Case #1: Jim Diagnostic Impressions 300.4 (F34.1) Persistent Depressive Disorder, moderate, late onset, with pure dysthymic syndrome V62.5 (Z65.0) Conviction in Civil or Criminal Proceedings Without Imprisonment V61.03 (Z63.5) Disruption of Family by Separation or Divorce Diagnostic Evidence Jim is describing symptoms that meet criteria for persistent depressive disorder (PDD). In specific, he described symptoms that allow Criterion A, which requires the presence of a depressed mood for at least two years (American Psychiatric Association [APA], 2013), to be met. He reported that he is mildly depressed. Such depression, as described, started approximately five years ago when he “ran out of steam.” Since then, he has experienced various associated symptoms, such as irritability, hypersomnia, and weight gain, which allow Criterion B (i.e., the presence of two or more associated symptoms; APA, 2013) to be met. Criterion C requires that symptoms not remit for more than two months during the two-year period (APA, 2013), and Criterion D requires that the symptoms be continuously present for at least two years (APA, 2013). His symptoms were described as occurring constantly during the past five years, thus allowing Criteria C and D to be met. Because he did not report the presence of mania, hypomania, or psychosis, Criteria E (i.e., the disturbance is not better explained by a bipolar disorder; APA, 2013) and F (i.e., the disturbance is not better explained by a psychotic
The Influence Of State Anxiety On The Relationship Between Depressive Symptomology And Poor Sleep Quality
The depression is concerning as it lasts for a considerable amount of time after each worry session and takes away his pleasure in his usual activities. Because Daniel's anxiety only led him toward having heart attack like symptoms twice in the past this is not considered a consistent symptom. To be diagnosed a specific disorder, the symptoms should be reoccurring. His family showing concerns for Daniels behavior proves the validity of an ongoing illness.
4. The symptoms the client described that were consistent with the diagnosis. Describe at least 2 symptoms from the diagnostic criteria.
Psychotic depression occurs when a depressive illness also includes hallucinations, delusions or the patient feeling removed from reality. Psychotic depression affects approximately one in four people admitted to the hospital for depression.
Additional, the client has met a Major Depressive Episode, which includes him currently meeting the three criteria; A, B, and C. Criteria A suggest that the client meet five symptoms during a two week time period. The client’s symptoms are as follows: depressed mood most of the day nearly every day as indicated by observation of his wife, marked diminished interest in activities most of the day, nearly every day indicated by observation of him not going to work in the past two weeks, psychomotor retardation nearly every day the last two weeks observed by his wife due to him not leaving the bed, diminished ability to think noticed by others when suggesting courses of action as to what may be helpful to him, and lastly, recurrent suicidal thoughts of death demonstrated by his irrational inquiries about an un-diagnosable disease of him dying soon. Criteria B reads that the client’s symptoms have to put significant distress or impairment in life areas of function, which the client does meet due to him not being able to currently leave his home/bed. Finally, criteria C is met because the client has to history of substance abuse or another medical condition that indicates attributable physiological effects. Although, the narrative suggests that there is history of Major Depressive Disorder, those particular episodes, I believe are not clinically attached to this particular manic episode, where he is now saying, “My skin is coming off in
Sometimes people may have a mental disorder but because they do not want to seek help they use drugs to help them cope. As pointed out by Hays (2013) “counselors will often see clients because of the problems produced by drinking, such as deterioration in work performance, conflicts with others, depression, or poor health” (p.143). As counselors we need to know that sometimes a person may come in substance abuse but the reason for the substance abuse but maybe a mental disorder. Counselors should be trained to give assessments that will measure both mental illness and substance abuse.
Persistent Depressive Disorder is a milder form of major depressive disorder that’s called dysthymia. Dysthymia is mild and nagging and lasts for years. Complaints of depression are usually intertwined with their personality structure, and that can come off as whining and complaining. Even though it is not as severe as major depressive disorder, depressed mood and low self-esteem can affect the persons social and occupational functioning. In Brian’s case, it is reported that he does have depressed moods, and low self-esteem but it is more severe then dysthymia.
Referring to your previous comments “At step two, you consider whether the individual’s statements about the intensity, persistence, and limiting effects of the alleged symptoms are consistent with the objective medical evidence.” However, there is no objective evidence other than the one episode during the consultative psychological assessment.
Lori meets the criterion for Criteria A. This criteria will be later discussed in sections “Diagnostic Criterion met for a Major Depressive Episode” and “Diagnostic Criterion met for a Manic Episode”.
Based on the DSM-V (2013) diagnostic criteria Jose experiences Major Depressive Disorder 296.32 (F33.1), recurrent, moderate. The client experiences the following symptoms that have been present during the same 2-week period and represent a change from previous functioning; depressed mood most of the day, nearly every day, as indicated by either subjective report (e.g., feels sad, empty, and hopeless) or observations made by others (e.g. appears tearful). Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick). He is unable to cope with negative thoughts (i.e. worthlessness) and with depressive mood/symptoms (i.e. hopelessness, isolation, sadness) for about a year. Jose also experiences insomnia nearly every day by only sleeping 4-5 hours per night. He experiences fatigue or loss of energy nearly every day, having trouble getting up in the morning from bed. Diminished ability to think or concentrate, nearly every day since he entered high school. These symptoms cause clinically significant distress especially it impairs Jose’s academic performance, participation at religious activities and helping with house chores/homework. In addition, the episode is not attributable to the physiological effects of a substance or other medical condition. The
The third criteria will continued drug use despite major drug-related problems. This is when a person continue to take a drug even when it can cause harm to his or her body and even cause death. All this criteria’s goes together and this happens often when drugs are taken without really needing to take any. This is a
An individual has persistent and chronic depression, occurring more often than not for two years. A remission of symptoms cannot be longer than 2 months.
The data collecting will be through informal and formal procedures. The informal data collecting strategies will be through observations, documenting information, videotaping/voice recording focus group sessions. For the formal data collecting strategies, the Beck Depression Inventory-2 (BDI-II) will be used to identify and assess the depressive symptoms experienced by the clients. The BDI-II is a 21-item self-report assessment that is intended to measure the severity of the client’s depression. The reliability of the assessment is that it has been used for over 35 years and has been stated to be highly reliable (Beck, Steer, & Brown, 1996). Another formal data collecting strategy would be an open-ended questionnaire created by the agency asking
Past research has sought to establish set features of major depressive disorder (MDD) in adolescents. However, it has remained unclear as to how to compare different variables regarding adolescents due to the Diagnostic and Statistical Manual of Mental Disorders (DSM). Many in the medical field believed that depressive disorders did not exist in adolescents and that the DSM needed to be updated to better suit the society of today. Prior to the 1970s, depression in adolescents was not well researched. The Oregon Adolescent Depression Project (OADP) is one of few studies to provide early data regarding depression in adolescence. The Synoptic Expression of Major Depressive Disorder in Adolescents and Young Adults is a updated article that refutes past medical viewpoints that adolescents cannot suffer from depressive disorders. The original goal of this study was to determine the magnitude of the concordance for specific symptoms across episodes. On the basis of past empirical work however, researchers expected that across-episode symptom stability would be low. The purpose of the present study was to compare the symptomatic nature of MDD among adolescents and young adults and to examine the stability of specific symptoms across episodes. In addition, researchers examined different expressions of depressive symptoms between genders. The event of individual symptoms will not
There are also requirements around duration of symptoms, how it impacts one’s functioning, and ruling out substance use and medical illnesses (APA, 2013).