I would diagnose Mrs. T with major depressive disorder, moderate single episode. Her symptoms include persistent sadness
I would diagnose Mrs. T with major depressive disorder, moderate single episode. Her symptoms include persistent sadness
Respond to the posts of at least two of your peers and provide a suggestion for another appropriate intervention, or the treatment of a biopsychosocial factor that they may not have addressed. If you are able to, give an example from your clinical experience. How was your suggested intervention received by the client in your practice, and how did they respond to the treatment?
Post 1:
I would diagnose Mrs. T with major depressive disorder, moderate single episode. Her symptoms include persistent sadness, loss of interest in once-enjoyable activities, diminished appetite, sleeplessness, and overwhelming hopelessness. The symptoms are disrupting her life and health. A biopsychosocial approach would be my choice for a comprehensive treatment strategy. To begin, if the mother believes that a disruption in her equilibrium is the source of her symptoms, I would support the son’s idea to consult with practitioners of eastern medicine to restore her equilibrium (Aung et al., 2013). For additional treatment of depression, sleeplessness, and loss of appetite, I would recommend mirtazapine to the patient (Alam et al., 2013). I would suggest that the patient implement some easy sleep hygiene and exercise routines and seek out a local support group and individual therapy.
My treatment plan for her will consist of:
- Seeing an acupuncturist and herbal medicine provider.
- Individual/group therapy
- Start Mirtazapine 15mg PO QHS
- No TV 30 minutes before bedtime
- Take a 10-minute walk outside each day.
- Reach out to a friend in the community to spend time socializing.
- Eat small meals throughout the day.
- Follow up in 3 weeks or sooner if needed.
References
Boland, R., Verdiun, M., & Ruiz, P. (2021). Kaplan & Sadock’s Synopsis of Psychiatry (12th ed.). Wolters Kluwer Health. https://online.vitalsource.com/books/9781975145583Links to an external site.
Alam, A., Voronovich, Z., & Carley, J. A. (2013). A review of therapeutic uses of mirtazapine in psychiatric and medical conditions.The primary care companion for CNS disorders ,15(5),PCC.13r01525.https://doi.org/10.4088/PCC.13r01525
American Psychiatric Association. (2022). Diagnostic and Statistical Manual of Mental Disorders, Text Revision (DSM-5-TR), 5th Edition. [[VitalSource Bookshelf version]]. Retrieved from vbk://978089042577
Post 2:
Case study
The patient is a 62-year-old woman from Taiwan who has difficult time adjusting to life in the United States. The patient has recently lost her husband and son has relocated to a new neighborhood 2 hours away.
Biopsychology Formulation
Biological factors
Predisposing factors: As a migrant from a different part of the world, sleep quality, pregnancy, and nutrition predispose the patient from developing mental health disorder. The patient has poor sleep pattern, she is pregnant, and experiences a change in nutrition. Genetics play part to the condition as she is adapted to living in a different setting.
Precipitating factors: death of Mr. T
Perpetuating factor: lack of moral support from the family.
Protective factors: becoming silent and socially withdrawn
Psychological Factors
Predisposing factor: Refusing to move out of her current neighborhood, watching Chinese movies and shows
Precipitating factors: Relocation of son’s job to two hours away in a different neighborhood.
Perpetuating factor: son’s new child and wife
Protecting factor: silence and social withdrawal
Social factors
Predisposing factor: lack of family support, changes in culture, and living situation
Precipitating factors: Loss of a close family member and changes in living situation by son’s relocation
Perpetuating factors: Cultural belief and lack of support
Protecting factor: culture and living situation
Diagnosis
Adjustment disorder
The patient does not fully interact with the new society and finds it hard adapting to the new place. The sudden loss of Mr. T extents the condition as she fails to adjust properly to her new home. The son’s relocation extends the issue as she fails to adjust and adopt her son’s family as she feels sad and out of place in the family.
Treatment plan
Psychotherapy
Behavioral therapy is essential to guide the patient to overcome negative behaviors that are predisposing her to developing mental health and social adjustment. Behavior of the patient indicates that psychotherapy should employ behavioral therapy through cognitive condition to ensure the patient adjusts relative to the current setting.
Psychoeducation
Educate the patient on how changes in the social and personal environment affect mental health stability as they fail to accept the new changes.
Educate the patient on how to adjust to the new society through exploring the new contemporary society, interacting with other members of her community, and overcoming bored
Educate the son and wife the important of family support to the patient.
Non-pharmacological treatment
Complementary and Alternative medicine focusing on nutrition and acupuncture. I agree with son’s plan as part of her treatment as the patient is well experienced with Chinese based alternative medicine as ready to accept it as she does not rearrange the house. The care should health the patient to adjust effectively by gaining balance in her life despite the loss of Mr. T.
Requirements: Min 100 Words per post
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