Lying here trying to figure out what has happened to the life that once was perfect, or what perfect is supposed to be. Many thoughts and feelings go rushing through one’s mind, wondering when it will stop. When will it go back to being perfect, what happened, did something change, or how did it happen? Those may be only a few things that may run through a teenager’s mind when they feel alone, unwanted, worthless, hopeless, or that they are not good enough for someone. “Pediatric mood disorders, typically defined as mood disorders that develop between early childhood and late adolescence, have been identified as one of the most common diagnoses for childhood psychiatric and general hospitalizations” (Holler & Kavanaugh, 2013). Trying to understand
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She use to play softball, according to her she was very good at it, but she no longer plays due to being bullied by other players, so now she now runs track. Patient also has a boyfriend and very few friends, if any. This was not her first time in the hospital for trying to commit suicide. A year and a half earlier, she tried to slit her wrists due to a fight with her boyfriend. She spoke about not having very many friends at school, and could not talk to any of them for fear they would make fun of her. This current visit to the hospital was due to a polypharmacy overdose caused by another fight with her boyfriend. Her nineteen-year-old brother found her in the nick of time and called an ambulance. Once admitted and taken to the psychiatric unit, she voiced that she knew she needed to be there and wanted to get better.
Diagnosis
According to the DSM-IV, proposed for the DSM-V but not yet adopted, major depressive disorder is a loss of interest or pleasure in daily activities for more than two weeks, a change in a person’s baseline, and impaired function are factors that can determine this diagnosis. Five out of nine specific symptoms should also be present almost every day such as, weight change, change in sleep habits, change in activity, fatigue or loss of energy, or worthlessness. Screenings for major depressive disorders, such as, substance abuse, medical issues, other psychiatric disorders, and bereavement …show more content…
Keeping the patient in a milieu setting, discussion should be one-on-one setting, progressing into group therapy, and then group activities would be some of the interventions that can be used. Being in a milieu setting where the patient can be watched over while starting on pharmacological interventions allows the nurses to watch for any suicidal tendencies or actions and being there to help the patient talk through them. According to Essential of psychiatric mental health nursing, pharmacological agents such as cyclic antidepressants, SSRI’s, SNRI’s, atypical antidepressants, and MAOI’s are used in that
She use to play softball, according to her she was very good at it, but she no longer plays due to being bullied by other players, so now she now runs track. Patient also has a boyfriend and very few friends, if any. This was not her first time in the hospital for trying to commit suicide. A year and a half earlier, she tried to slit her wrists due to a fight with her boyfriend. She spoke about not having very many friends at school, and could not talk to any of them for fear they would make fun of her. This current visit to the hospital was due to a polypharmacy overdose caused by another fight with her boyfriend. Her nineteen-year-old brother found her in the nick of time and called an ambulance. Once admitted and taken to the psychiatric unit, she voiced that she knew she needed to be there and wanted to get better.
Diagnosis
According to the DSM-IV, proposed for the DSM-V but not yet adopted, major depressive disorder is a loss of interest or pleasure in daily activities for more than two weeks, a change in a person’s baseline, and impaired function are factors that can determine this diagnosis. Five out of nine specific symptoms should also be present almost every day such as, weight change, change in sleep habits, change in activity, fatigue or loss of energy, or worthlessness. Screenings for major depressive disorders, such as, substance abuse, medical issues, other psychiatric disorders, and bereavement …show more content…
Keeping the patient in a milieu setting, discussion should be one-on-one setting, progressing into group therapy, and then group activities would be some of the interventions that can be used. Being in a milieu setting where the patient can be watched over while starting on pharmacological interventions allows the nurses to watch for any suicidal tendencies or actions and being there to help the patient talk through them. According to Essential of psychiatric mental health nursing, pharmacological agents such as cyclic antidepressants, SSRI’s, SNRI’s, atypical antidepressants, and MAOI’s are used in that