Femiolia Case Study Feliia

Felicia, a 41-year-old wife and mother, shows signs of Major Depressive Disorder with severe anxious distress, mood-congruent, and catatonia features. Most of the time, Felicia is overpowered by emptiness, sadness and despair. These feelings caused a change in her previous functioning resulting in emotional, physical and social complications. As depression progresses, the individual becomes more socially withdrawn. She reveals that she spends countless hours alone, avoids her children and occasionally sees her friend. The guilt of not saving her mother, troubles Felicia, causing her to battle with insomnia. Not only does she struggles with falling asleep, Felicia has a difficult time staying asleep. She reports that dealing with the guilt of her mother’s death has her on the bathroom floor, shivering to avoid disturbing her husband. Felicia is observed picking at sores on her arms, which is another symptom of MDD. This motion is known as psychomotor agitation and is also a sign of anxiety. Felicia’s thoughts and actions are slow, a result of psychomotor retardation. She struggles handling certain responsibilities. Her husband hired a housekeeper because Felicia can no longer take care of her family on a regular basis. She states that

A displayed feelings of apprehension and became less co-operative during the initial clinical interview. She additionally displayed thoughts of inadequacy . She moved back to her parent’s house when she began getting panic attacks and was housebound through fear of inducing a panic attack. As a result of this, she became overly reliant and attached to her parents, who provided emotional, financial, and decision making support.

Molly is a 29-year-old woman unemployed, living with her parents. She presents to the therapist looking sad, stark and exhausted with lethargic movements. She expresses concerns with feeling down for 2 ½ years after a job loss from an exciting IT career. She is unmarried and currently using marijuana regularly and moderate amounts of alcohol to cope with her sadness. She can no longer find pleasure in things, her mood can be described as depressed, and she has poor sleep hygiene, difficulties with concentration, no appetite, and no interest in sex. She also has concerns about feeling irritable and nervous. She has recently unintentionally lost 15lbs. While talking with the therapist she frequently is tearful. This is her first experience with a

Patient appeared to be experiencing symptoms that are consistent with Persistent Depressive Disorder. It appeared that her stressors are caused by internal and external stressors. She appeared to be experiencing depressive symptoms such as sadness, depressed and irritable mood ( vocal and physical outburst, destructive, angry and has acting out behaviors), regressed ( acting younger ), social withdrawal ( wants to isolate, stay away from people in her household) loss of interest, feeling worthless, crying more often, increased sensitivity to criticism, negative perception, luck of acceptance and disturbance of sleep. It appeared that claimant dependents on external validation to feel good enough and accepted evident by her ongoing need to be perceived as equal and normal by her peers. It appeared that she may be experiencing difficulty coping with rejection, it may due to her increase sensitivity to criticisms, which may be resulting in her magical thinking to help accepting her reality. She reported that she has difficulty forming attachment, is easily distracted and irritable. She reported experiencing interpersonal withdrawal and isolation. Such symptoms hinder her ability to function with normal daily activities, work environment and maintain healthy relationships. It appeared that she is feeling hopeless, as a result she may be experiencing difficulty trusting adults and believing their promises.

Marlene was appropriately dressed engaging in conversation. Marlene appeared in good spirit.Marlene described her mood as "good". Marlene states "I feel good today, I have a lot of energy". Marlene also reports she is good to stop worrying about her children and work on improving her life. Marlene reports calling 911 Thursday because she thought someone kidnapped her children. Marlene states "I'm going to stop calling 911. Writer reviewed medication box, medication box indicates Marlene did not administer her morning medication. Marlene reports forgetting to take her evening medication. With coaching Marlene set up medication box. Marlene was accepting of coaching. No suicidal or homicidal ideation.

Case note stating she is doing good progress. However, she still needs some assistance. Her psychological evaluation just came out, on 11/22/2016. Anita has been diagnosed with Bipolar 2 disorder, Adult ADHD, and personality disorders. Anita has been referred to NDNW to be seen by a psychiatric specialist with the recommendation that she seek help through medications that are available. Anita was urged to continue with therapeutic counseling in addition to medical treatment.

Mrs. Smith’s depression and anxiety symptoms appeared about 3 months ago when she changed jobs. She also reported having trouble keeping details straight and felt that she was not as sharp as she was. Mrs. Smith expressed that she had relational problems with her children and some marital issues with her husband, who noted that his wife had

My participation in this session required my full listening skills. There were many nonverbal behaviors observed. She cried profusely as she continued verbalizing many issues that were affecting her present life. She expressed a feeling of hopelessness and an inability to move forward with the things that she needed to get done. She further mentioned having full support from her husband of her situation. She explains that her husband accepts of her fully and remain non-judgmental. Despite his full support, she remained vulnerable and seemed to have not forgiven herself. Her depressive state and consistent mood swings seem too much for her to handle and her concern was an immediate way out emotionally and mentally.

Individual reported feeling better since last week, but discloses she still feels depression. Individual disclosed she is experiencing difficulty to sleep, but she thinks is a side effects of her medication. She stated she will see her doctor this Friday (04/21/2017). Individual was attentive throughout the counseling session but looked tired and showed flat affect. However, she was open to the idea of using aromatherapy and bedtime tea to relax before sleep. Individual shared she had a hard time during weekend because her dad's reaction about her crisis was to blocked Individual from his social media pages. She reported crying spells throughout the weekend, but stated that her mother was very supportive. With Clinician assistance, Erin was

In my opinion, Karen is suffering from the somatoform disorder of hypochondriasis. She feels that she is suffering from

disorder she constantly wanted to take showers. Her nurse and the nurse aids were often busy, so

Maria reported that her overall stress as high. She reported that she often had symptom of stress such as high blood pressure and headaches. In addition, Maria reported that she often has trouble sleeping at night because of stress. Maria stated “Stress keeps me awake every night. I cannot seem to turn my brain off. If I do not take my sleeping pills, then I cannot sleep”. Maria attributed most of her stress to her youngest daughter and taking care of her sick uncle. Maria youngest daughter suffers from a learning disorder and often has difficulties at school. Maria stated “I worry about her every day. She cannot read or write well and often gets made fun off at school. I am worried about her future and I do not know how to help her”. Additionally,

She had been hospitalized 4 times during this time following some major events like her mother’s death and her brother’s alcoholism which resulted in violence towards her. Her major problems are that she thinks that these voices have an external source (the central heating system), lack of confidence in herself, and resorting in solitude. She not only refuses to accept the fact that there might be something wrong with her but also deny taking any medication to get rid of this problem but she did agree to meet a therapist who will listen to the things that are bothering her. She has been working as a caregiver in a rest home and used to be a very cheerful person with a likable sense of

The nurse assigned to the patient, Nurse Jackie, was a recent graduate nurse and this was her first time accepting solo patient responsibilities since being precepted just three days prior. Due to this, she was unable to recognize that the signs and symptoms the patient was displaying

After the general assessment on my patient when I was able to use SPICES tool, I had the opportunity to visit her apartment, to evaluate her environment, focusing on safety, fall prevention, and any supplementary help available. My patient is living by herself and she is independent in all activities of daily living. She is a widow and her kids are living far away from her and they are in touch with her almost every day via telephone. Her apartment is her universe and from time to time she is visited by relatives. Also, she has a neighbor, a retired nurse who is checking on her almost daily. She is trying to keep up with all housekeeping work, but her recent umbilical hernia surgery prevents her from keeping her house