case study
Mrs. M shows some signs of major depressive disorder. Mrs. M has been experiencing intense sadness without any real cause which is causing her to feel overwhelmed and perplexed. The most recent incidence was when a dish fell on the floor and broke which led her to sit on the floor, hit the floor with her fist, and cry. She stopped crying when she became startled at the fact that her hand was bleeding from pounding the broken glass. She then went into her car to go to work, when she began to cry again for no reason. She eventually called in sick to work. Mrs. M's intense sadness, the above being one example, is a symptom of major depressive disorder. Mrs. M has also been experiencing melancholic features such as a loss of interest in activities that are usually pleasurable. She has withdrawn herself from activities with her children, leaving the job to her husband. She has also withdrawn from her social contacts at work, no longer eating with her colleagues, but being alone as often as she can. Her usual close to infallible work performance has decreased having several mistakes. Mrs. M's lack of motivation and companionship are also signs of major depressive disorder. Mrs. M has also been under some stress at work wit
I was very curious about the comment made about wanting to "run away" or "get away from it all." When I questioned her about this, Mrs. M stated that she was ashamed of feeling sad all the time and is frustrated with her poor work performance. She gets distracted very easily at work and her constant desire to go to sleep does not help. She wants to go away where she can be by herself and not be a negative influence or burden on anyone else's life. She is determined that she has ruined the lives of her children and her husband. Although she wants very much to return to her "old self," she feels that this is impossible. In the cognitively based theory, serious mood changes can result from events in our lives or from our perceptions of events. The dysfunctional attitudes of the depressed person causes them to assume that they are worthless and helpless and their efforts are doomed to fail. They distort any experience, even a positive one, so that it fits in with this generalized belief. As a consequence of these cognitive distortions, depressed individuals experience low feelings of well-being, energy, desire to be with others, and interest in the environment. These phenomena contribute to their depressed affect. I would also require that Mrs. M undergo a combination of cognitive and behavioral therapy. Depressed clients often set unrealistic goals and then are unable to implement behaviors to reach these goals. I would give Mrs. M regular homework assignments that help her make gradual behavioral changes and that increase the probability of successful performance. I would also reward her every time Mrs. M initiates social activity. The reward can be anything from positive statements or a special treat that she likes. I think that Mrs. M's prognosis is positive. Mrs. M has never mentioned any thoughts of suicide or harming herself in any way. She is also aware that the things she is feel
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Approximate Word count = 1293
Approximate Pages = 5 (250 words per page double spaced)
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