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WALDEN UNIVERSITY NURSING 6630N WEEK 3 CASE STUDY

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WALDEN UNIVERSITY NURSING 6630N WEEK 3 CASE STUDY

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  • March 31, 2022
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WALDEN UNIVERSITY NURSING 6630N WEEK 3 CASE STUDY




Week 3 Case Study




Walden University

NURS - 6630N Psychopharmacologic Approaches to Treatment of Psychopathology




This study source was downloaded by 100000842568006 from CourseHero.com on 03-31-2022 00:58:04 GMT -05:00


https://www.coursehero.com/file/39889374/WK3-NURS6630docx/

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Case Study

A 32-year-old Hispanic American male was referred for treatment after complaints of

depression. Organic basis for depression was ruled out by his PCP. He currently works as a

laborer in a warehouse. The client came to the U.S. with his father while still in high school. His

mother passed away in Mexico while he was still in school. He has lost interest in usual activities

and has gained 15 pounds in the past two months. He has had insomnia for the past six months

that is getting progressively worse. His poor concentration is getting him in “trouble” at work.

The patient is alert and oriented to person, place, time, and situation. He admits to having

feelings of depression. He denies auditory or visual hallucinations. He is not having any

delusions or paranoid thought processes. He denies suicidal or homicidal ideation and his

judgement and insight are grossly intact. A score of 51 on the Montgomery-Asberg Depression

Rating Scale (MADRS) indicates severe depression.

Major Depressive Disorder

Depressed mood or loss of interest or pleasure in activities for a period of at least two

weeks is the essential feature of major depressive disorder. At least four additional symptoms

from the following list must be experienced: changes in appetite or weight, sleep, and

psychomotor activity, decreased energy, feelings of worthlessness or guilt, difficulty thinking,

concentrating, or making decisions, or recurrent thoughts of death or suicidal ideation or suicide

plans or attempts (American Psychiatric Association, 2013). These symptoms must be present for

most of the day, nearly every day for a period of at least two weeks and cause significant social

or occupational impairment or distress. Based on the patients signs and symptoms, he meets the

criteria for a diagnosis of major depressive disorder.



This study source was downloaded by 100000842568006 from CourseHero.com on 03-31-2022 00:58:04 GMT -05:00


https://www.coursehero.com/file/39889374/WK3-NURS6630docx/

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