NU 646 Comprehensive Case Study: Week 7
Introduction and Differential Diagnoses
Denise is a 37-year-old Black Latino female returning for a follow up visit. Since her last visit sixteen months ago, she has had another baby. She has been referred for outpatient therapy for symptoms of seve...
Major Depressive Disorder with peripartum onset specifier can begin early; however, the
duration after pregnancy is variable with “most recent episodes of major depression if onset of
mood symptoms occurs during pregnancy or in the 4 weeks following delivery” (American
Psychiatric Association, 2013, p. 186). During her therapy session she stated she did not have
any complications per say but she noted she was “more emotional this pregnancy but is unsure
why” (D. Hampton, personal communication, February 18, 2023). She meets the criteria of
major depressive disorder meeting at least five symptoms including loss of interest in being a
mother, depressed mood as evidenced by feeling hopeless, fatigue, persistent tiredness, and guilt
because she has not returned to her pre-pregnancy self. The American Psychiatric Association
(2013) noted that perinatal women experiencing major depressive disorder symptoms tend to
suffer from severe anxiety and even panic attacks.
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