The Case of Ken – SOAP Note
Subjective: The client reports that he first noticed his mood swings at the age of 23 when he began graduate school. The client did not want to do graduate work but did so to stay with his wife. The client states that he brushed these emotions off as normal for the situation he was in, as he was initially unwilling to place himself in that situation. However, the client states that the intensity of his sadness was abnormal; at times, he was unable to get out of bed or have a conversation with his wife. The client reports that after a while, the moods lifted and he would go back to being his normal self. The client states that after being stable for a while he experienced a feeling of “total euphoria” (Getzfeld, 2004, p. 76), in which he had no worries. While on these highs, the client reports spending a lot of money, cutting himself and having no desire to sleep. The client reports that the reason he came in was mainly encouragement from his wife. The client also reports that the highs he …show more content…
132-133) criteria: period of major depressive episode and hypomanic episode. During the major depressive episodes, the client merits the following criteria over at least a 2-week period: depressed moods most of the day, diminished interest in almost all activities, hypersomnia, loss of energy nearly every day, diminished ability to think or concentrate, and recurrent suicidal ideation. The hypomanic episodes are characterized by the following criteria during a 4-day period and are observable by others: inflated self-esteem, decreased need for sleep, and an increase in goal-directed activity. Potential differential diagnosis includes anxiety disorders, personality disorders, Bipolar I disorder, Cyclothymic disorder and Major depressive disorder. The etiology may include stress, family problems, work problems, and biological
Subjective: The client reports that he first noticed his mood swings at the age of 23 when he began graduate school. The client did not want to do graduate work but did so to stay with his wife. The client states that he brushed these emotions off as normal for the situation he was in, as he was initially unwilling to place himself in that situation. However, the client states that the intensity of his sadness was abnormal; at times, he was unable to get out of bed or have a conversation with his wife. The client reports that after a while, the moods lifted and he would go back to being his normal self. The client states that after being stable for a while he experienced a feeling of “total euphoria” (Getzfeld, 2004, p. 76), in which he had no worries. While on these highs, the client reports spending a lot of money, cutting himself and having no desire to sleep. The client reports that the reason he came in was mainly encouragement from his wife. The client also reports that the highs he …show more content…
132-133) criteria: period of major depressive episode and hypomanic episode. During the major depressive episodes, the client merits the following criteria over at least a 2-week period: depressed moods most of the day, diminished interest in almost all activities, hypersomnia, loss of energy nearly every day, diminished ability to think or concentrate, and recurrent suicidal ideation. The hypomanic episodes are characterized by the following criteria during a 4-day period and are observable by others: inflated self-esteem, decreased need for sleep, and an increase in goal-directed activity. Potential differential diagnosis includes anxiety disorders, personality disorders, Bipolar I disorder, Cyclothymic disorder and Major depressive disorder. The etiology may include stress, family problems, work problems, and biological