Ms. Psaras: A Case Study

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

She had feelings of confusion, fear, guilt, anger, and fatigue. She also had a low energy level, which made her ability to think clearly and make decisions difficult. My mother had become disengaged; she was depressed and often isolated herself in her bedroom only coming out to use the bathroom. She had no appetite, did not want to see anyone and wanted to be left alone. Consequently, her eldest daughter took on the responsibility of caring for her youngest brother, which was very difficult for Dawn. Additionally, my mother could not return to work due to severe depression and subsequently went on disability.

Living with Crohn’s Disease Sharon is a 17 year old young women, her mother noticed that Sharon had lost a significant amount of weight, and she looked pale and had dark circles under her eyes. Sharon was complaining of severe diarrhea, stomach cramps, and after battling this for weeks she was extremely tired. Her doctor conducted a standard physical exam, and interviewed Sharon about her general health, diet, family history, and environment.

DSM 5 Diagnosis – Major Depressive Disorder 296.21 (F32.0) 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.

From a biological perspective, there appears to be a potential for some genetic or inherited mental health issues, with various family members presenting with diagnosed and undiagnosed disorders. Family members including Toni’s mother, Aunt, and paternal grandmother appear to have mental health issues. In addition, a stress disorder is present in her uncle

Dr. Fein reported that she is currently teaching and functioning. She indicated that her father had a history of depression after brain surgery. Her mother was severely depressed after her sister died. She indicated that she is aware that her father’s brother is diagnosed as bipolar. Dr. Fein reported that her brother is also diagnosed with

Even with the relatively brief period of her life that she was with the absentee mother, the patient developed PTSD and self-esteem issues based on the diagnosis of prior doctors and other professionals. This diagnosis can be confirmed, of course, using DSM-IV-compliant measurement and verification tools

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.

When Susan was first diagnosed with lung cancer no one understood why. She wasn’t a smoker or user of tobacco. The only connection to lung cancer was her family’s history. Susan’s father died of lung cancer at 55 years old. Susan was seven years old when she lost her father. She couldn’t imagine putting Jessica in the same position she was in as a little girl. Up until her own diagnosis, Susan felt losing a parent was the most traumatic event to happened in her life.

Depression and anxiety. She is being followed by Dr. Lidstrom. She is really struggling of late since the passing of her father-in-law and dealing with her mother-in-law and the emotions surrounding this change in their life and I am pleased that she is going to counseling as I think that would be very useful for her. She will continue her follow up with them and continue with her current medications.

She explained that the two separated for a few months, but counseling was helpful. The patient denied any suicidal or homicidal ideation, intent, or history of attempts. She also denied any previous psychiatric diagnosis, hospitalizations. The patient denied a history of hallucinations or

Unit 9 Assignment Ms. A is a 28-year-old married, executive who sees the clinician for symptoms over the last three months. Ms. A experiences trouble sleeping and nervousness. Ms. A states she is in good health and used to use substances, but has not used any substances in the last five

Mother and patient denies any current environmental stressors, but does report that for last 1.5 years, minor was having growth of unwanted hairs on chin and weight gain, which has resulted in isolation and avoiding social settings. Minor was in a usual state of mental health about 2 years ago with satisfactory academic performance and social lifestyle. Minor was described by her parents as an average student, but currently her performance has been declining gradually and working below her potential. Her depressive symptoms consisted of anhedonia, lack of motivation, guilt, tearfulness, shame, embarrassment, hypersomnia, and difficulties in concentration. Denies any symptoms of mania, psychosis or emotional trauma or any other psychosocial stressors. Minor denies any substance abuse or use of medications such as Valproic acid. Denies any deaths or losses in immediate family. Family history is significant for diabetes mellitus in mother. On mental status examination she appeared obese. She seemed dysphoric. She answers questions slowly and thoughtfully and does not speak spontaneously. Her affect was constricted and sad. She described her mood as “depressed for as long as I can remember.” She reports feeling tired with heaviness in her arms and legs. Patient endorses suicidal thoughts with a plan to overdose. She denied auditory and visual hallucinations. Her judgement and insight was poor, as she mentioned that she wanted to die to get out of her miserable mood. The psychiatrist send the minor to her pediatrician for work-up for hirsutism. The workup done showed cysts in the ovary and elevated testosterone, LH, LH/FSH ratio, DHEAS. The pediatrician in collaboration with the endocrinologist diagnosed minor with Polycystic ovary syndrome

Social History: The patient widowed and lives in a house with her two daughters. Currently employed as a supervisor at Walmart and has health insurance through her work. Works full time and enjoy her work. She enjoys spending time with her family. She is sexually active. She is currently in

Client's symptoms are the following:Depressed mood most of the time at least five days a week, irritability, withdrawn, feeling lonely, isolate herself as she does not to talk with others, does not feel that she wants to be with friends and socialize with them, she feels anxious when she thinks that she will be with her father again as a future scenario, she is experiencing bad dreams, has flash back when her father was hitting and abusing her mother, some times has nightmares at least 3 times per week, intrusive thoughts of trauma, difficulty concentrating at school, and she does not like to do homework especially the long assignment. Client reported that she has these symptoms at least five days per week and some of them in a daily bases.