Diagnosis According to DSM-5 criteria, the client exhibited characteristics matching that of a Major Depressive Disorder with Anxious Distress. Loss of interest or pleasure in most activities is evident, changes in sleep habits, decrease in appetite. She has experienced feelings of guilt by blaming herself for the relationship breakdown with her long-term boyfriend and tends to worry about a myriad of things. Although she states that she has no suicidal ideation, in the past Emily engaged in substance use to help her relax and control her thoughts but has no contact since the breakup. These symptoms have continued for most of the day, every day, for at least 2 weeks since the breakup 3 months ago. Often anxiety accompanies these symptoms causing excessive worrying about the past, present and future. Emily ruminates about how she was responsible for the failure of the relationship, how she will never find another partner, as well as everyday …show more content…
GAD was ruled out because it’s characterised by excessive anxiety and worry for at least 6 months in which her symptoms has not reached the duration to be eligible for a diagnosis. Conversely, AD is characterised by similar symptoms to MDD but the key differentiating feature is that its symptoms must have occurred in response to an identifiable stressor. In Emily’s case, an identifiable stressor could be the breakup 3 months ago which is within the onset time frame of AD or another stressor because she was already unable to sleep due to worrying over the past year. This predates the relationship breakdown and hence, due to the lack of Emily’s history about the past year, there isn’t enough information to confirm that Emily’s current symptoms were a result of her recent breakup or an exacerbation of her pre-existing
Molly is a 29-year-old woman unemployed, living with her parents. She presents to the therapist looking sad, stark and exhausted with lethargic movements. She expresses concerns with feeling down for 2 ½ years after a job loss from an exciting IT career. She is unmarried and currently using marijuana regularly and moderate amounts of alcohol to cope with her sadness. She can no longer find pleasure in things, her mood can be described as depressed, and she has poor sleep hygiene, difficulties with concentration, no appetite, and no interest in sex. She also has concerns about feeling irritable and nervous. She has recently unintentionally lost 15lbs. While talking with the therapist she frequently is tearful. This is her first experience with a
a 44 year old Divorced African Male came into Henry Ford Hospital ED as a walk-in and told the HFHS staff that he was having mental health issues he does still struggle with depression and anxiety. The consumer stated that he initially went into the hospital after his brother was shot twice in the head. At that time the client reports that he was placed on Risperdal, while at Kingswood in January, and he became a zombie at that time. He stated that he has been in and of the hospital multiple times since then, and each time, he has been placed on Risperdal and he doesn't feel that his meds were ever adjusted correctly.
R.A. is a 12-year-old female who was admitted to Presbyterian Kaseman Mental Health facility on February 26, 2016. She was initially brought into the emergency department by her mother for cutting (self-mutilation). Patient had sent long text messages to mother with thoughts of wanting to die, the world would be better without her, feeling lost, and has memories that she had declined to talk about. She described feeling overwhelmed, not able to focus, depressed, anxious and that her thoughts were continuously racing prior to be admitted. Patient lives with her mother and pregnant sister and has a history of self-mutilation and marijuana use. The patient’s Axis I diagnosis on admission was major depressive disorder (MDD),
During the time of the assessment the patient was awakened by the clinician. The patient appeared drowsy, however reports that she understand who I was and is okay with going through with the assessment. The patient reports that recently she has been overwhelmed with losing her job, house, and car. The patient states, "it been real hard the last 3 days." Patient reports thinking about everything that has occurred. The patient reports living with a ex-boyfriend
Isabelle, a 25 year-old woman, began treatment with Dr. Dee after family members recommended she find relief for her feelings of guilt, hopelessness, loss of appetite, and lack of energy. Upon entry of her first session, Isabelle noted to Dr. Dee that she consulted with her doctor about her symptoms prior to scheduling an appointment. She reported her doctor did not find any medical causes of her symptoms and suggested they were most likely derivatives of a psychological matter. Following a thorough assessment, Dr. Dee concluded Isabelle was suffering from major depressive disorder. With her informed consent, Dr. Dee and Isabelle began therapy on a weekly basis. Isabelle slowly opened up about past experiences with each subsequent session. Her sessions were primarily focused on the break-up with her college sweetheart and fiancé; Isabelle never revealed his name over the course of nine months in therapy. She reported they broke-up approximately seven months prior to her attending therapy and felt her symptoms worsened during that period. Isabelle stated they had a fairly good
Instructions: Read the following case study about a woman, Allison, who is suffering from anxiety. After you have read the case study, diagnose Allison and present some methods of treatment by answering the questions.
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.
Another disorder of Emily is major/clinical depression. Major/clinical depression is when a person is depressed throughout the whole entire day and have no interest in doing any activities or having relationships. The symptoms for this depression happen every day for about two weeks straight. A few other symptoms that occur with major/clinical depression is when the person thinks about suicide, having a loss of energy every day,
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
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.
Hanna was referred by her GP, because she has been experiencing some anxiety difficulties. Client reports that she began to have anxiety five or six years ago. Reportedly, she recently moved out of her parents’ home and this may have caused the anxiety to escalate. This is the first time client has moved away from her parents.
On September 13th, 1848, a man's life was changed forever. Phineas Gage, a foreman for a railway construction company, was using a tamping iron to pack explosive powder into a hole. Having done this many times, Gage didn't think twice about it. The powder detonated, shooting the tamping iron into his cheek and out his skull. Surprisingly, Gage survived the accident and was conscious enough to make a joke towards the doctor. Although he lived, he was no longer the person that he used to be. Before the accident, Gage was the top dog at his company. Shortly after his recovery, he attempted to return back to work but his boss would not let him. According to The University of Akron, "He was fitful, irreverent, and grossly profane, showing little
The Anxious personality disorder consists of three sub personality disorders. The first one is the Avoidant personality disorder. Individuals will typically be afraid to get too close to anyone. This has to do with early trauma, and assumptions that they will be negatively evaluated. They will feel overwhelmed in social situations. Individuals will usually seek therapy on their own in order to feel affection and acceptance. It can get tough treating these patients because eventually they will begin to avoid sessions. The first step for the client is to be able to feel like they can trust their therapist, which will lead to treating the patients social anxiety and any other type of anxiety they are feeling. Group therapy followed by cognitive
The patient, a thirty-three year old female singer, is having difficulty sleeping, simple activities like getting groceries tire the patient easy, complains of neck pain, and cannot concentrate. The patient experiences worry and anxiety. However, when asked about what specifically, many things were brought up but none were more important than the other.
The difference between social anxiety disorder and other disorders is that a person is capable of enjoying themselves. This is because they are not impacted as severely physically since their fear is only stimulated in the event that they will have to be