A Multi Dimensional Assessment ( Micro )

Helen recurrent mood episodes and suicidal ideation needs to be addressed immediately. Her moods episodes

and having carefully analyzed the text, I am leaning towards a diagnosis of, major depressive disorder. The observed symptoms, which the protagonist seems to line up with the following symptoms listed in for Major depressive disorder in the DSM-5 checklist provided in the book (Comer, 2014). In the short story, the protagonist has mentioned and expressed with her actions feeling: in a depressed mood for most of the day, Daily diminished interest or pleasure in almost all activates for most of the day, Decrease in daily appetite, experiencing hypersomnia, daily fatigue or loss of energy (Comer, 2014). These things mentioned are symptoms that are categorized as being

Depression- the most diagnosed mental illness in the world- is also the most misunderstood. Depression?a sad or discontented mood?can leave a person feeling lethargic, unmotivated, or hopeless, and in some cases ? contemplate suicide. Unfortunately, depression usually begins as high levels of anxiety and with exposure to trauma in children. Higher levels of anxiety or exposure to stress-inducing and traumatic situations as a child could mean an increased risk of depression as an adult. Although a serious mental illness all over the world in

John was diagnosed with depression shortly after being prescribed insulin to control his diabetes. Although depression is considered to be a long term condition itself, it is often noted to accompany other LTC’s suggests Carrier (2009). John has a wife and a daughter of 20 months and often feels unable to enjoy a normal relationship with them due to his low mood and feelings of anxiety. Before John’s diagnosis of

Based on the DSM-V (2013) diagnostic criteria Keisha experiences Persistent Depressive Disorder 300.4 (F34.1), recurrent, moderate, with early onset. The client experiences the following symptoms: depressed mood for most of the day, for more days than not, as indicated by either subjective accounts (e.g., feels sad, worthless and hopeless) or observation by others (e.g. appears sad, cries), for at least one year (she is an adolescent). In addition, while depressed, there is a presence of the following symptoms: the client experiences poor appetite, she is eating one or two meals per day and lost ten pounds in one year. Keisha also experiences hypersomnia nearly every day by sleeping twelve or more hours per night. The client reports low energy/fatigue very often, even though she is sleeping well during the night. During the one year period of disturbance, the individual has never been without the symptoms in criteria A and B for more than two months at a time. In addition, the criteria for a major depressive disorder has been continuously present for one year. There has never been a manic episode or a hypomanic episode, and criteria have never been met for cyclothymic disorder. Furthermore, the disturbance is not better explained by a persistent schizoaffective disorder, schizophrenia, delusional disorder, or other specified or

Brandy has been depressed and irritable daily for every months since the start of her first year in high school. The depression has caused her to have impaired function in her life (e.g., socially, academically, leisurely) and she has thoughts of death and suicide as well as has attempted to commit suicide. The client has decreased pleasure and interests in her hobbies and school activities. The client has also been not eating lately as she has been trying to lose weight due to feeling bullied over her weight causing her to feel depressed. She also has been feeling tired and unable to keep up energy while at school or at home. Brandy also suffers from 309.24 (F43.22) Adjustment disorder, with anxiety. She can also be diagnosed with V62.89 (Z60.0) Phase of Life Problem as well as V62.89 (Z65.8) Victim of bullying and a Victim of bullying when not in

Rosa Cunningham (full name is Rosa Lee) is a 53 year old African American female client of average height, slight build, and is appropriately groomed. She has 8 children, 2 of them being female and 6 males, all adults. Rosa is a widow and reached this status after being separated from her deceased husband for many years. Rosa is currently hospitalized for pneumonia, and has been hospitalized several times in her life for diferent illnesses. Rosa’s medical history as self-reported is HIV and seizures. Rosa is a heroin addict and has been this way for several years. Rosa is involved with the local methadone clinic and receives 55mg of methadone daily. Even by receiving this daily dose of methadone, Rosa continues to use heroin. Rosa has several legal and health issues that are present also, despite which she continues to use heroin. Rosa has a lengthy criminal history to include arrests for prostitution, larceny, and selling drugs. The reason for today’s assessment is a referral made by the social worker at the hospital in which Rosa is a patient at and discharge planning is to be made for aftercare.

Upon entering the NA meeting I had mixed feelings. I didn’t know how to come to the meeting knowing my intentions were neither to give nor receive help. I felt like I was an intruder. I didn’t understand why I should betray others or act as if I was an addict who chose not to interact in the healing and recovering process. All of those things pushed me into the door of a meeting and open my mind to the hurt behind the physical appearance of these people. Their stories were heart wrenching. They all wanted help or do be noticed at some point of their lives before they became addicts. Never knowing the decisions they chose to take that first hit would turn their

Abby will complete 10-12 week of women’s residential treatment program and up to 20 weeks of aftercare while maintaining abstinence from drugs and alcohol. Abby‘s objective with treatment is to identify how her using impacted the relationships with her children and significant other. She will be honest about personal consequences in-group and written assignments. She will practice new skills to enhance relationships that support her recovery

Psaras reported no family history of psychiatric or substance issues in biologically related family members. She indicated that she meets with a mental health professional once a week. The stated that she began treatment because she felt overwhelmed living with her husband. Ms. Paras reported that she has never been placed on medication. The mother stated that she has never felt significantly depressed. She indicated that there have not been times when she has been anxious. The mother reported that she has never had a panic attack. She indicated that she does not have trouble sleeping. Ms. Psaras stated that her weight has always been consistent, she has never tried to hurt herself or others and has never thought of it. The mother reported that she has never had any unusual thoughts or experience, she has never done any dangerous things. The mother denies any symptoms of

Rationale: Jennifer has been presenting with symptoms for unspecified amount of time. Jennifer meets six of the criteria for symptoms being present during the same 2-week period and represents a change from previous functioning. Jennifer is depressed most of the day, nearly every day, has diminished interest in all or almost all activities most of the days, nearly every day, has fatigue or loss of energy nearly every day, feelings of worthlessness, and diminished ability to think or concentrate, is having recurrent thoughts of death, recurrent suicidal ideation without a specific plan. The symptoms have cause clinically significant distress or impairment in social, occupational, and other functioning areas. There is no know substance or medical condition and occurrence is not better explained by Schizophrenia Spectrum or Psychotic Disorders. Jennifer has never had a manic episode or a hypomanic episode. Possible family history of depression - mother.

The Sarah self-referred for assessment at am outpatient clinic. She subsequently requested a referral to a psychologist in Chicago, IL. Sarah is a 24-year-old adult Caucasian female who identified as a lesbian. She reported a history of depressive symptoms that have worsened in the last few months. She is seeking treatment for these intensified depressive symptoms. She described having “depression” many years ago, but became evasive when asked to clarify. In addition, she noted a concern with experiencing anger and hostility towards others; she stated that these emotions are “uncomfortable” for her. She clarified that in the past three months she has perceived herself as “grumpier than usual.” She reported having experienced anhedonia, fatigue, and insomnia.

296.32 (F33.1) Major Depressive Disorder, recurrent episode, moderate severity, with anxious distress. Ms. Client meets eight of the nine diagnostic criteria for Major Depressive Disorder (MDD). Specifically, during several periods of time she experienced depressed mood, diminished interest in things she enjoyed to do, hypersomnia, psychomotor agitation, fatigue, feelings of worthlessness, decreased concentration, and suicidal thoughts without intent. Additionally, as Ms. Client expressed, these symptoms are source of continuing distress and interfere with her academics and social functioning. Also, her symptoms started four years prior to the psychological assessment and persisted intermittently since then, lasting for several weeks to several months, with the most recent period of extended length (enduring two weeks) approximately one year ago. Since the last episode she has experienced these symptoms for two to three days at a time. Although the last episode that met the criterion of two weeks duration occurred approximately a year ago, the symptoms have not disappeared, but they occur periodically since then and when they do, they cause considerable distress and impairment in functioning. Thus, the disorder cannot be coded as ‘in partial or full remission’. The specifier ‘with anxious distress’ was given, because Ms. Client reports feelings of difficulty in concentration because of worry and restlessness.

Lanesha is a 12 year old girl that has been having trouble with her temper and her anger in almost every aspect of her daily life. Her medicine and compliance to her treatment plan are no different. As a teenager, she does not want to continually be hassled and bothered. So to avoid this she constantly is telling the providers lies, or in her mind, “what they want to hear.” (http://support.mchtraining.net/national_ccce/case1/Flash/activity1.html). Lanesha has a sense of neglect from her grandmother because she states that she want to act like everything is fine as to appease her Grandmothers temperament. Marietta, also shares in frustration but also has a great deal of added stress as she also cares for her 10 year old grandchild and also her older ailing mother. Marietta exudes many of the qualities spoken by Dr. Horky in her presentation; her own age is taking a toll on her ability to care for Lanesha, she is worried about Lanesha. Due to Lanesha’s age and behavior however, Marietta is experiencing depression and grief. Almost portrays a sense that she has given up, like she has done all that she can. (Horky, n.d.). Other socioeconomic issues are in Marietta’s forefront.

Mei Ling had seen her general practitioner (GP) for lack of energy and vague gastrointestinal symptoms. But her medical examination result found no physical cause. Through discussion with the GP discovered she has been feelings of depression for the past four months. Mei Ling’s GP suggested her to seek counselling.