fictitious patient Dineo. Abnormal behavior is a behavior that diverges from what is projected as a normal standard which is outside the parameters of what is accepted in society. We ask ourselves when will look at a scenario of Jolene sitting in her classroom taping her fingers loud on the desk whilst her lecture is teaching, when he asks her to stop she continues even louder and roll her eyes at him with annoyance. Is this behavior seen as still in the realm of normal behavior? What is seen as normal behavior can be varied amongst different cultures and society. Behavior constitutes abnormalities because some behaviors that disturb social norms are expected to be labelled as abnormal because the not normal behavior that is observed outside the social constraints are classified as deviant. 1. According to Kleinman, (1988) normality and abnormality differs in culture as there are certain standards that are acceptable behavior norms if one behaves in a certain way that is outside the norms of their culture they are believed to show abnormal behavior as it infringes the rules of what is acceptable behavior in a certain culture, therefore reality is

Mental disorder can have devastating effects on an individual and family as well as the society at large. Mental disorder is an overall term used to refer to several specific disorders which include; clinical depression, anxiety disorders, substance use disorders, schizophrenia, schizoaffective disorder and bipolar disorder. In Australia, the mental and substance use disorder contribution to the burden of disease has been reaffirmed by the 2010 Global Burden of Disease Study. In response to this, the Australian government has undertaken prevention and early intervention measures in addition to use of mental health services. The collection of data on the prevalence of mental health disorder within the country’s population has been widely done by use of population based surveys research method. The effect of the mental disorders and its extent to the population has propelled the health practitioners to come up

The Beck Depression Inventory is a self-administered test, administered in a group setting or individually, that measures the severity of depression symptoms and attitudes of depression (pg 1 of manual). The revised Beck Depression Inventory was specifically designed to assess the severity of depression in clinically diagnosed patients. However, the revised Beck Depression Inventory was not specifically developed to be used as a screening instrument in normal populations or to reflect any specific theory of depression. Although the BDI is oftentimes used for screening in normal populations, it should be used with caution because high BDI scores do not necessarily indicated depression. This provides an indication of the level of intensity a patient’s depression is for the past week including the day of administration for clinicians.