Christine is a 47-year old married Caucasian female. She currently takes Lexapro, 50mg, and has been taking it for 8 years. She reports a diagnosis of major depressive disorder. She has twice attempted suicide, both times she was under the influence of alcohol and took pills (two handfuls of ibuprofen). She reports to you that she often thinks about “not wanting to be here [alive].” What questions would you ask her? What are things you would consider about her case? What would you report to her prescriber? As her counselor, what would you want to work on? Diagnosis (Questions you would ask to get a diagnosis): Being that depression disorder is the most common in almost every diagnosis I would consider re-evaluating Christine to better understand if it is this disorder or if she has believed it for so long that it has just clouded her mind about only having this disorder. Depression is intense feelings of sadness, feeling helpless, hopeless, and worthless, that can last for many days, even weeks, that keep you from functioning normally according to WebMD (Depression). Asking and restating how Christine feels would be something that I would talk to her about. Also something that I would try to focus on would be some of the happy aspects that have happened in her life, not just the bad ones, and to rather see if depression has really clogged her mind. Due to depression being the number one most leading disorder, the most questions are: “In the past two weeks, how often
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.
The Influence Of State Anxiety On The Relationship Between Depressive Symptomology And Poor Sleep Quality
One of the most common psychiatric disorders is known as clinical depression and affects anywhere between 3% and 13% of the population with some form of depressive symptoms affecting as much as 20% of the adult population at some point in their lives (Amenson & Lewinson, 1981; Kessler et al., 1994; Oliver & Simmons, 1985, as cited in Antonuccio, Danton, & DeNelsky, p. 574). The concept of ‘harmful dysfunction’ advanced by Horwitz and Wakefield (2007) describes two key components of clinical depression: a dysfunctional mechanism and the dysfunction being harmful to the individual (as cited in, Parker & Paterson, p.405). This paper explores the following questions: what does research indicate about clinical depression and what are the implications for treatment? Reviews are presented in regards to the emergence of depression and psychotherapy versus medication to treat clinical depression. Considerations are briefly discussed and the research paper will conclude with an interpretation of the critical points.
In the study patients age 20 to 64 that is diagnosed with depression and on antidepressants was used to observe the possibility of antidepressants causing epilepsy. The data does show some links between antidepressant use and epilepsy, even though it is inconsistent and non-decisive.
Patient reports that current symptoms started five months ago. She has had suicidal thoughts everyday for that time frame. Family history is unknown. Patient’s medical history is currently unknown except she stated she had a headache for a year in
Usually, during the first assessment, a mental health professional will ask the patient if they are displaying any symptoms of the disorder, how long they have had it for, and whether or not they are severe. Initially, manic-depressive
I. “It’s an awful nice tail, Kanga. Much nicer than the rest of me. ” This was a statement made by Eeyore, a character from the popular children’s series, Winnie the Pooh. II.
This is a 38-year-old female with a 1/10/2013 date of injury. A specific mechanism of injury has not been described.
In general, depression can be effectively treated, even in some of the most severe cases. However, the earlier depression treatments begin, the more effective they are.
What is major depressive disorder? Major depressive disorder is a psychiatric disorder documented in the DSM. Major depressive disorder interferes with an individual's normal functioning in everyday life and causes pain to the person with this disorder and to those close to the person. Individuals with major depressive disorder cannot just "pull themselves out" of this depression on their own and the symptoms accompanied with this disorder can last for weeks, months, and even years (Butcher, Mineka, and Hooley, 2013, p. 221-22). Recognizing the symptoms is critical because most people need treatment to get better.
According to the center for disease control , one in ten adults has depression (Centers
In order to diagnose Demi, I used a multitude of DSMs for each of the diseases that she showed signs of. To start off, however, I used the mental status exam during her first visit. I used the mental status exam during our first initial meeting and based upon it I have ruled out any disorder where she could possibly bring harm to others, but she does pose a certain risk to herself where I would like to put her on suicide watch while she is here. During the meeting her appearance was normal for someone who had just gotten off of a long plane ride, her speech and eye contact were normal, and she had a full affect. And, as expected, her mood seemed to be anxious, depressed, irritable, and possibly angry. Her cognition was normal; she had no orientation or memory impairment and had a normal attention. Perception was normal with no hallucinations, but one aspect of her thoughts gives me a reason to put her on suicide watch. Demi has no homicidality or delusions, but she does self-harm which could point to suicide if pushed far enough. She was however very cooperative with answering my questions, but at the same time was agitated at the fact she was in rehab. Her eating disorder had made itself obvious to me, but over the next few days I had noticed some serious mood shifts that could indicate some form of a mood disorder. After further research I came across the DSM for Bipolar
Major depressive disorder (MDD) is a common mental health disorder seen in primary care. It effects all age groups, although the presenting signs and symptoms will vary at different ages. Many clients have somatic symptoms that mask the depression symptoms and make it difficult for physicians to diagnose MDD. Patients with this disorder have difficulty with work and social functioning. There is an increase in comorbidity with chronic illnesses. These clients are 30% to 40% more likely to have MDD (McCarron, 2009). Potential for suicide is high with this diagnosis. Not surprisingly, the majority of these clients are seen in primary care setting supporting the need for screening clients
Depression is considered to be the "common cold of psychological disorders." This is because depression is the most common mood disorder. In fact, depression is becoming more and more widespread and the incidences of depressive disorders are increasing rapidly.
In responding to Emily’s statement that her file “Says it all”, First, I would acknowledge that I am aware she has been receiving treatment for several years. among psychiatric disorders (Be izario, 2017). Some of the questions I would ask is, how long she has been feeling this way. Does she feel like hurting herself, how many hours of sleep do you get, do you have unintentional weight loss or gain, during the last month have you often been bothered by having little While expressing the fact that although her file may contain detailed information with her past treatment, I would like to hear from her on what she thinks her problem is. Explaining to her after we identify her current concerns we can work on mutually define goals to achieve measurable outcomes. After by giving me a detailed description of what she feel is her current problem will allow me to better help her and give me a better understanding of who she is. I would also ask Emily what she