Symptoms Of Symptoms And Treatment Of A Depressive Disorder

1340 WordsMar 29, 20176 Pages
Introduction This case study pertains to a 37 year-old female named Ellen Waters of undisclosed race who appears to be suffering with some form of a depressive disorder. Ellen is a single (never married) graduate student who lives alone and works in home healthcare. Throughout her adult life she has been unable to or uninterested in maintaining a job or a relationship for longer than a few years, and even her current relationship may be waning (the longest she’s had, at about six years). Her early family life was tumultuous; there was heavy domestic strife between her parents, her father abused alcohol, and Ellen reported that both parents emotionally abused her (there is no mention of siblings). Ellen first attempted suicide at age…show more content…
Depressed mood most of the day, nearly every day. (Ellen said that she “was depressed most of the time during the month before the consultation.”) 2. Markedly diminished interest or pleasure in activities most of the day, nearly every day. (Ellen has yet to begin her thesis for her doctoral degree; speculative, but perhaps she is no longer interested in the program.) 3. Significant weight gain. (Ellen “gained about 10 pounds” in one month.) 4. Both insomnia and hypersomnia. (Ellen reported regular difficulty staying asleep and then oversleeping for up to 18 hours at a time.) 5. Psychomotor retardation nearly every day. (Ellen reported feeling “like dead weight, her legs and arms…heavy, and…always tired.”) 6. Fatigue or loss of energy every day. (See 5.) 7. Feelings of worthlessness or excessive or inappropriate guilt. (Ellen “ruminates about her own failures.”) 8. Diminished ability to think or concentrate. (“Cannot concentrate on any serious reading.”) 9. Recurrent thoughts of death. (Ellen “often wishes to be dead.”) Finally, Ellen’s symptoms do cause significant distress and do interfere with her social and occupational functioning, and they are not attributable to the affects of a substance or medical condition (based on current information), fulfilling criteria B and C of MDD (DSM-V, 2013, p. 161). Although the absence of symptoms consistent with a schizophrenic or delusional disorder fulfills criterion D of MDD, criterion E (“There has never been a
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