Ongoing Mental Health Needs: Major Depressive Disorder Introduction This paper presents a case study of a chosen service user, one who is suffering from bipolar affective disorder. Patient X, a 35 year old female was admitted to the mental health unit after her mother observed her sullen and melancholy behaviour persisting for about three weeks…
She also had a history of attempted suicide. Her mother also observed that she felt tired all the time and was always sleeping. She was previously admitted a year ago for depression, underwent psychotherapy, and was given anti-depressants soon after. She has not attended any follow-up check-ups. Three months prior to her current consult, the patient’s mother consulted with the clinic about her daughter, expressing that after two weeks of manifesting severe depression, she was suddenly acting full of herself, having no care in the world, and often talked non-stop. She was also arrested for drunk and disorderly behaviour two weeks prior. She was later diagnosed with bipolar affective disorder. This paper shall provide a critical appraisal of the diagnostic label used in relation to the service user’s presenting behavioural features with reference to international classification. The impact and implications for service user and families, including long term prognosis and recovery will also be included. Thirdly, details of agreed treatment plan and nursing interventions would also be discussed. Next, a critical evaluation of any emerging legal, ethical, cultural issues in the provision of treatment and care for this service user will also be discussed. ...
tivity levels were seriously disturbed, with episodes of elevated mood and increased energy and sometimes a depressed mood and decreased activity (World Health Organization, 1992). She also seemed to recover between these episodes. The patient manifested several incidents of alternating periods of depression and mania through elevated moods and increased energy persisting for about two weeks and would plateau for several weeks, and later with depression manifesting for three weeks (WHO, 1992). Her depression is usually longer and her periods of depression are often triggered by trauma, in this case, her depression was triggered by her job loss. This diagnosis is supported by the ICD-10 because it includes the following: manic-depressive episodes, psychosis or reaction, and does not include bipolar disorder, single manic episode or cyclothymia (WHO, 1992). This diagnosis is the closest match to the ICD-10 standards. An initial diagnosis of depression in the patient’s case was very much appropriate, however, the incident shared by her mother brings a different angle to her diagnosis. It brought in the possibility of bipolar disorder which is rightly fitting in her case. If the patient’s case would have been depression alone, she would have persisted in such behaviour for a while, and her symptoms of impulsiveness as well as increased activity would not fit her depressed condition (Swann, et.al., 2008). The diagnostic label was useful in the patient’s case because it helped provide a clearer picture of the patient’s health condition (Angermeyer and Matschinger, 2003). The label helped the health professionals in planning the patient’s care and in helping the patient and her family understand the client’s condition (Angermeyer and Matschinger, 2003). There are ...
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Assessment in the Mental Health Setting. Assessment is an important part of health care. For most health care professionals, their practice starts with assessment; the quality and effectiveness of their practice also often depends on an accurate and efficient assessment process.
The condition is capable of putting an individual totally out of action and in turn adversely influences the lives of those who are associated, work place, behaviour of the individual, habits and ultimately the health. Statistics reveal that in United States, 3.4% of the cases suffering from major depressive disorder perform suicide on the other hand, 60% of the suicidal cases suffered depression or related ailment (Barlow, 2005).
Diagnosis of a patient suffering from depression disorder would articulate, sadness accompanied by several psycho physiological changes such as insomnia or irregular sleeping patterns, crying, suicidal thoughts, reduced desire to socialize with family and friends, loss of appetite and reduced reflex reaction especially in speech and movement.
In axis IV, Isabella has a history of sexual abuse by an adult tenant. In axis V (Global Assessment of Functioning Scale), Isabella can be classified in the range 41-50. This is due to impairment of school functioning, interpersonal relationships, thinking and mood.
Associated Problems in psychotic Phase are: Reckless or Impulsive Behaviour, Obsessive Thinking or Compulsive Rituals, Prolonged Anxiety, Tension or Worry, Fidgeting, Pacing, or Hyperactivity, Sad or Depressed Mood, Irritability or Hostility, Feeling Worthless or Guilty, Fatigue, Poor Concentration or Attention, Sleeping Problem, Appetite or Eating Problem, Poor Sexual Interest or Ability, Overly Dependent Behaviour and Poor Physical Health.
As her nurse, my role is to establish a therapeutic relationship that will enable treatments to assist, and support her to achieve well-being.
The patient presented with a sustained sad mood and tearfulness, loss of interest (anhedonia), energy, appetite, self-esteem, and with sleep disturbance.
Also, current serious attempts of suicide and helplessness and worthlessness indicated by patient's statement on interrogation.
Diagnosis 2: Hopelessness related to depressive thought process manifested by sadness, dejection, weeping episodes, worthlessness, guilt, anhedonia, low spirits, disturbed sleep pattern, all indicating depression and manifested by despondency, gloom and despair reflected in speech, facial expression, and posture and observed sleep pattern in the hospital.
Recent changes in the American diet has been suspected at being the cause of the increase in the incidence of depression, bipolar disorder, and schizophrenia. In the past 100 years our diet has radically shifted from fresh game and wild plants to a menu of processed foods,
We had no real knowledge of what made us act in certain ways when we were depressed, and how to treat those feelings and emotions so that we could return to some sense of normalcy. Psychology has come a long way since then and we now have numerous common
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