Final PSY 270 PSY 270 9/11/2011 Pamela J Reeves Final PSY 270 The subject (Marla) is a 42 year old female who is seeking help from the mental health clinic for a variety of symptoms which the subject believes is causing her distress. These symptoms include: trouble sleeping, feeling jumpy all of the time, and an in ability to concentrate. The subject, whose complaint is a decreased performance at work, feels these symptoms to be the cause. It is apparent that a concern for the subject’s employment has prompted her to seek help for these issues. During intake it is agreed that the subject’s symptoms require further analysis to reach a final diagnostic conclusion as these symptoms are apparent in the criteria of a multitude of …show more content…
Is there any family history of depression or suicide? 9. Tell me how you perceive that people see you, what kind of moral or ethical structure do you feel you have? 10. Do you take any medications at this time; do you use alcohol or any other substance? 11. How long have you been experiencing these symptoms? 12. Have you had any other physical symptoms, such as chest pain or stomach problems? 13. In regards to your inability to sleep, what specifically are you experiencing? 14. Have you lost interest in any of your outside activities? 15. On a scale from one to ten, one being the least and ten being the highest, how would you rate how troublesome your symptoms are to you? The subject is then sent to our Clinic Physician to make certain that no other physical reasons may exist for her symptoms. A full physical exam along with a blood test or (CBC) will be required to rule out any thyroid problem or history of substance abuse. The subject is asked to come back the following week for the findings of the treatment team. The results of the test are gathered and taken to the treatment team for evaluation. A Multiaxial Evaluation is used which classifies the criteria from the DSM-IV. The first is Axis I which includes clinical disorders, most V-codes and conditions that need clinical attention. In this case the subjects Axis I would be: 300.4 Dysthymic Disorder, Late onset, the Axis II is the area for Personality Disorders and/or Mental
15. What interactions have you had with our staff team in the past: I have been quite a funny goofball, haha.
Mr. A. is a 56-year-old man who was diagnosed with PD 8 months ago. He reports slowness with walking, a tendency to drag his left leg, and limited swinging of his left arm when he’s walking. His neurologist started him on 1 mg daily of Azilect, a drug that helps relieve tremors early in the course of the disease. Mr. A. works full time and does not currently exercise. He heard that exercise may be helpful for people with PD but doesn’t know which exercises are best for him and how much he should exercise.
B. Treatments: There is no cure for this disorder, but it can be managed. Being able to live a “normal as possible life” is one of the main focus of treatment (Somatoform Disorders). They will in all probability still have some pain and symptoms. There is one good thing; about this disorder it will not shorten your life. Your physician may prescribe medicine for your symptoms, but in most cases it is not needed. Making your regularly scheduled appointments will help maintain your health.
For my project I chose to do images from the media and studied three magazines. The magazines I chose were Seventeen, People, and Cosmopolitan. Of those three they each had male and female models/celebrities which I wasn't surprised by. The ages in Seventeen ranged from 15-25, in People they ranged from 20-60, and in Cosmopolitan they ranged from 17-30. Also the ethnicity in each magazine were fairly similar like Irish, African-American, Kenyan, Dutch, and very few Latinos. There wasn’t much diversity between the three magazines, there was some but not a lot. That brings me to the point to the other part of the diversity not just ethnicity in magazines but body types. All the girls and guys were either fit or really skinny. I will point out that not one of these magazines had a weight loss ad. Seventeen had a food article on how to eat the rainbow with vegetables, which was a great thing
Onset: When did you first notice the fever? Where were you when you first began having the symptoms?
When I begin to use the diagnostic and statistical manual of mental disorders based on axis 1: Billie displayed depression or a mood disorder which could have caused her to use drugs at an early age. Axis 2: Billie displayed a
DSM Diagnosis: Include behaviors & symptoms consistent with diagnosis. Axis I: 296.21 Major Depressive Disorder; Axis 2: deferred; Axis III: COPD; Axis IV: primary and social
Ms. Blum is a 28 year old white female who comes to the pharmacy looking for something to improve her memory and concentration. Sometimes, she is also woken by a severe headache a couple days before her period starts. She does not participate in activities that she used to enjoy, such as spending time with her friends or going tanning. Two weeks later, she has been diagnosed with major depressive disorder, for which, her physician prescribed fluoxetine. Three months later, Ms. Blum returns to the pharmacy with an improvement in depression symptoms. She states that her periods have become irregular. She has begun to exercise regularly and tried, unsuccessfully, to quit smoking. Laboratory work for Ms. Blum shows an elevated level of serum prolactin and no masses or pituitary enlargement.
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.
Under Axis I: I would say I had an eating disorder, mood disorder, and sleep disorder. When I was blamed on something I have never done by my stepmother it killed my emotions and mood. I ended up eating without understanding. I was continuously eating thinking time was going to move faster if I eat. I was feeling worthless and didn’t think someone cared about me. I was always like dead walking, had no interest in anything. My brain won’t shut off for me so I could sleep. I was very depressed and life was hitting me from every point. My life was a total mess and I was worthless. I wasn’t able to function as a regular human
Marla Hernandez is a 42-year-old Hispanic female and has presented to the mental health clinic with concerns and complaining of symptoms of having trouble sleeping, feeling “jumpy all of the time,” and experiencing and inability to concentrate and these symptoms have started to have to affect her daily life particularly when at work. are causing problems for her at work, where she is an accountant.” (Axia College, 2007).
4. What is the recommended treatment for the most likely disease or disorder you identified?
Axis ? refers to the description of symptoms that causes significant impairment. Axis II defines long-term problems that are unnoticed in the presence of Axis I disorders. Personality disorders can have a deep effect on how a patient relates to the world, for example antisocial personality disorder. Axis III offers information about any medical conditions that could be present. Axis IV describes the psychosocial and environmental factors influencing the person. Axis V allows the clinician to rate the client's overall level of functioning. It uses a rating scale called the Global Assessment of Functioning (GAF). This rating scale goes from 0 to 100 and provides a way to summarize how well the person is functioning overall.
Take a moment to self-assess and fill out the image below. Give yourself a 1-10 point rating for the statements below (10 being extraordinary, 1 being unfulfilling). Connect the dots in each section or shade in the rows in each section to see a visual representation of the current state of your personal
Do tell your doctor if any of these symptoms become severe or do not go away. They include: