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Essay on depression case study
Depression a case study
Depression a case study
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Mood Disorders
Case 1: Depression
1. What are the salient historical features of the case?
The only noticeable historical feature of the case is the patient’s depressed mood. The patient’s chronic history of depression is associated to the diagnosis of recurrent major depressive disorder. However, the severity of the depressive episode cannot be determined due to the limited information provided by the patient. The patient fails to specify distinctive symptoms that are essential for the classification of the severity of the depressive episode. In most patients, depressive symptoms cause substantial distress and impairment of social functioning.
2. What physical examination is appropriate to the diagnosis?
Although there are not specific physical
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For instance, the patient’s symptoms and appearance are not described. Furthermore, the patient does not admit decreased appetite, anhedonia, changes in his sleep, psychomotor agitation, inappropriate guilt, diminished concentration, or suicidal thoughts. According to the Diagnostic and Statistical Manual of Mental Disorders criteria for major depressive disorder, a patient must present at least 5 of the following symptoms mentioned above for at least 2 weeks and 1 of the symptoms must include anhedonia or depressed mood (Ottesen, …show more content…
2. What physical examination is appropriate to the diagnosis? The examination of a patient with suspected bipolar disorder must include a thorough mental status examination and adequate assessment of the following aspects; affect, appearance, thought content, perception, judgment, cognition, violence, and general physical health. To rule out organic etiologies, it is important to check a complete blood count, elevated sedimentation rate level, fasting glucose level, electrolyte levels, thyroid hormone levels, liver and lipid panel, urine drug screen, and alcohol screening (Ketter, 2010).
3. What mental status changes are significant?
The most significant mental status changes that are present in this case include the patient’s extreme changes in energy, activity, and sleep. For example, it is stated that the patient had not slept for 3-4 consecutive weeks. Additionally, he had been involved in perilous activities. During the mental status examination, the patient exhibits multiple characteristics of a typical manic episode (Bipolar I
Depression is considered a mental disorder that can lead an individual to commit suicide, experiment fatal risk that can injure his or her life. Furthermore, an individual feeling depressed lacks motivation to do anything progressive with his or her life. With that said, these individuals sometime gives up interest in activities that were once enjoyable, gets in a phase were he or she loses appetite, begins to overeat, loses concentration on what he or she is trying to complete, and becomes indecisiveness. Moreover, depression is a condition that makes an individual feel miserable, have no motivation to any activity that can influence his or her views, actions, welfare. Furthermore, depressed individuals at times may feel sad, apprehensive, desperate, destitute, useless, awkward, short-tempered, and agitated. In addition, the melancholy of depression is categorized by a greater concentration and length that is attached to severe symptoms. According to Wedding & Corsini (2014) states, “Physical disease, severe and acute stress, and chronic stress area also precipitating factors” (Pp. 240) of an individu...
A 38-year-old single woman, Gracie, was referred for treatment of depressed mood. She spoke of being stressed out due to conflicts at work, and took a bunch of unknown pills. She reported feeling a little depressed prior to this event following having ovarian surgery and other glandular medical problems. She appeared mildly anxious and agitated. She is frequently tearful, but says she does not have any significant sleep or appetite disturbance. She does, however, endorse occasional suicidal ideation, but no perceptual disturbances and her thoughts are logical and goal-directed.
Major depressive disorder is a mood disorder characterized by the DSM-5 of depressed mood and markedly diminished interest or pleasure in nearly all activities occurring nearly every day, for most of the day, as indicated by a subjective self-report or an observational report from others. Individuals who have depression also tend to experience significant weight loss, insomnia or hypersomnia, psychomotor agitation, fatigue and loss of energy, feelings of worthlessness or excessive guilt, diminished ability to concentrate, and recurrent thoughts of death. Most people who suffer from depression usually experience major depressive episodes in unipolar major depression, while some others experience both depressive and manic episodes in bipolar
In DSM-V, bipolar 1 disorder is defined as meeting the following criteria for a manic episode, which may or may not be followed by a hypomanic or major depressive episode: There must be a distinct period of abnormally and persistently elevated, expansive, or irri...
Bipolar disorder is a lifelong mood disorder characterized by periods of mania, depression, or a mixed manic-depressive state. The condition can seriously affect a person’s reasoning, understanding, awareness, and behavior. Acco...
The characteristics of bipolar disorder are significant shifts in mood that go from manic episodes to deep depressive episodes in a up and down trip that seemingly never ends. There are actually three types of bipolar disorder. In bipolar III disorder there is a family history of mania or hypomania in addition to the client experiencing depressive episodes. This category is not highly used but is worth noting. Bipolar II disorder is marked by hypomanic episodes that have not required hospitalization. Bipolar I disorder is the full-blown illness and is defined by the presence of manic episodes which require treatment, and usually hospitalization (Wilner 44).
Depressive disorders take on different forms. There are three common types of depressive disorders. They are major depression, dysthymia, and bipolar disorder. Major depression is characterized by a combination of symptoms that interfere with an individual's ability to work, study, sleep, and eat. Symptoms include but are not limited to the following: persistent sad, anxious, or empty mood, feelings of hopelessness, feelings of guilt, helplessness, worthlessness, decreased energy, fatigue, appetite and/or weight loss, or overeating and weight gain, ...
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...
According to the DSM5 major depressive describes a person who is in a depressed mood for most of the day, nearly everyday. The person also has a diminished interest or pleasure in all, or almost all, activities most of the time. There may be significant weight loss or gain as a result of decrease or increase of appetite, respectively. The person may also experience insomnia or hyper insomnia nearly everyday. There may also be a consistent feeling of fatigue or loss of energy. Usually in major depression, there are feelings of worthlessness or inappropriate guilt. It is also common to have a diminished ability to think, concentrate, or experience indecisiveness. All of these symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. (DSM 5, 160-161)
The word ‘depression’ has become a common everyday word. We hear the term ‘depression’ so frequently today, it’s even used in the contexts of jokes. For example you may hear someone say ‘My favorite show is over, now I have nothing to watch, I’m so depressed’. Obviously this person is not depressed, but we have come to overuse it in our expressions, to the point that is takes away from the seriousness of this disorder. Major depressive disorder is a mood disorder characterized by at least two weeks of depressed mood or loss of interest in nearly all activities, along with sleep or eating disturbances, loss of energy, and feelings of hopelessness (Kosslyn, Rosenberg, 2006). This mood disorder is characterized by a depressed mood, lack of interest in activities normally enjoyed, and feeling of worthlessness. Over the course of two weeks, someone who is suffering with major depressive disorder can experience symptoms such as significant weight loss, daily insomnia or hypersomnia, loss of energy, diminished ability to think or concentration, and recurrent thoughts of death or suicide (Kosslyn, Rosenberg, 2006).
Depression is an equal opportunity disorder, it can affect any group of people with any background, race, gender, or age. Depression is a sneak thief that slips quietly and gradually into people’s lives - robbing them of their time, and their focus. At first, depression may be undetectable, but in the long run a person could become so weighed down that their life may feel empty and meaningless. Contrary to popular belief, not everyone who commits suicide is depressed, but majority of people who commits suicide do so during a severe depressive episode. There are over 300 million people in the world today who suffer from depression. Depression has affected people for a long as records have been kept. It was first called out by the famous Greek philosopher Hippocrates over 2,400 years ago. Hippocrates called it “melancholia”. Many times we think of depression as one disorder alone, when in fact there are many different types of depression. The different types of depression are major depressive disorder, dysthymic disorder, atypical disorder, adjustment disorder, and depressive personality disorder. All types of depression share at least one common symptom. It is commons from the person who suffers from any form of depression to feel an unshakable sadness, anxious, or empty mood. Major depressive disorder also known as unipolar depression or recurrent depressive disorder is the most severe depressive disorder out of all of the depressive in my estimation. Major depressive disorder is a condition in which affects a person’s family, work or school life, sleeping, eating and general health. It is important to emphasize that we can understand the mechanics of this disorder and how it affects people with major depressive disorder.
Depression is a mental health condition which is widely recognised as one of the most common conditions for which people seek and receive care. There are many specific nursing problems which are encompassed by the medical term “depression” and these include physical, cognitive and behavioural patterns. Successful treatments of depression are psychosocial interventions which aim to identify and challenge a depressed persons pessimistic attitudes and beliefs and which promote an individuals’ participation in rewarding activities in an attempt to reduce any negative behaviours. The aim of this essay is to identify specific nursing problems which are encompassed by the term “depression” and relate these to a patient whom the author had met whilst out on clinical placement who had been given a medical diagnosis of depression. It is also the aim of this essay to discuss different psychosocial interventions and how effective these are in assisting a patient in their road to recovery.
Clinical depression is very common. Over nine million Americans are diagnosed with clinical depression at some point in their lives. Many more people suffer from clinical depression because they do not seek treatment. They may feel that depression is a personal weakness, or try to cope with their symptoms alone. On the other hand, some people are comfortable with admitting their symptoms and seeking help. Such a discrepancy may account for the differences in reported cases of depression between men and women, which indicate that more than twice the numbers of women than men are clinically depressed. According to the numbers of reported cases of depression, 25% of women and 10% of men will have one or more episodes of clinical depression during their lifetimes.
Depression is well known for its mental or emotional symptoms. Symptoms for depression include: persistently sad or unhappy mood, loss of interest or pleasure in previously enjoyable activities, difficulty concentrating, remembering, making decisions, anxiety, feelings of guilt, worthlessness, helplessness, and thoughts of death or dying. “People who have endured a major depressive episode describe the experience as a descent into t...
Within his lifetime, George has experienced multiple manic and depressive episodes consistent with bipolar I disorder. This diagnosis is possible because George has suffered from at least one manic episode; George has also experienced depressive episodes, which are common, but not required, occurrences in the disorder. The case study describes three different bipolar episodes and indicates that more have occurred. First, George experienced a depressive episode