Physician Assisted Suicide Case Study

AT is a 22-year-old female who presents for treatment of depression. Psychosocial predisposing factors include growing with strict and controlling father who is dismissive of her views and choices. Her mother used to be busy with work, yet she made herself available much to her, and her brother cared of his sister who is 10 years older than her. Furthermore, when she was 8-year-old her brother used to take her for parks, activities, CNE to play with him and she experienced that as a great support.

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.

six¬ month history of episodes in which she becomes confused and is unable to continue with her train of thought

The girl who was always full of life was now apathetic and I had no idea what to do to help her. All I could think of was to ask how her was doing and if she needed any assistance with her studies. It got to the point where she broke down crying at the most unexpected times. It was difficult to seeing her like this constantly, which was why I finally decided to take action and help her in the best way I could think of. I thought back to where her change in behavior first started occurring. The only reasoning I could come to was that Jenny was exhausted from not taking breaks while continuously studying for her finals. The first step I took to try and help her was by disrupting her studying at a reasonable time to get her to take a break. We still had a few weeks until finals took place, so I know she had the time to relax rather than constantly studying. I went to the place that she studied the most, the library, to see how she was doing. Likewise, she was occupied with her books. The first thing I did was disrupt her in a polite manner to see how long she had been there for. From what I correctly guessed, she had been studying for a few hours without any breaks in

My diagnostic impression is (1) Social Anxiety Disorder (meeting criteria of overwhelming fear of ridicule from her peers, fear of embarrassment of others seeing her experience anxiety, and avoidance of situations that may cause embarrassment and exacerbate her anxiety) and (2) Major Depressive Disorder (meeting criteria of depressed mood, fatigue, isolation, loneliness, irritability, intermittent sleep impairment, and poor concentration).

My client initially talked about their relationship problems with their spouse. Once probing further, I was able to figure out that she had episodes for the last four years of being in slightly high moods as well as slightly low moods and her spouse was getting upset at how “moody” she has been. Immediately, I thought of Cyclothymic Disorder because of the persistent amount of time as well as the intensity of the episodes, but knew it could also be Bipolar I Disorder or Bipolar II Disorder if she met criteria for a manic or hypomanic episode. I began to probe more on her current mood, which she describes as feeling down for the past 2-3 months. I asked about other symptoms of major depressive episodes, such as diminished interest in activities, decreased or increased appetite, sleeping too much or too little, lack of energy, feeling guilty, as well as thoughts or plans of suicide. I was proud that I remembered to ask about all of those criteria and felt confidently doing so, but I did miss asking about diminished ability to concentrate or make decisions. In all of her answers to these questions, they either did not apply or were very insignificant. I discovered she felt slightly down, had a lack of energy and diminished interest in activities, but was still able to go to work and not be affected. The main issue was her husband being irritated that she would switch from feeling down and lying in bed more often to feeling more

Complained of low mood, low energy and lost interest for one month. She has been feeling low since one month ago due to problem at work. She also feels lethargy and tends to sleep more than usual. She has normal appetite, still able to do work and usual routine. She claimed no suicidal thought or harming self. There is no hallucination or delusion. Denies any manic symptoms or taken alcohol and illicit drug.

A year and a half goes by, and she came home for winter break and her face looked as if she has not seen the light of day for a year. Unresponsive and skinner, despite the meal plan that my parents clearly reminded her about each month, she was quiet and seemed to be inside of herself.

Growing up in a family of four, parental recognition and attention can be a difficult thing to obtain. During my sophomore year in high school, my sister and closest friend became depressed. She acted different and distant, rarely talking to me or my family. This drastic personality change prompted me to investigate, only to be shocked by what I found. One evening, I walked into her room and found something depressingly inimaginable: she was cutting herself. Although the cuts were not deep yet, I sat down with her, and she began to pour her heart out me about her deepest and most negative emotions. I carried her burden for a long time, but, as things began to escalate, I begged her to reach out to our parents. However, she refused to seek the

The next is the perceived cause of the illness. (Ogden, 2017) Depression is an illness that can affect “…how you feel, think and behave and can lead to a variety of emotional and physical problems.” (Mayo Clinic, 2018) With depression there are a variety of factors that can cause it. The causes can be either biological or psychosocial. In this case, it would most likely be because of psychosocial factors. Some of those factors probably include stress from her job, and anxiety from fear of being in social

Also, she can fall into a depression state due from neglecting from friends, well as overwhelmed with school work, financial burden that will fall upon her.

I have known Jessica Walker for about 2 years, she started dating my son and I could see that Jess came from a dysfunctional family almost immediately. She seemed distant and had a very hard time feeling comfortable around our family because we are a pretty close and loving family. As I have gotten to know her, which has been difficult because she wouldn 't let us in, she has opened up about her family situation and her relationship with her mother. Her father passed away when she was eight-teen, so her mom has probably been the biggest influence in her life. From what I can tell it has been unfortunate because her mother is emotionally and mentally abusive to her. The emotional games her mother plays with her has caused a great deal of anxiety for Jess. She loses sleep over things her mom does and says to her and becomes very emotional and cries frequently over the abuse. Jess currently works for her mother which just exacerbates the situation.

Her primary symptoms are thinking of dying, incorrect interpretations of life events, bizarre thoughts and ideas, thinking she hearing voices, sleeping issues, disobedient and aggressive behaviors, no desire for social interaction from other children and is withdrawn from social interaction. Susan is not progressing in school for her age or social development.

A common consequence of this can be observed when an individual becomes more indecisive or has difficulty paying attention on completing a task that was previously relatively easy to do. Additionally, I will also look out for any changes in appetite or weight loss, as well as any change in energy levels as psychomotor agitation or retardation are symptoms of severe depression. Any mention of suicidal ideation or acts of self-harm should also be addressed seriously. If some of these signs and symptoms are evident and they prolong for some time, i.e. for more than two weeks, Mdm Soh may indeed be suffering from Major Depression and will require professional help and/or medication to cope better with her

Each day she was becoming notorious, she could disrespect parents to an extent she could fight with her mother. The addiction becomes intense each day and after two years when now she dropped out of school and engage in smoking tobacco, among other stuff. She became addicted to the extent that she could feel bad when she doesn’t. She is in a stage of later excessive alcohol consumption which has led to uncontrollable drinking; she could not sleep, or do house chores. She developed a behavior of separating from the family. Most a times she seemed to be thinking a lot her thoughts could be intense.