Kkp Case Study

31 y/o AA male patient seen today for psychiatric-mental health assessment. He is awake, alert and oriented x4. He is calm, cooperative and follows commands during assessment. The patient reports he is depressed, difficulty sleeping and nightmares at night. The patient explained his depression is as a result of deep thinking from a news he received two days ago from his elder brother that his mother is ill. Stressors identified by the patient include losing his job a week ago before the news about his mother; his wife is 6-months pregnant with their first child, who currently works part-time at her present job; patient relates difficulty paying monthly bills and inability to provide adequately for his family as a man. The patient denies mood swings, suicidal/homicidal thoughts and ideation. Patient reports his spouse is at work at the moment and he does not want to put stress on his wife due to her current condition. Patient denies been hospitalized for depression or psychiatric illness; and denies family history of mental illness. Patient reports he is seeking help because he does not like feeling this way using terms of “helpless and loss of worth from his spouse”. Patient reports he needs help with his depression and nightmares before his current condition get out of hands and ruined his marriage.

Based on the DSM-V (2013) diagnostic criteria Keisha experiences Persistent Depressive Disorder 300.4 (F34.1), recurrent, moderate, with early onset. The client experiences the following symptoms: depressed mood for most of the day, for more days than not, as indicated by either subjective accounts (e.g., feels sad, worthless and hopeless) or observation by others (e.g. appears sad, cries), for at least one year (she is an adolescent). In addition, while depressed, there is a presence of the following symptoms: the client experiences poor appetite, she is eating one or two meals per day and lost ten pounds in one year. Keisha also experiences hypersomnia nearly every day by sleeping twelve or more hours per night. The client reports low energy/fatigue very often, even though she is sleeping well during the night. During the one year period of disturbance, the individual has never been without the symptoms in criteria A and B for more than two months at a time. In addition, the criteria for a major depressive disorder has been continuously present for one year. There has never been a manic episode or a hypomanic episode, and criteria have never been met for cyclothymic disorder. Furthermore, the disturbance is not better explained by a persistent schizoaffective disorder, schizophrenia, delusional disorder, or other specified or

Following Worthy’s investigation, on July 2008 two more federal charges were brought against Kilpatrick. Both of the new felony charges for assaulting or interfering with an officer of the law. Both counts are for obstruction of justice, there were also another charge of assault as well, which Kilpatrick would eventually plead no contest to the assault charge. The incident occurred when two officers went to serve a subpoena to a close friend of Kilpatrick. Based off the officer who was shoved by Mr. Kilpatrick, they were grabbed him by his shoulders and threw him, knocking him into another officer while trying to hand a subpoena to Bobby Ferguson.

KPBS, former KEBS, was found in 1960, on campus at San Diego State University and since then it is an important and representative part of the university and where the FM broadcast is held.

Ms. Sims requested treatment for depressed mood. She reached out to the outpatient mental health clinic because she feels worthless. She reports enjoyment in watching the Price is Right during the daytime. She also likes to watch talk shows. During her the conversation she displayed psychomotor agitation while pausing between answering and initiating questions. She has felt depressed for almost every day and this feeling has been present for longer than 2 weeks. During this time she does not even watch her favorite television programs. She has a loss of appetite and is very petite weighing in at 85 lbs. which is below her body mass index. She explains that often times it is very difficult for her to sleep at night. She isolates herself and reports that she has a loss in friendships since her medical condition down spiraled. She used to have lunch with her friends often but not any longer. She does not feel important to anyone.

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.

Please review the attached June schedule and let me know if you have any questions.

Jordan is a 36-year-old man with a diagnosis of depression. Depression is a broad diagnosis which the ICD-10 classification system requires the patient to present with at least four out of the ten depressive symptoms to be formally diagnosed (NICE 2009, World Health Organisation 2010). For a formal diagnosis of depression, the DSM-V system requires five or more of the nine possible

Ms. Kress has continued to attend individual therapy with the Family life Center since 9/15/16. She attended six biweekly appointments. Ms. Kress has not failed any of her scheduled appointments, and has consistently come on time to her appointments according to her therapist Katie. Her therapist is helping Ms. Kress to learn manage her anxiety and depression episodes. Dawn also completed an intake for medication management with the prescriber, Lorri Kenny, on 10/13/16.

After reviewing the case of my patient Tom, I have come to the conclusion that he suffers from depression. At this stage of analysis of this case, we can look at the symptoms and signs shown by the patient and match them with the symptoms and signs of depression. Looking at the DSM IV (Diagnostic Statistic Manual 4) we can understand that the most basic symptoms of depression include loss of interest or pleasure in daily activities for more than two weeks, being in a mood that is different from

Kaya has demonstrated behavioral characteristics of both major depressive disorder as well as borderline personality disorder. She has experienced a series of depression, suicidal tendencies, and mood changes. Kaya meets most of the criteria for major depressive disorder. But some of her symptoms resemble borderline. Her lack of mental health resources due to her location may also be a contributing factor.

In March 2013, Client M was diagnosed with mild depressive symptoms, for example, tearfulness, insomnia, decrease of appetite and sadness due to the loss of her mother in March 2013 from chest heart failure (CHF) and other medical

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Issue / Problem: Currently the KSARNG is prioritizing its maintenance actions IOT to meet Army readiness standards. It is not possible to meet mandated turnaround times due to funding constraints, the availability of needed repair parts and reduced manpower.

While Mrs. Preston, a seventy-year-old, is visiting her primary care physician, Dr. Harris, she conveys to her doctor that her husband, Mr. Preston, seventy-five, has had a series of myocardial infarctions that has left him with severe congestive heart failure and very debilitated (weak/feeble). Although Mrs. Preston is the presenting patient, the problem concerns her husband. Mr. Preston’s medical problems, listed above, is considered chronic, emergent, and reversible. Mr. Preston’s medical condition is chronic due to the series of myocardial infarctions that have led to him having severe congestive heart failure, which has left him very debilitated. He is also considered emergent, due to the threat of suicide posing an immediate risk to his life. Mr. Preston has depression that is symptomatic with crying spells and insomnia, with proper treatment and therapy, his depression could be reversible. The goal for the Preston’s would be the prevention of untimely death and education and counseling of patient’s regarding their condition and prognosis. Medical