Adult Depression Case Study, how to write a research paper

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Adult Depression Case Study – I

Marsha is a 39-year old divorced, Native American, mother of two small children. She was referred to you by her PCP. She reports a history of recurrent and disabling depression, headaches, and back aches.  She has become increasingly depressed with difficulty moving, diminished appetite, with crying spells much of the day and thoughts of suicide. She reports that her PCP had prescribed Prozac 20 mg a day 2 months ago, and while taking this medication she described herself as having “increasing problems sleeping”.  She was feeling very “irritated with everyone”. Because it appeared to be worsening the underlying mood the Prozac was discontinued.

She reports that she has never been hospitalized but she was treated for depression and a history of alcohol abuse when she was a teenager. She described a history of low mood for many years.  When asked about family history she reported both her father and paternal grandparents also had mood problems. The grandmother was hospitalized when the client was in grade school for “unknown reasons” that the family refused to talk about.  Marsha’s overall health is good with no apparent health problems. Her history is negative for surgeries or serious illness but she did report a history of concussion at age 18 resulting in loss of consciousness.

Within the last month, Marsha found out that she is pregnant with her third child.  Because she is Catholic, she does not believe in abortion.  This has contributed to her feeling overwhelmed and hopeless.




Overview of assignment


Develop and formulate a written case analysis from the above Adult Depression Case Study (see Online Written Case Analysis guidelines below)



APA Format.


If details are not included in the scenario for all of the assessment data, you may either indicate that these areas are not applicable or you may also create and develop details as needed.


1) Introduction:


  1. a) Chief Complaint:


  1. I) Patient perception of problem


  1. ii) Brief description of condition of patient at first contact


(1) Include date of onset and circumstances under which current complaint developed


  1. b) Past psychiatric and medical history


  1. I) Physical, emotional, psychic, and behavioral symptoms other than those of the chief complaint include difficulties in childhood and



  1. c) Alcohol and/or drug abuse (include caffeine and nicotine use)


  1. d) Legal history


  1. e) Financial status/employment (include military)


2) History of Present Illness:


  1. a) When did the patient first seek treatment?


  1. b) What treatment was received?


  1. c) Any hospitalizations?


  1. d) Have any treatments worked to relieve symptoms?


  1. e) Progression from the onset to the time of the initial intake


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  1. I) Example: Describes ongoing worsening symptoms of depression,

withdrawal, and isolative behavior to nearly reclusive proportions;

increasing suicidal ideation; initial and middle insomnia; pervasive anhedonia; difficulties with

focusof thought and concentration; anergy andlethargy, severe impairment in occupational capacity, marked levels of psychomotor retardation, increasing

feelings of hopelessness and despair coupled with self-deprecatory beliefs, increasing frequency,

intensity, and duration of dissociative episodes with increasing flashbacks; memory loss; loss of time; and generalized anxiety with increasing intensity of panic attacks with related cardiac sequalae.


3) Family, social and environmental history:


  1. a) Include significant physical and psychiatric disorders in patient’s family


4) Mental Examination:


  1. a) General appearance, attitude and behavior:


  1. b) Stream of mental activity/speech


  1. c) Content of thought:


  1. presence of formal thought disorder


  1. d) Perceptions:


  1. I) presence of hallucinations; any change with environment


  1. e) Cognitive functioning/sensorium


  1. I) Orientation:


  1. ii) Memory:


  1. iv) Abstract thinking:


  1. f) Judgment/insight


5) Physical Assessment: Review of Systems


  1. a) Sleep patterns; Dietary habits; Exercise/Activity level


6) Motivation for treatment:


  1. a) Outcomes of treatment – client identified


  1. b) Strengths and assets


7) Assessment Tools (list any you feel would be indicated, why selected and likely results given your client’s scenario)


8) DSM – V Provisional Diagnosis (include rule-outs)


9) Treatment Goals, Prognosis and Discussion




2) Treatment Plan: 20 points


  1. a) Pharmacological management plan:


  1. I) Include medication(s) you would prescribe for the patient-document with

rationale, cite neuropathways and neurocircuitry, and provide references from the literature for your choices.


  1. ii) Choose an alternative medication(s) if the patient does not respond to the first agent(s)-again document with rationale, city neuropathways &neurocircuitry and provide references from the literature


iii) Be sure to check for drug-drug/drug-disease/drug-diet interactions-

document with rationale for why you included these.


  1. iv) Provide a brief written overview of the medication education you would offer the patient


  1. b) Psychosocial plan


References for case analysis:

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Last Updated on April 25, 2020 by Essay Pro