The Case of Margaret Margaret is a forty-year-old woman, whose husband left her for a younger woman. Margaret has experienced symptoms of shock, rage, and weeping spells. She has been isolating herself in bed because she doesn’t want to deal with anyone or anything. Along with her depressed mood, she has been consuming alcohol in a considerable amount. Margaret’s business has been suffering and she feels like a “total failure”. Family members concerned grew, which pushed Margaret to meet with a clinical psychologist (Butcher, Hooley, & Mineka, 2013). I will form an appropriate diagnosis, rule out disorders, address the potential risks for suicide and homicide, and form recommendations.
Forming A Diagnosis After careful consideration, I believe Margaret is suffering from F32.2 Major Depressive Disorder (MDD), severe, single episode, with melancholic features. The Diagnostic criteria for MDD fits with the information given in the case of Margaret. Margaret has a depressed mood most of the day, nearly everyday by subjective report or by observation of others. Margaret has a diminished interest or pleasure in all or almost all activities most of the day, nearly everyday. She experiences psychomotor retardation nearly everyday. It is clear Margaret is suffering from fatigue and loss of energy. She experiences feelings of worthlessness and excessive inappropriate guilt everyday. She reports having diminished ability to think and concentrate nearly everyday. The symptoms
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When Rowland H., a prominent Rhode Island businessman and Yale graduate, relapsed into his alcoholism, the renowned psychoanalyst Carl Jung, refused to provide any further treatment citing that Rowland had reached the end of what psychology and medical science had to offer him. Carl Jung recommended that Rowland H. seek spiritual guidance and referred him to the Oxford Group. (Blum, 2006)
Lester is a 40-year-old man referred to me for counselling by his doctor. He is currently married and lives with his wife, Carolyn, and their 16-year-old daughter Jane. He is employed as a fast food attendant (Cohen, Jinks & Mendes, 1999). At the initial examination Lester dresses untidily and unshaven, and avoids eye contact. Lester reports an overall feeling of unhappiness (Cohen, Jinks & Mendes, 1999). He stated that he has become reckless and self-destructive and worried about some of his recent life decisions.
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.
and having carefully analyzed the text, I am leaning towards a diagnosis of, major depressive disorder. The observed symptoms, which the protagonist seems to line up with the following symptoms listed in for Major depressive disorder in the DSM-5 checklist provided in the book (Comer, 2014). In the short story, the protagonist has mentioned and expressed with her actions feeling: in a depressed mood for most of the day, Daily diminished interest or pleasure in almost all activates for most of the day, Decrease in daily appetite, experiencing hypersomnia, daily fatigue or loss of energy (Comer, 2014). These things mentioned are symptoms that are categorized as being
A major depressive episode is not a disorder in itself, but rather more of a description or symptoms of part of a disorder most often depressive disorder or bipolar. A person suffering from a major depressive episode must have a depressed mood or a loss of interest in daily activities consistently for a minimum of a two-week time span (Psych Central, 2013). In diagnosing the mood must reflect a change from the person’s normal mood. A person’s daily activities and functions, such as work, social routines and friends, education, family, and relationships must also have been negatively impacted by the change in their mood. A major depressive episode is also identified by presence of five or more of the following symptoms. The patient can show signs of significant weight loss or weight gain even not dieting or trying to lose or gain weight. The patient will also display a change in appetite almost everyday, either with an increase or a decrease in their normal eating habits. The weight change is typically set at an increase or decrease in weight of more than 5% per month. The patient will display a depressed mood almost the entire day and this sadness, emptiness, loneliness, crying, and distant is observed by others or indicted by the patient, is typically
The diagnosis of Major depressive disorder and Borderline personality disorder (BPD) are entirely accurate, as Diana’s behaviour epitomizes the characteristics and diagnostic features of both disorders. As outlined in the DSM-5, Diana exemplifies symptoms warranting a diagnosis of major depressive disorder, as she displays the presence of five or more specified symptoms while having no prior history of mania. Diana exhibits the diagnostically required symptoms of frequent depressed mood, diminished interest in normal activities, and recurring suicidal thoughts/attempts, resulting in considerable distress and impairment. (APA, 2013, p. 160-161). In addition to fitting the diagnostic criteria, Diana demonstrates marked deficits in areas of functioning. Most strikingly Diana typifies emotional symptoms common in unipolar depression including prolonged and severe unhappiness, crying spells, and a general sense of hopelessness. Diana also displays
On December 23rd, 1954 an interview was taken place with a new client by the name of Andrew Laeddis. In order to assist Andrew with the highest patient care, a full detailed biopsychosocial assessment report has been processed on his behalf. This assessment consists of Andrew’s demographics, his presenting problem, any potential precipitating factors, social relationships, hobbies/activities, occupation/education status, medical history, legal status, and substance use/abuse. This will also include a brief statement of Andrew’s participation, personal values/attitudes, personal strengths, and diagnosis.
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
Mary, a 31-year-old single mother of three children (ages 9, 5, and 3) has been seeing Annabelle, a mental health counselor at a community mental health center for about 4 months. She has become increasingly anxious over past few weeks and reports that she feels frightened all the time, is unable to sleep through the night, and worries that “something horrible is going to happen.” She also admits to having a “couple of drinks” during the evening several times a week. Mary shared during her last session with Annabelle that she is very worried that she is a horrible mother and is afraid that her children will be taken away and placed in foster care.
The point at which the client’s symptoms were most extreme was towards the end of her alcoholism, which was in her early thirties. She used humor, felt incomplete and fragile, oversensitive to other’s reactions of her, felt the need to hide from people whether it was through work or through drinking, and was aware of her drinking problem. She also presented with anxiety, excessive exercising and healthy eating, and denial of drinking in excess.
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.
The Sarah self-referred for assessment at am outpatient clinic. She subsequently requested a referral to a psychologist in Chicago, IL. Sarah is a 24-year-old adult Caucasian female who identified as a lesbian. She reported a history of depressive symptoms that have worsened in the last few months. She is seeking treatment for these intensified depressive symptoms. She described having “depression” many years ago, but became evasive when asked to clarify. In addition, she noted a concern with experiencing anger and hostility towards others; she stated that these emotions are “uncomfortable” for her. She clarified that in the past three months she has perceived herself as “grumpier than usual.” She reported having experienced anhedonia, fatigue, and insomnia.
296.32 (F33.1) Major Depressive Disorder, recurrent episode, moderate severity, with anxious distress. Ms. Client meets eight of the nine diagnostic criteria for Major Depressive Disorder (MDD). Specifically, during several periods of time she experienced depressed mood, diminished interest in things she enjoyed to do, hypersomnia, psychomotor agitation, fatigue, feelings of worthlessness, decreased concentration, and suicidal thoughts without intent. Additionally, as Ms. Client expressed, these symptoms are source of continuing distress and interfere with her academics and social functioning. Also, her symptoms started four years prior to the psychological assessment and persisted intermittently since then, lasting for several weeks to several months, with the most recent period of extended length (enduring two weeks) approximately one year ago. Since the last episode she has experienced these symptoms for two to three days at a time. Although the last episode that met the criterion of two weeks duration occurred approximately a year ago, the symptoms have not disappeared, but they occur periodically since then and when they do, they cause considerable distress and impairment in functioning. Thus, the disorder cannot be coded as ‘in partial or full remission’. The specifier ‘with anxious distress’ was given, because Ms. Client reports feelings of difficulty in concentration because of worry and restlessness.
Lanesha is a 12 year old girl that has been having trouble with her temper and her anger in almost every aspect of her daily life. Her medicine and compliance to her treatment plan are no different. As a teenager, she does not want to continually be hassled and bothered. So to avoid this she constantly is telling the providers lies, or in her mind, “what they want to hear.” (http://support.mchtraining.net/national_ccce/case1/Flash/activity1.html). Lanesha has a sense of neglect from her grandmother because she states that she want to act like everything is fine as to appease her Grandmothers temperament. Marietta, also shares in frustration but also has a great deal of added stress as she also cares for her 10 year old grandchild and also her older ailing mother. Marietta exudes many of the qualities spoken by Dr. Horky in her presentation; her own age is taking a toll on her ability to care for Lanesha, she is worried about Lanesha. Due to Lanesha’s age and behavior however, Marietta is experiencing depression and grief. Almost portrays a sense that she has given up, like she has done all that she can. (Horky, n.d.). Other socioeconomic issues are in Marietta’s forefront.
This paper introduces a 35-year-old female who is exhibiting signs of sadness, lack of interest in daily activities and suicidal tendencies. She has no interest in hobbies, which have been very important to her in the past. Her lack of ambition and her suicidal tendencies are causing great concern for her family members. She is also exhibiting signs of hypersomnia, which will put her in dangerous situations if left untreated. The family has great concern about her leaving the hospital at this time, fearing that she may be a danger to herself. A treatment plan and ethical considerations will be discussed.