Sadness According to the DSM-5 (American Psychiatric Association, 2013), typical sadness due to experiences differs from Chris’s sadness due to the severity of symptoms and the duration causing significant impairment. Chris reported a change in daily functioning for more than two weeks with depressed mood and loss of interest in activities. The differential diagnosis for sadness is ruled out because Chris presented with symptoms in the past two weeks that consist of changes and impairment in his daily functioning as well as suicidal ideation with a plan and the intention to act. Client states that he experiences “worthless and guilt over losing both, his job and girlfriend.” According to the DSM-5 (American Psychiatric Association, 2013), the client does not meet this diagnosis for sadness. Assessment results …show more content…
The difficulties self-reported by the client for the prior thirty days are mild to moderately impacted in understanding and communicating 14/30 raw domain score, average domain score 2.33/5’; no impact in getting around 5/25 raw domain score, average domain score 1/5; self-care none to mildly impacted 4/20 raw domain score, 1.25/5 average domain score; getting along with people mild to moderately impacted 13/25 raw domain score, 2.6/5 average domain score; no impact in household life activities, and mild to severely impacted in school/work; and mildly impacted in participation in
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.
Peter Dickinson, a 28-year-old Caucasian male was referred to an outpatient mental health clinic by his current girlfriend of one year, Ashley. Ashley reported that about six months ago, she noticed changes in Peter’s behaviors after the announcement of his parents’ divorce proceedings. Peter is a motivated hard worker who devotes himself to his career and is currently working as a defense attorney at a small firm. However, he described himself as “obsessive” about his work in which he was afraid to make errors and would spend a lot of time worrying about failing the assignment rather than completing it. Since he spends a lot of time worrying about his work, he had little leisure time for friends and romantic relationships. Peter has also always felt anxious and is a “worrier”. After Peter’s parents’ divorce proceedings began, Peter had troubl...
At the onset of assessment by a staff-counseling psychologist, the woman seemed to relax and share some of her thoughts and feeling. As the assessment process continued, the psychologist was able to ascertain that the issue with depression appeared to be a relevantly recent development. Additionally, the depression appeared to be the result of heighten conflicts between the woman and her husband pertaining to alleged extra material affairs. In conversation with the psychologist, the woman claimed to feel “overwhelmed”; her husband filing for divorce triggered the feelings she inferred, which reportedly lead to her breakdown. However, the psychologist has since discovered that the husband denies the affairs and attributes this to the depression. Additionally, the husband claims that the termination of the marriage is a result of the deterioration of his wife’s mental state.
Depression has many degrees of severity from a passing feeling to a serious illness, which destroys lives and relationships. Major depressive disorder is the most severe form of depression. It is extreme and persistent, rendering the patient inconsolable and helpless (1). Depressed patients often cannot continue working and have difficulty dealing with family and friends. Other symptoms of major depression are deep despair, misery, irritability, low self-esteem, suicidal thoughts, change in eating and sleeping habits, fatigue and inability to concentrate. Other mental illnesses, such as anxiety and alcoholism are also associated with major depression (2). While serious depressive episodes are important to our understanding of mental health, chronic depression is terribly widespread and often undiagnosed or misdiagnosed. Dysthymia is a disorder which has similar, but milder and much longer lasting, symptoms to depression (3). By understanding the characteristics of dysthymia, health professionals can identify a chronic mental illness before it manifests into more serious psychological problems, such as severe depression. Dysthymia is also an interesting disorder from the neurobiological perspective because it is often difficult to discern from other personality disorders, such as a depressed or gloomy personality. This paper explores depression and dysthymia, their symptoms and therapies. In addition, personalities which are depressed will be analyzed and compared to depression and dysthymia. Do all three afflictions stem from the same genetic or environmental causes, and mechanistic origins? Are they all responsive to the same treatment? This comparison will address the difficulty in dis...
Then start to develop goals by finding out what they think is helping and what is not and are they willing to invest the time and effort by using the scaling exercise. The social worker with asks strengths-reinforcing coping questions how, what, and has. The Client is encouraged to define their goals from the start where the social worker may present and alternate perspective are to ask the miracle question. Answers to this question can provide indicators of change to be used. “All task are interventions are intended to encourage the client to think and behave differently with regard to the presenting problem than has been typical in the past (Walsh, 2013).” The formal first-session is the assignment of observing the good the client would like to continue in their life and maybe get the client thinking about exceptions. Second the surprise task surprising another person connected with the problem in a good way “shake up” in the clients’ routine and influence positive behavior. The ending is worked on from the start of intervention, where progress is monitored at each session that might be the last. Where the focus is on helping clients identify strategies to maintain and continue the momentum of enacting solutions.
Formulation of Problem/Needs: The client 's presenting problems are caused by her mother’s emotional verbal abuse. In spite of all, her emotional problems Ana maintains a positive outlook towards her future. Ana demonstrates self-determination as she clearly expresses her current issues. She struggles with overeating because she feels unloved and worthless. Ana is seeking services to overcome the resentment she feels towards her mother. She is requesting help to manage her coping skills and reduce her feelings of depression. According to Ana these feelings started at a young age. Ana’s current challenges are learning to cope with her mother’s verbal abuse. Anna will arrange monthly meetings with her social worker to talk about what methods she’s used to coping with her depression. Ana agrees that she needs to find positive away to communicate with her mother. Ana also stays that she wants to learn to be selfish and break free from the traditional stereotypical life of East LA. Ana would like to begin addressing the following
Sarah reports that she has been having depressive symptoms such as sadness, weight loss, inability to sleep, and mood changes. Client also reports substance abuse. She reports that she feels sad most of the time and that she has had a hard past. She reports having anxiety most of the day and has a hard time functioning. Client reports that she was gang raped and suffers from flashbacks and severe mood changes. Client reports that no matter what she
Normal grief is characterized by waves of intense sadness, but the bereaved person is still capable of warm feelings. Most people experiencing normal grief do not meet the criteria for MDD and they usually don’t seek professional treatment anyway. However, those who suffer from MDD require early diagnosis and treatment. A study found that time spent in depression is a risk factor for suicide attempts (Sokero, 2005). In a National Public Radio interview, Sidney Zisook is quoted as saying: “I’d rather make the mistake of calling someone depressed who may not be depressed, than missing the diagnosis of depression, not treating it, and having that person kill themselves.” Therefore, early diagnosis and treatment of MDD is vital, regardless of what type of life event triggered the
The first steps that I would take would include assessing whether each client were displaying characteristics of normal, acute, or chronic risk factors, as discussed by Jackson-Cherry and Erford (2013), while employing microskills that show attention, concern, and empathy in relating to the client. I would be sure to keep a calm tone, stay away from asking too many questions following one another, and use reflecting and paraphrasing to get clarity and understanding from the client. A risk assessment can be done in the process, and I would be able to better know how to move forward with each client to gain more information to better serve their needs. For example, John seems to be experiencing long-term distress from his deployment experience,
Certain practical issues need to be considered by the clinician during the assessment of MDD, (Dozois & Dobson, 2009). Depressed individuals tend to express their problems in a detailed manner when they are aware of what is expected from them during initial phase of assessment. Warning depressed clients about the possible interruptions at the initial phase along with providing them rationale helps to improve the effectiveness of the assessment (Dozois & Dobson, 2009). As depressed individuals tend to commit cognitive bias (Dozois & Beck, 2008), it is necessary to determine the actual impairment by evaluating patient’s daily routine in terms of different areas of functioning. Each diagnostic criteria needs to be addressed in number of ways (Shea, 1988). Sometimes, the patient describe their symptoms in more idiosyncratic way. So, the clinician needs to translate those concerns in to the nosological system (Dozois & Dobson, 2009). Bolland & Keller (2009) emphasize the need to assess the number of previous episodes and their duration because this information is one the predictor for risk of subsequent relapse (Solomon et al, 2000). Dozois & Dobson (2009) have reported to rely upon information related to previous episode carefully as the client may commit the reporting bias. The reporting bias can be reduced by ensuring that the patient understands the time frame to which he or she refers (Dozois & Dobson, 2009) and providing contextual cues to the patient’s memory (Shea, 1988). The information related to previous treatments, medical history, patient’s motivation for change, etc. may help in identifying resources for change (Dozois & Dobson, 2009). It is also helpful to assess client’s strengths which will help in formulating...
depressed that he wishes he could melt away into nothingness or commit suicide. It is also very apparent in this
Diana Miller, 25 was diagnosed with major depressive disorder and borderline personality disorder after being rushed to the hospital following another suicide attempt . Her symptoms and background are outlined in her vignette and will be examined in detail throughout the paper. The purpose of this essay will be to explore the possible additional diagnoses for Diana’s behaviour as well as look deeper into the feasible explanations of how and why her behaviour turned abnormal. Therefore through analyzing the diagnostic features, influence of culture, gender, and environment, in addition to outlining paradigm explanations and possible treatment methods, one can better understand Diana Miller’s diagnoses.
According to Maj and Satorius (2002) there is a likeness between normal sadness and a depressed mood, but often depressed people do not seek help on their own until the condition deteriorates. This is also true for Kevin, who would probably not have self-initiated therapy, if his coach had not referred him.
As the client attempts to cope with the circumstance, various aspects of his life may be affected. In some way, the coping response of an individual to a health-related concern may be related to his Quality of Life
It was determined during therapy session that Fran suffers from a mental disorder of depression, which has emerged from irritable moods, feeling hopelessness, worthlessness and at the times problem sleeping. “Depression is a mood disorder characterized by pervasive feelings of sadness, worthlessness, helplessness, hopelessness, irritability, and lack of interest in everyday activities and events, as well as physical symptoms” (2011, F. Wang, M. DesMeules, W. Luo, S. Dai, C. Lagace & H. Morrison, p. 206). Fran reports the symptoms started after experiencing financial difficulties and increased after losing her children. Tom often isolates himself to try to avoid family conflict. His action often increases Fran symptoms of depressions. Neither Tom nor Fran is employed and struggles to manage their family savings to pay monthly expensive.