ase study on Depression
Clinical case
Mrs. Z is a twenty-eight-year-old lady who reports an inability to cope with break-ups. She suffers from prolonged sadness after a one-month break-up. She also cites other symptoms, including fatigue, oversleeping, difficulty waking up, concentrating, and walking. She feels guilty for the relationship failure and does not feel the need to interact. However, she has no suicidal thoughts, changes in appetite and brightens up when she talks about a friend and nephew.
Diagnoses
Primary Diagnosis
After Mrs. Z has described her mood (sadness) and how it has affected her life (both occupational and social life), we then carry out a two-part questionnaire to identify the possibility of depression. In this questionnaire, these questions are posed;
Have you become bothered by feeling hopeless, depressed, and down in the past month?
Have you been bothered by the little pleasure and interest in doing things?
Based on the positive affirmation, we proceed to the secondary diagnosis.
DSM-5
This criterion is the diagnosis of depression
The person must have experienced five or more symptoms in two weeks (Gaynes et al., 2020). One of the symptoms should be a) loss of pleasure or interest or b) depressed mood.
Depressed mood nearly every day or most of the day
Lack of interest in all, or almost all daily activities, almost every day
Increased weight loss or gain when not dieting
Loss of energy or fatigue almost daily
Feelings of worthlessness or inappropriate guilt almost daily
Failure to concentrate or indecisiveness
Recurrent suicidal ideation
ICD-10
ICD-10 CODE: F32.9
This is a code for depression; single episode, unspecified.
The patient experiences feelings of despair, loss of energy, and difficulties dealing with normal life (Gaynes et al., 2020). They may also feel hopelessness, worthlessness, and changes in eating and sleeping habits.
Pharmacological treatment
Medication will be carried out through the use of antidepressants. These antidepressants help in relieving the symptoms of depression (Tolentino
