Essay on Depressive Disorder
In interviewing her, it is imperative to ask the frequency or number of days she has felt loss of energy and interest in daily activities, when did it start, and whether it affects her daily functioning. To detect the effect on sleep it will be important to ask how well her sleep often is, does she have sleep attacks among others. Suicidal ideations or attempts ought to be approached in a more sensitive manner to allow the patient to establish a therapeutic relationship and respond to the questions. Questions to identify the likely source of the depression such as any history of recent or past experience, familial history of depression or recent information of difficult labor/ childbirth is key. Clinical symptoms Depression may be characterized by a depressed mood of sadness, with emotional distress or have flattened affect.
The cardiovascular screening is important as the patient has car acanthosis which is a risk factor for cardiovascular disease. Diagnosis Primary diagnosis; depressive disorder- the patient presents with all classical symptoms of depression to include low energy, feelings of sadness, a decline in her performances and weight gain. differential diagnosis; - underactive thyroid; underactive thyroid presents with similar characteristics such as loss of energy, tiredness, and weight gain. A second differential diagnosis is a drug-related mood disorder, drug and substance abuse can result in alterations in mood resulting in feelings of sadness, loss of energy and interest. A third differential diagnosis is Chronic Fatigue Syndrome (CFS). References Fann, J. , Bombardier, C. , Temkin, N. , Esselman, P. , Warms, C. Diabetes Care, 36(Supplement_2), S139-S144.
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