Mdm Soh Reading Difficulties

The impact of aging said to have a great effect on the capacity of learning of the adult. (Falasca, 2011). There are several eye problems become common as they age, cognitive ability, hearing impairments and perception may not be sufficient enough to understand and grasp all the information or it could be compromised (Falasca,

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

Disco Di further fits the diagnostics for MDD. Disco Di has experienced a major depressive episode with the following symptoms: recurrent thoughts of suicide accompanied by attempts, feelings of worthlessness, diminished pleasure in most activities, depressed mood for most days, and alternating increases and decreases of appetite (Comer, 2012). Further, Disco Di does not fit the requirements for a manic or hypo-manic episode, therefore she qualifies for the diagnosis of MDD (Comer, 2012).

After looking at all the symptoms and emotional set backs it is concluded that Jessica as Major Depression Disorder. I came to this diagnosis because of her emotional and physical changes. Jessica is no longer excited about life. She is withdrawn from all the things that she used to be interested. Her whole disposition has changed she feels worthless, like life has little to offer her or she just can not make the cut feeling sad and moody most of the time. The only difficulties with coming to this conclusion is she may also have a alcohol and substance abuse problem, but by her late activity of staying in bed and not wanting to be involved with anyone but herself she as also withdrawn from drinking and partying.

As it appears on Disco Di’s document she’s currently diagnosed with two distinct types of psychological disorder, first being major depressive disorder, and second being borderline personality disorder. However, the term major depression is only one part of the disorder Disco Di is facing. The type of the disorder in which Disco Di is suffering from, is called mood disorder, and to further narrow it down she’s specifically experiencing what is known as “Bipolar I” that according to DSM-5, is defined as a disorder in which individuals experience cycling episodes of mania and major depression (American Psychiatric Association, 2013). Furthermore major depression also in accordance to DSM-5 is marked by chronically low mood which has certain symptoms such as being fatigue, feelings of guilt, and impaired concentration appearing almost every day. In the case of Disco Di, Even though she goes through some of these symptoms, but they are not all the symptoms that she experiences. As it is stated on her document, Disco Di being a cheerful, outgoing 12 year

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.

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.

Patients may display signs of an unstable self-image, sense of self or identity disturbance. A patient may be indecisive about his or her life and feel they constantly want to change jobs, may question their sexual identity, and values etc. These feelings lead to the next characteristic, extreme impulsivity in at least two areas that could be harmful such as unsafe sex, substance abuse or reckless driving. (DSM, 2000) The patient may feel unstable and experience rapid mood changes such as irritability or anxiety. They may have chronic feelings of emptiness or boredom which may stimulate self-mutilation. (NIMH)

Jane describes having heightened sense of self-importance, exaggerated positive outlook, significantly decreased need for sleep, increased speech, flight of ideas, impulsiveness, having ideas that move quickly from one subject to the next, poor concentration, has been easily distracted, has had increased activity level, excessive involvement in pleasurable activities, and excessive irritability. I would diagnose this as a manic episode, and along with the feelings of sadness or hopelessness, loss of interest in pleasurable activities, difficulty sleeping, loss of energy and constant lethargy, difficulty concentrating, negative thoughts about the future, weight loss, and beginning to think about suicide; this is a classic case of manic depression. Jane has gone back into a state of depression and continues to worsen. I did ask Jane if this was the first time this had ever happened, and while this was the first manic episode she ever had, she had experienced high levels of energy and irritability but not to the extreme extent that this has gotten to. I also asked if this was the first time she has had a major depressive episode. She told me that it was not her first, but it was the most severe. Jane explained that while she would have periods of sadness, it never became so bad that she wasn't able to get out of bed. I diagnosed this as series of hypomania and minor depressive episodes. If she had caught it earlier, we could have diagnosed it

Leslie’s symptoms suggest she may have psychotic depression, which goes with MDD: mood congruent or incongruent hallucinations. If Leslie indeed experience psychotic depression, she may also have severe depression, increased resistance to antidepressant, increased risk of developing bipolar disorder,

Five (5) recurrent suicidal behavior, gestures, threats or self-mutilation, this is reflected in a recent attempt to slash her wrists with a tin can and hearing a voice telling her to jump off a bridge. Six (6) affective instability due to a marked reactivity of mood, which is reflected in her brief periods of depression and anxiety since adolescence. Seven (7) chronic feelings of emptiness, this is seen in reported feelings of loneliness and inadequacy and her statement of being an empty shell that is transparent to everyone. Eight (8) appropriate, intense anger or difficulty controlling anger, which can be seen in her becoming angry with men for disappointing her and his inability to have a stable roommate due to her anger and jealousy, she was living alone at the time of admission to the

If the same exact scenario were to replay in present day, I believe she would be diagnosed with Bipolar Disorder 1 Manic Episode. According to Beidel, Fruen and Hersen in Adult Psychopathology and Diagnosis, Bipolar I disorder is

There is no indication she has had a manic or hypomanic episode. Her depression may be complicated by grief due to her father’s death one year ago. Her symptoms seem to get worse after his passing.

Client has been feeling angry at home and school, but mostly at home; client lashes out at home and at her classmates. Client is experiencing low self-esteem, low energy, and low motivation. Client has been feeling sad and experiencing difficulty falling asleep and staying asleep. Client has been unable to complete tasks and has been unable to focus.

Depression is a very low mood that lasts up to two weeks sometimes longer, depression is most common when an individual is diagnosis and when a change occurs in their condition. Being depressed can have an effect on your sleeping (sleeping to little or too much) loss of appetite, less energy and no motivation. Maintaining independence can be difficult as their condition continues to get worse they may require adaptive equipment such as a walking stick or wheelchair help with day to day tasks such as getting dressed and needing assistance getting in and out of the bath. People may feel embarrassed using the equipment provided, this could cause them to become socially isolated.