Discuss the diagnosis of Major Depressive Disorder and the criteria that must be met in order for a person to receive this diagnosis.
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It is more severe than the normal ups and downs that everyone goes through. Show more…
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Critically explain how major depressive disorder is distinguished from a transient mood state. In your answer include the DSM 5 diagnostic criteria for major depressive disorder.
Akash M.
For each vignette below, indicate the Vignette # - Diagnosis or diagnoses you believe fit the client (3 points) - partial credit available for answers that are close! - Rationale – at least two factors that helped you decide the diagnosis (just list in bullet form; no need for full sentences) (2 points) - Risk Factors – list potential causes for the disorder - list two, if possible (2 points) - Treatment options – provide a brief description of at least two treatment options; be sure to specifically apply the treatment to the problems of the client (don’t just name the treatment) and give details about the treatments you list.(3 points) Vignette #4 - Tom Tom is a 28-year-old single, white male government employee referred by his family physician for evaluation. He reports a 3-week history of worsening depression that is especially bad early in the morning. "I wake up at 3 in the morning and I can't get back to sleep. My thoughts torment me." He also reports decreased energy, inability to concentrate at his job, decreased appetite with a 10-pound weight loss, and suicidal ideation. "I feel so hopeless that suicide seems like an option. I'm worried that I could lose my job if I miss more work. Nothing seems to be worthwhile in my life right now". Tom is tearful during evaluation. He lacks animation and his mood is quite depressed. He denies prior hypomanic or manic episodes. Mental status reveals slowed thinking and no evidence of psychosis. He does report two previous depressive periods, one in late adolescence and another during his senior year in college. During the latter episode, his symptoms were severe enough that he was unable to attend classes. "I almost failed that semester." Both depressive episodes remitted in a few months without treatment; he "felt like normal" during remission. Tom states his depression this time seems much worse than before. He denies drug abuse or use and has no medical problems. The family history is positive for depression in a paternal grandfather, and in his father, and he reports that a depressed uncle committed suicide about 10 years ago.
Adi S.
Jerelyn N.
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