Depression Case
After studying Module 4: Lecture Materials & Resources, discuss the following:
Case
Study
Ms. Z is a 28-year-old assistant store manager who arrives at your
outpatient clinic complaining of sadness after her boyfriend of 6 months
ended their relationship 1 month ago. She describes a history of failed
romantic relationships, and says, “I don’t do well with breakups.” Ms. Z
reports that, although she has no prior psychiatric treatment, she
was urged by her employer to seek therapy. Ms. Z has arrived late to
work on several occasions because of oversleeping. She also has
difficulty in getting out of bed stating, “It’s difficult to walk; it’s like my
legs weigh a ton.” She feels fatigued during the day despite spending
over 12 hours in bed and is concerned that she might be suffering from
a serious medical condition. She denies any significant changes in
appetite or weight since these symptoms began.
Ms. Z reports that, although she has not missed workdays, she
has difficulty concentrating and has become tearful in front of clients
while worrying about not finding a significant other. She feels
tremendous guilt over “not being good enough to get married,” and says
that her close friends are concerned because she has been spending her
weekends in bed and not answering their calls. Although during your
evaluation Ms. Z appeared tearful, she brightened up when talking about
her newborn nephew and her plans of visiting a college friend next
summer. Ms. Z denied suicidal ideation.
Questions:
Remember to answer these questions from your textbooks and clinical
guidelines to create your evidence-based treatment plan. At all times,
explain your answers.
1. Summarize the clinical case including the significant subjective
and objective data.
2. Generate a primary and two differential diagnoses. Use the
DSM5 to support the assessment. Include the DSM5 and ICD 10
codes.
3. Discuss a pharmacological treatment would you prescribe? Use
the clinical guidelines to support the rationale for this treatment.
4. Discuss non-pharmacological treatment would you prescribe?
Use the clinical guidelines to support the rationale for this
treatment.
5. Describe a health promotion intervention that would be
appropriate for this patient.
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