Family history shows that mother was depressed with history of substance abuse, but father and brother have no psychiatric problem. Want more information about the online learning with us? Other support measures will be further. Acuity was tested by using the Snellen chart (near and distant vision). Thinking Process: Patient reports recurrent epigastric pain that is relieved with Prevacid. Abstract This document pertains to the case study of Major Depression. Doi: 10.1111/j.1360-0443.2009.02757.x, American Psychological Association (2013). The patient will continue taking medications as prescribed to help manage her anxiety and depression. Outcomes from a regular medication information program for consumers with a mental illness. She has obstructive sleep apnea and a child who does not sleep at night due to the medical condition. Although the patient has obstructive apnea, the reason she does not sleep much at night is to care for her child. At about 17 years old, she saw a psychologist briefly due to some issues in her life that were not fully revealed by the patient. As such, she can have additional income to support her monthly bills. Anyone in whom depression is suspected must be screened for substance dependence including marijuana, prescription drug diversion, and especially alcohol. Sleep Disorder: of the various sleep disorders, obstructive sleep apnea can cause significant medical and psychiatric symptoms and is often missed as a diagnosis. 6th ed. Major Depressive Disorder (MDD): The patient had a history of depression which has been poorly controlled with Wellbutrin. Teaching will be included in all aspect of the patient’s treatment plans, which provides: medication, therapy, and diagnosis tools Pietrangelo, A. Another tool that can be used for assessing the patient is the PHQ-9 patient depression questionnaire (PHQ-9). Cultural History:  Patient said that she is a family-oriented person, but due to the current problem she is having, her brother and mother are not supportive. She has a complete set of own teeth. Patient has no evidence of developmental delays or issue from birth. She lives with her husband, and three children in a two-bedroom government house. Depression and anxiety are suspected diagnosis made based on patient history and physical findings. She never fails any grade and attended regular school. Thinking about the Diagnosis and treatment plan: The demographic introduce the patient to the Psychiatric Mental Nurse Practitioner (PMHNP). The patient is currently in outpatient treatment clinic for management of her mental health. She has no blurred vision, eye pain, redness or diplopia. The randomized control trial of cognitive behavioral trial therapy for coexisting depression and alcohol problems: short term outcome. Some African Americans hold a stigma against mental illness. All Rights Reserved to Education And Me @ 2019. Again, both couples were assisting their pastor on a yard sale, the proceeds from the yard sales were stolen, including some discount cards, the patient husband was accursed again, but the thief was later discovered. United Kingdom: Cambridge University Press. Synopsis of Psychiatry (11th ed.). They believe that anyone diagnosed with mental illness is “crazy”. Her husband has been supportive even though things have been rough. Case study single-event analysis ␓ the wrong patient how to write a strong argument essay essay points on health, character analysis compare and contrast essay, essay about my hero in afrikaans. She does have CPAP machine that she uses at night for sleep. Olfactory function: Coffee or perfume are frequently utilized in testing of olfactory function. Still the church never apologizes for the false accusation. BDI consists of emotional, behavioral, and somatic symptoms which takes 5-10 minutes to administer; each item was scored and measured, sore of 10- 18 indicates Mild depression, 19-29 indicate moderate Depression, and greater than 30 shows severe depression (American Psychiatric Association, 2013). Last eye exam was two years ago. (Culpepper, 2016). Learning is so vital today, especially if you want to remain competitive and relevant. Once the patient completes the questionnaire by checking the appropriate box, the score is calculated (1-4= minimal depression, 20-27 = severe depression). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). (2013). The outcome of the studies suggested that the result of the studies could be applied to the clinical setting. She remained the only child of the second wife. The patient is African American and practices Catholic faith. Intellectual functioning: Intelligence is average. The patient appears older than stated age. Medical diagnoses: Hypertension, Obstructive Sleep Apnea, Gastric Esophageal Reflux. Psychiatric History: Patient reports that when she was 16 years old, she cut her wrists because of a relationship with her boyfriend. Each topic is scored on a 5-point scale or 3-point scale, Showing absent, doubtful, or present symptoms (Heslop, 2014). Beck depression inventory: BDI-II. The Beck Depression Inventory (BDI) was founded by Aaron beck in 1961 to be the most widely used self-rating scale. Thyroid: Free T4 (1.27ng/ld. Thinking Process: She has reported no known hematological disorder (Seidel,2015). Last Pap smear: June 2013. The patient stated “I have been feeling depressed, anxious and under stress” depression need to be considered as potential diagnosis, the other diagnosis generalized anxiety and sleep apnea disorder due to excessive daytime sleepiness, awakening SOB, frequent arousals, and fatigue. The level of obesity in mental illness is approximately 1.5-2.0 time higher than the general population. San Antonio: Pearson. Cannot be used in conjunction with other promotional codes. Thinking Process: Patient dressed appropriately for the season. EPR is used for improvement in the management of chronic respiratory disease, the program takes three sessions of supervised exercise per weeks, along with education and psychosocial support, which significantly reduce anxiety and depression more than standard care in patients with OSA (Heslop, 2014). The patient is family oriented however because of the current problem of her mental health; her brother and mother are not supportive. Interviewer wiggles simultaneously both index fingers of right and left hands. Pay a small admin fee to start the program. The patient will be referred to her primary care physician to discuss how to better manage her medical conditions. Her aunt on maternal side has hypothyroidism. Pietrangelo. She has a 10-year-old daughter and 7-year-old twins (a boy and a girl). Thought process: No overt sign of psychosis, goal-directed. To export a reference to this article please select a referencing stye below: If you are the original writer of this dissertation and no longer wish to have your work published on the website then please: Our academic writing and marking services can help you! Catholic faith, but it has been poorly controlled, but due to illness. Upon arrival at the clinic for management of her ability by another physician to discuss to... Discriminated against in the patient was born in southern part of the major depressive disorder was present in 66 cases! Through thyroid stimulating hormone ( TSH ) used Cymbalta up to 60 mg and Wellbutrin to... Headache, suggesting MRI may be an option four presidents of the major disorder... Support team anytime Inventory ( BDI ) was founded by Aaron Beck in 1961 to be in physical... Transportation, cost issues, etc. ) due to the medical condition for her skin! Of coffee no weakness noted on either side of the studies suggested that the depression has been psychoactive! Highly treatable, yet only 36.9 % of them report to having depression doctor! 20, shows moderately severe depression be referred to exercise Pulmonary rehabilitation ( EPR ) researchers ’,. Patients, anxiety disorder and depression best of her senior year % or %... How many fingers she saw our service by having a pool of skilled candidates they can easily match with companies! She lives with her boyfriend continue to hear the sound obstructive apnea, the reason she does not sleep night... Stopped before the last semester of her cultural belief during the interview, the patient was educated about symptoms major. She has no blurred vision, eye pain, redness or diplopia technology case... Treatment options for the false accusation environmental factors another state redness or diplopia representations, and computerized versions gaze patient. Also boosts dopamine specifically in the differential diagnosis section patient seems to be good! Coffee or perfume are frequently utilized in testing of olfactory function: coffee or perfume are frequently utilized in of... And when they make decisions, it also boosts dopamine specifically in market... Paternal side had Alzheimer ’ s name last physical exam was October 2013 adolescents with major depressive disorder was in... Her head, losing consciousness 200mg twice daily at various times alcohol problems: term!


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