(F33.2)- Major Depressive Disorder (Recurrent) Severe
(Z62.820) Parent-Child Relational Problem
(Z56.9) Other-Problem Related to Employment
Seo-Jun is a 23 years old female with no past psychiatric history. She has no history of suicide. She reports having no appetite and barely eating. Seo-Jun is currently 104 pounds. Seo-Jun has issues with her parents for moving away and reported she is only in school for them.
Explain the diagnosis by matching the symptoms identified in the case to the specific criteria for the diagnosis.
Seo-Jun is a 23 years old female with no past psychiatric history. She has no history of suicide. She reports having no appetite and barely eating. Seo-Jun is currently 104 pounds. Seo-Jun has issues with her parents for moving away and reported she is only in school for them. Seo-Jun is alone a lot and does not want to talk to anyone. She has roommates and will get into disagreements with them. She has no drive or will to do anything. Seo-Jun finds herself increasingly irritable and lacks confidence in herself. Although she has problems with her eating habits, she does battle insomnia. The behaviors exhibited by Ghalan meet the criteria of a Major Depressive Disorder (Recurrent) Severe (F33.2.).
(F33.2) Major Depressive Disorder (Recurrent) Severe A. The depressed mood of loss of interest due to:
Seo-Jun increased feelings of depression and sadness.
Lack of interest in daily routine
Lack of sleep Loss of energy
Decreased concentration and increased distractibility
Recommend a specific evidence-based measurement instrument to validate the diagnosis and assess outcomes of treatment.
A specific evidence-based assessment scale that would assist in the ongoing validation of my diagnosis would be the Beck Depression Inventory. This measurement instrument is a 10-minute questionnaire composed of 21 components completed by the individual to determine the magnitude level of their depression in standard and mental societies (American Psychological Association, 2011). This screening tool evaluates the severity and progress of the individual’s conditions.
Describe your treatment recommendations, including the type of treatment modality and whether or not you would refer the client to a medical provider for psychotropic medications.
Individuals with acute depression could benefit from a mixture of “antidepressant and an antipsychotic, electroconvulsive therapy (ECT), or the combination of an antidepressant and psychotherapy” (Davidson, 2010). ECT is used for those who are suicidal. The treatment recommendations can help to ensure that her depressive needs are addressed in a safe and professional environment.
References:
American Psychiatric Association. (2013). Neurodevelopment disorders. In Diagnostic and statistical manual of mental disorders (5th ed.) Author. Doi:10.1176.appi.books.9780890425596.dsm01.
American Psychological Association. (2011). Beck depression inventory (BDI). Https://Www.apa.org. https://www.apa.org/pi/about/publications/caregivers/practicesettings/assessment/tools/beck-depression
Davidson, J. R. T. (2010). Major Depressive Disorder Treatment Guidelines in America and Europe. The Journal of Clinical Psychiatry, 71(suppl E1). https://doi.org/10.4088/jcp.9058se1c.04gry
1 hour ago
Gabrielle Miller
(F34.1) Persistent Depressive Disorder, with anxious distress (Dysthymia)
(F41.1) Generalized Anxiety Disorder
(Z62.898) Child affected by parental relationship distress
(Z59.3) Problem-related to living in a residential institution
The diagnosis for the Seo-Juan in the case study was provided based on the information provided in the case study. In the case study, it mentions that the client is arguing and disagreement with not only her parents the roommates that she currently is living with. This one is a criterion for both Persistent depressive disorder and general anxiety disorder. The case study also mentions that Seo-Juan is restless because she can’t get rest. This is a criterion for persistent depressive disorder according to the DSM-5. The case study mentions that the client also is having mood swings and her appetite has decreased to the point that she isn’t eating regularly. Both the client’s mood swings and decrease in appetite are also a criterion for PDD.
The recommended treatment for someone that has the diagnosis of Persistent Depressive Disorder or General Anxiety Disorder is the patient health questionnaire. This assessment is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders. The PHQ-9 is the depression module, which scores each of the 9 DSM-IV criteria as “0” (not at all) to “3” (nearly every day). (NCBI – WWW Error Blocked Diagnostic, 2001). This assessment tool would be ideal for someone that has a diagnosis of persistent depressive disorder because it allows them to self-report their symptoms and experiences themselves, so they can articulate things on their own. For someone that has a diagnosis of general anxiety disorder the perfect screening tool for then would be the General Anxiety Disorder -7(GAD 7). This tool is also a self-reporting questionnaire that consists on 7 questions that measure the frequency on anxiety behaviors that have been experienced over the last 2 weeks. (Screening for Anxiety Disorders, 2021)
NCBI – WWW Error Blocked Diagnostic. (2001). PubMed Central. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1495268/
Screening for Anxiety Disorders. (2021, August 17). The Recovery Village Drug and Alcohol Rehab. https://www.therecoveryvillage.com/mental-health/anxiety/related/anxiety-screening-tools/
