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Depression treatment and therapies essay
Postnatal depression effects on mothers
Case study for perinatal depression
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Case Study Paper
On April 8, 2016 a 42 year old woman went in to see her therapist because she had a lot on her plate and was feeling quite overwhelmed. It was there in the therapist’s office where she stated “I don’t want to live anymore” and that she was “overwhelmed with sadness”. Although she did not have a plan in place to commit suicide, her therapist thought that it would be a good idea for her to get some help. She then voluntarily went to Contra Costa Regional Medical Center’s psychiatric emergency where she was admitted for major depressive disorder and suicidal ideation.
Patient History
The patient’s medical history indicates that she has a background of depression, anxiety, and cerebral palsy. In the patient’s medical chart, it
It causes severe symptoms that affect how you feel, think, and handle daily activities, such as sleeping, eating, or working. There are different types of depression that take place under unique circumstances which includes persistent depressive disorder, perinatal depression, psychotic depression, and seasonal affective disorder. Persistent depressive disorder is a depressive mood that lasts for at least two years. Perinatal depression is what a woman can experience while she is pregnant or after she has delivered. It is more serious than “baby blues” and it makes things very hard for the mother and ultimately the baby. Psychotic depression is depression secondary to a psychotic disorder such as schizophrenia. Seasonal affective disorder is depression caused during the winter months and returns every year. It was not noted what type of depression the patient had, but on observation and by reviewing her medical charts it seems as though the patient was experiencing persistent depressive disorder and perinatal depression. I believe that she suffers from persistent depressive disorder because it was mentioned in her chart that she has been in the system off and on since 2008. For her it is something that comes and goes. Her doctor also increased her dosage of Zoloft because of her increased risk of post-partum depression with
Major depressive disorder is usually treated with medication and psychotherapy, also known as talk therapy. Webmd.com also states that if drugs are ineffective and symptoms are severe, electroconvulsive therapy (ECT) or shock therapy may be prescribed. Before the patient arrived to PES her prescribed home meds were Quetiapine (Seroquel) 25 mg two times a day, which is a mood stabilizer and Sertraline (Zoloft), an antidepressant 150 mg daily. During her stay at PES they kept her on the same meds but planned on decreasing her Zoloft. They had her on a q15 safety check because of her suicidal thoughts and the social worker was also available. I believe the best interventions for people who suffer with depression is to 1. Acknowledge feelings of depression and anxiety. 2. Review coping mechanisms so they are better equipped to deal with day to day life stressors better, and 3. Identify what the patient can and cannot do about the current situation. When you realize that some things are out of your control you can manage depression and how much it affects you. The last day that I saw the patient, she was calling home a lot telling her aunt she missed her baby and was ready to come home. Her aunt told her that she needed to stay at PES to get well so she could come home and to not worry because she had everything under control, and the patient agreed. Although the patient has a lot of risk factors and personal issues adding to her depression, she has
she’d never actually attempted suicide. While she was using antidepressants, however, she attempted suicide twice and her habit of self-harm increased.
In this case scenario, Ms. IC’s primary doctor, gynecologist and her psychiatric nurse practitioner or psychiatrist, as well as her caregiver or family members should be contacted by the nurse practitioner in order to gain Ms. IC’s previous medical history and medical managements. The purposes for consulting other healthcare providers are to provide better care and to prevent relapse.
The LPN-Team Lead contacted the social worker about Dr. Sundaram’s patient. The patient is a single, Caucasian grandmother and mother of two; she is alert and orientated to person, place and time. The patient reports that she lives with her 16 year old daughter and 3 month old granddaughter. The patient states that she works two jobs, one full-time and one part-time job and she assist with the care of her new granddaughter while her daughter is a work. The patient report that she is feeling (angry) and hurt because her boyfriend of 11 years cheated on her when she was in the hospital and left her a month ago; this and the loss of her child last year at 6 months gestation in addition to her CHF, COPD and influenza appears to have left the patient feeling of depression and hopelessness. The social worker noted that the patient scored a 19 on her PHQ-9, although she denies thoughts of suicide at this time. The patient states that she suffers from insomnia and gets approximately 2-3 hours of non-continuous sleep a night.
There are various types of treatments for this mental illness. For example, the different types of treatments are getting a therapist, exercising, and lifestyle changes. According to Heath Guides, “ Talking through your depression with a mental health expert (called psychotherapy) helps many people. For some, it works as well as taking antidepressants. In fact, for mild to moderate depression, talk therapy may be your best option”. It takes time to find the perfect treatment that will help that particular person with depression, because everyone is
Pregnancies are often correlated with the assumption that it will bring happiness to the household and ignite feelings of love between the couple. What remains invisible is how the new responsibilities of caring and communicating with the baby affects the mother; and thus, many women experience a temporary clinical depression after giving birth which is called postpartum depression (commonly known as postnatal depression) (Aktaş & Terzioğlu, 2013).
factors to why patients may ask for assistance in their suicide. Their goal in the
Postpartum depression is indeed a major psychological disorder that can affect the relationship between mother and baby. At this time, the cause of postpartum depression is unidentified, although several factors experienced during pregnancy can contribute to this disorder. Fluctuating hormone levels have been traditionally blamed for the onset of postpartum depression. Jennifer Marie Camp (2013), a registered nurse with a personal history of postpartum depression, states in the Intentional Journal of Childbirth Education that “current research demonstrates that PPD may be a compilation of numerous stressors encountered by the family, including biochemical, genetic, psychosocial factors and everyday life stress” (Camp, 2013, p. 1). A previous history of depression, depression during pregnancy, financial difficulties, a dif...
Postpartum Depression (PPD) is a period of depression that follows childbirth and lasts more than two weeks. It is experienced by up to 15% of women in the first three postpartum months (Camp, 2013). PPD is well represented in all ages, races, and cultures. The causes of PPD are currently unknown. There are many factors that place patients at a higher risk of developing PPD. These factors include history of PPD, depression during pregnancy, family strains, anxiety, and lack of support.
Major Depressive Disorder, which is also referred to as Clinical Depression, is a disorder caused when low serotonin levels, that suppress pain perception and are often found in the pineal gland at the center of the brain, promote low levels of norepinephrine, a monoamine neurotransmitter that controls cognitive ability. This disabling disorder interferes with a person’s daily life as it prevents one from performing normal functions, such as eating, sleeping, interacting, or enjoying once pleasurable activities. According to the National Institute of Mental Health, the common symptoms of Major Depressive Disorder are continued feelings of anxiety, worthlessne...
Numerous studies have been conducted that indicate mothers with depression prior to birth and after birth can affect infant development. These include cognitive, behavioral, social, and emotional aspects. This paper will be examining two articles with similar methodologies and various responses displayed in the participants. Both articles take on similar approaches; however, one article examines how less-competent mothers with depression, negatively influences child behavior and the latter takes on the approach that maternal depression is a psychological response to economic pressures leading to negative responses to a child (Newland, Crnic, Cox & Mills-Koonce, 2013, p. 96). Wang and Dix (2013) examine the levels of depression and differences of behavior in depressed mothers and how this further influences a child’s development. This article found that children with depressed mothers that are highly competent and are able to do tasks efficiently and successfully may develop just as well as children with non-depressed mothers (Wang and Dix., 2013, p. 893). Alternatively, another article examines a variety of maternal psychological symptoms arising from early economic pressures and later parenting behaviors (Newland et al., 2013, p. 96). Furthermore, Newland et al. (2013) suggests that as a result of lower socioeconomic status, both depression and anxiety play a negative role in parenting behaviors (p. 96). Overall, this study suggests that economic hardships and pressures have an indirect influence on parents’ caregiving.
Depression is marked by persistent depressed mood, changes in appetite or weight, lack of energy, difficulty concentrating and changes in sleep patterns. These symptoms can develop at a very difficult time in someone’s life and continue beyond a normal period of mourning. People can become depressed because of a difficult life event or some can become depressed for no reason at all (Symptoms of Depression, 2005-2013). Some ask “what is the difference between bipolar disorder and depression”. Bipolar disorder is also known as manic depression. The answer to this is that depression does not have manic episodes like bipolar disorder does. Bipolar changes between manic ...
Treatment for depression includes medicine, psychotherapy, and electroconvulsive therapy. If someone is thinking about suicide or is very depressed and cannot function, they need to be admitted into a hospital. Antidepressants are medicines used to treat depression. They help bring the chemicals in the brain to the normal level and relieve syndromes. If the patient feels as though the medication isn’t working, their doctor should be called. However, if you feel so, you shouldn’t change them on your own without the permission of the doctor. Psychotherapy is to help you understand why you’re feeling the way you are.
Rosen, The Serious Suicide Attempt: Five Year Follow Up Study of 886 Patients, 235 J.A.M.A. 2105, 2105 (1976).
Most everyone at some time in his or her life will experience periods of anxiety, sadness, and despair. These are normal reactions to the pain of loss, rejection, or disappointment. Those with serious mental illnesses, however, often experience much more extreme reactions, reactions that can leave them mired in hopelessness. And when all hope is lost, some feel that suicide is the only solution.
New Haven: Yale University Press, 2004. Print. The. Suicide and Suicidal Behaviors. Suicide : Medline Plus.