PRAC 6645 WEEK 10 Assignment 1 : Clinical Hour and Patient Log Clinical Logs Major Depression

PRAC 6645 WEEK 10 Assignment 1 : Clinical Hour and Patient Log Clinical Logs Major Depression

Age: 45 years

Diagnosis: Depression

S: S.K is a 45-year-old client that has been undergoing treatment in the unit due to major depression. She was diagnosed with depression six months ago and has been undergoing group psychotherapy sessions and using antidepressants. She was diagnosed with depression after she presented with complaints of feeling sad most of the days almost all the days, feeling worthless and guilty most of the times. She also reported decline in her appetite, as well as becoming socially withdrawn. Her interest in pleasure also declined significantly. The symptoms had affected significantly her ability to perform optimally in her academic and social roles. The symptoms could not be attributed to other causes such as medication use, medical conditions or substance abuse. She was therefore diagnosed with major depression and has been undergoing treatment in the facility.

O: The patient appeared dressed appropriately for the occasion. She was oriented to s

PRAC 6645 WEEK 10 Assignment 1  Clinical Hour and Patient Log

elf, place, time and events. Her judgment was intact. She denied any suicidal thoughts, attempts or plans as well as illusions, delusions and hallucinations. Her mood was normal.

A: The client has responded well to the treatments. Her mood has improved

P: Psychotherapy sessions were terminated with consent obtained from the client. She was advised to continue with antidepressant therapy. She was scheduled for follow-up visit after two months.

Major Depression

Name: T.M

Age: 28 years

Diagnosis: Depression

S: T.M is a 28-year-old client that was brought to the unit by his relatives for psychiatric review. The client was brought with history of suicide attempt by hanging. The client reported that he wanted to kill himself, as he felt that

PRAC 6645 WEEK 10 Assignment 1 Clinical Hour and Patient Log

his life was useless. The client also noted that his mood has been depressed for almost every day. The depressed mood had made it difficult for him to engage in his activities of the daily living. The family also reported that his interest in things had diminished significantly. The client reported suicidal thoughts and attempt. He denied any suicidal plan during the clinical visit. Based on the above complaints the client was diagnosed with depression and initiated on treatment.

O: The client appeared poorly dressed for the occasion. He reported that his mood was depressed. The client was oriented to self, others, time, and events. He denied illusions, delusions, and hallucinations. He reported suicidal thoughts and attempts. He denied current suicidal plans. The client does not have a current suicidal plan. His speech was reduced in terms or rate and volume.

A: The client is experiencing severe symptoms of depression. The client requires treatment to improve his mood and functioning.

P: The client was admitted for further observation. He was prescribed antidepressants to manage the depressive symptoms he was experiencing.