She gets frustrated with herself because she feels like she has every reason to be happy, yet cant seem to shake the sense of doom and gloom that has been clouding each day as of late. Shes shown little interest in sex and has had difficulties falling asleep at night. Jean was seen by the community psychiatric nurse (CPN) who arranged for her to see a consultant psychiatrist; the psychiatrist increased the dosage of her ssri medication and referred her for cognitive behavioural therapy. She graduated with top honors in both college and medical school. When he tries to get her to open up about whats bothering her, she pushes him away with an abrupt everythings fine. Jean is a 34-year-old woman who has experienced dysthymia, that is, persistent low mood, for most of her adult life. In working with jean the cpn performs three key roles. Kristen is a 38 year-old divorced mother of two teenagers. At home, jessicas husband has noticed changes as well. However, the waiting list for cbt was six months and while waiting for a place jean noted that her mood had begun to lift. By, deepdiveadmin, wed, december 02, 2015, sample case Studies and diagnoses. His parents have tried to get him to go with them to a psychiatrist for an evaluation, but he refuses. On many occasions theyve overheard him whispering in an agitated voice, even though there is no one nearby. She has very high standards for herself and can be very self-critical when she fails to meet them. Area of, circles, evaluation of, lesson

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His fiancée, a beautiful young woman hed been dating for the past 4 years, was walking across a busy intersection to meet him for lunch one day. She has called in sick on several occasions, which is completely unlike her. On those days she stays in bed all essay day, watching tv or sleeping. Following are four examples of patient descriptions with a link to the corresponding diagnosis. The few times he attempted to return to work were unbearable for him. Air pollution in New Delhi is literally off the charts

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Although she hasnt ever considered suicide, jessica has found herself increasingly dissatisfied with her life. These sample case studies are for illustration only. Jeans case illustrates that early diagnosis of depression is important, as is evidence-based treatment, to a successful outcome. Jean agreed, in collaboration with the psychiatrist and the cpn, to recommence taking the ssris in addition to the cbt course if her mood deteriorates either from her perspective or, as importantly, from the perspective of her family. Hes stopped working out, playing his guitar, or playing basketball with his friends all activities he once really enjoyed. However, over the last five years this has become particularly distressing and her mood has often deepened to include long spells of disabling depression. These depressed spells began after the birth of her first daughter and were diagnosed initially as postnatal depression. Shes been having frequent thoughts of wishing she was dead. She has a very demanding, high conclusion stress job as a second year medical resident in a large hospital.

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Case study: jean a 34-year-old with dysthymia and depressive episodes. Although Martin occasionally has a few beers with his friends, hes never been known to abuse alcohol or use drugs. No matter how hard he tries to forget, he frequently finds himself reliving the entire incident as if it was happening all over. Her insomnia has been keeping him awake as she tosses and turns for an hour or two after they go to bed. Despite her best efforts, she hasnt been able to shake the negative thoughts. Click here for diagnosis, case Study 4, martin is a 21 year-old business major at a large university. She has had a successful, well-paying career for the past several years in upper-level management. More from my site, tags: Bipolar Disorder, case study. Although jean has seen a psychiatrist, her care has been carried out in the community and her main point of contact and support has been her husband and the cpn. Click here for diagnosis. For the past few weeks Jessica has felt unusually fatigued and found it increasingly difficult to concentrate at work. She often paces in her office when shes there alone.

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