Depression Case Study

Introduction

Cynthia who is a married woman is undergoing depression, and her situation is enhanced by some factors. Her state started while she still in college after the loss of her father whom they were close. This stage in her life was probably the hardest in her life as she lacked purpose and was always on her toes to think about how her life would change due as she tried to adopt living with her paternity grandparent who was suffering from nervous breakdowns. Scooping up with her circumstances was quite hard, and this was the cause of her depression due to over thinking.

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After an analysis of her case, I happened to notice that Cynthia case has developed and it is at an advanced stage which requires careful analysis procedures. Cynthia had recently experienced the last 12 days in a cycle of depression which was marked by lack of sleep, quick temper, and tearfulness. These symptoms have been experienced for at least half dozen in the prior year, but this time they were rapid. As Cynthia is married and her husband was resourceful as he offered required information without much struggle and Cynthia was undergoing denial and claimed to be okay all the time. The husband claimed that her mood would typically stabilize within a few weeks of consuming fluoxetine. The husband also added that Cynthia's condition becomes worse when she consumed both alcohol and clonazepam as these two worsened her symptoms as she becomes wild and hot-tempered. However, Cynthia only drank alcohol and clonazepam in her dark periods.

Cynthia had an outpatient psychiatrist who reported that Cynthia appeared to have dysthymia and recurring major depression. Cynthia also was undergoing denial as she never attended her sessions when she was at her worse and also she concealed information about her husband and another source that could have offered information about her. Cynthia showed symptoms such as headaches and dizziness in the evaluation room. She was glazed and lacked focus. Her speech was rapid, pressured and one could not make anything from what she was saying due to hallucinations. She refused to undergo cognitive testing with the claims that she did not to be used as a guinea pig. This was a clear indication of how depression had forced her to become solitary and was in denial. Her condition was contributed by some factors such as her blog and lack of guidance as she did not use any drug to reduce her depression state. Her husband was also not supportive as he did not take any step when her condition was in its initiation stage but he tries to be helpful when her condition is in an advanced stage.

Comprehensive diagnosis should be carried out with the guidance of some codes. The first code should be privacy where the patient should be assured the confidentiality of whichever information they share. Intimacy is meant to develop confidence in patients in that the patient can free to talk to the nurse. Another code that is used to guide comprehensive diagnosis is consideration of all causative agents and also careful analysis of available samples. Cynthia case is an example of severe depression as she suffers from headaches and denial. She is hot-tempered, and her condition is accelerated by alcohol. All these symptoms point to significant depression without much doubt. The term diagnosis rules out is used in patient care to rule out a suspected condition or defect in human health. However, ruling out diagnosis cannot be accepted after a primary diagnosis or when it based on medical claims. Ruling out can only be effective only when one has carried careful testing and had enough laboratory report. For our given case study I would rule out the assumption that Cynthia is suffering from dysthymia. This is wrong, and there lack evidence supporting this fact and thus ruling it out will be effective and legal. The patient in this case study is suffering from major depression as she is in urgent need of comfort from the clients on her blog.

Dealing with a depression case calls for the use of more than correct medication. This is because depression can be caused by some factors ranging from physical, emotional and social problems. Due to this reason, an individual suffering depression has to have e a treatment plan for adequate healing. Each patient should have a personalized treatment plan as they all suffer from different conditions. A treatment plan is mainly comprised of professional help, self-help and a change of lifestyle. A treatment plan also has some goals which are either long range or short range. My treatment plan for Cynthia is designed in such a way that it has one long-term goal and three short-term goals. The long-term goal, in this case, is to change her hot-tempered attitude in the next one month. This is achievable as she will receive professional guidance. The short-term goals of this treatment goal include improving her lifestyle, eradicating alcohol consumption in her life and overcoming denial. All these aims will be achieved at the end of the treatment program as she will have both professional help and self-help. My goals are both attainable, and realistic.in the course of the treatment there can be interventions that can alleviate the symptoms of depression such as seeking help from a qualified psychiatrist. A psychiatrist will help keep Cynthia's situation under control, and this will help alleviate her hot-tempered situation.

Conclusion

Biology plays an essential role to clients who meet full criteria for the assigned diagnosis. Biology helps in issues such as physical influences on symptoms. The biological composition of an individual dramatically affects the signs of a given disease. Biology also affects how one reacts to a given medication plan. It determines the side effects that will be experienced at any given time. The emotional and mental impact on an individual assigned the diagnosis is different from one individual to another. These impacts vary from one individual to another depending on their state and current condition. The emotional impact of a diagnosis is that clients feel loved and cared for while the emotional state they experience is satisfaction and hope. The social implications of a well-conducted diagnosis are that it helps an individual to be open with others and also feel free to share their case.

References

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Shah, B. R., & Laude, T. A. (2000.). Atlas of pediatric clinical diagnosis. Philadelphia :: Saunders.

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Wolman, B. B. (1978.). Clinical diagnosis of mental disorders : a handbook. New York: Plenum Press.