Unhappiness or feeling moody is a normal reaction to life’s struggles and disappointments. Many people use the words “I’m depressed” to explain these kinds of feelings, but depression is much more than that; it affects the person physically, emotionally and socially. Depressive disorders are disruptive in mood lasting weeks to several months; and while still on the disruptive mood, the client will suffer from despondency, irritability, and restlessness and gradually mental process and movement slows down, experiencing diminished appetite, sleeplessness and suicidal ideation. The client presented in this video has Major Depressive Disorder (MDD). I will have the client admitted to the hospital first because she gave specific details on
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Occupational functioning is impaired because she feels like she is not being creative (decreased effort) and people don’t respect her. Psychological functioning is seriously impaired because she does appear to be disturbed because she is constantly crying, depressed and has suicidal ideation.
Criteria C
Her only episode she describes was the one after a supposed rape (she was not sure if she was raped). She ended up in the hospital for 6 days. This episode is not attributed to her medical condition, hypothyroidism. Need to screen for comorbid to rule out other medical disorder that might cause the client to be depress (she does have hypothyroidism), substance/medication abuse; other mental disorder that might mimic MDD are schizoaffective, schizophrenia, schizophreniform, delusional …show more content…
Her risk factors can be found in psychosocial, mental and environmental factors. Her mental factors include suicide ideation (she already have a plan), she is depressed all the time, she has a chronic health problem (hypothyroidism). Her environmental factor includes access to lethal drugs (Ambien), stress over losing her medical insurance which can prevent her from accessing mental health care, stress over money (going from 2 income to 1 income), and her family does not discuss her mental health (lack of family support). Her psychosocial stressor includes bereavement over her divorce; she feels people do not respect her and she also feels rejected. I also believe her sexual orientation is also a risk factor for her because she’s judging herself and feeling guilty about being
Occupational functioning is impaired because she feels like she is not being creative (decreased effort) and people don’t respect her. Psychological functioning is seriously impaired because she does appear to be disturbed because she is constantly crying, depressed and has suicidal ideation.
Criteria C
Her only episode she describes was the one after a supposed rape (she was not sure if she was raped). She ended up in the hospital for 6 days. This episode is not attributed to her medical condition, hypothyroidism. Need to screen for comorbid to rule out other medical disorder that might cause the client to be depress (she does have hypothyroidism), substance/medication abuse; other mental disorder that might mimic MDD are schizoaffective, schizophrenia, schizophreniform, delusional …show more content…
Her risk factors can be found in psychosocial, mental and environmental factors. Her mental factors include suicide ideation (she already have a plan), she is depressed all the time, she has a chronic health problem (hypothyroidism). Her environmental factor includes access to lethal drugs (Ambien), stress over losing her medical insurance which can prevent her from accessing mental health care, stress over money (going from 2 income to 1 income), and her family does not discuss her mental health (lack of family support). Her psychosocial stressor includes bereavement over her divorce; she feels people do not respect her and she also feels rejected. I also believe her sexual orientation is also a risk factor for her because she’s judging herself and feeling guilty about being