Please identify the disorder – Major Depressive Disorder, Bipolar, Persistent Depressive Disorder (Dysthymia) or Cyclothymic Disorder and explain very briefly the rationale for each of your diagnosis.
Case study below ðŸ‘‡
Case Studies on Mood Disorders
Check your understanding of mood disorders by reading the information on the following cases, and stating the most appropriate mood disorder diagnosis for each person. Explain the rationale for each of your diagnoses.
1. You see Jill (age 24) in the emergency room of a hospital where her parents have brought her for evaluation. They are worried because she is giving away all of her possessions and says she is planning to move to Seattle so she can “save the world.” Her parents say that she has hardly been sleeping at all, but she seems very energetic. They say she has appeared to be “in a frenzy” lately. When you interview Jill you notice that she speaks very rapidly. It is hard to get her to be quiet long enough for you to ask questions. She seems agitated, and has difficulty sitting still.
2. Morris has been referred to you for psychotherapy following a suicide attempt. When you interview him he is very teary. He speaks slowly and looks down at the ground as he speaks. He reports difficulty in falling asleep and staying asleep for the past month. Morris states that he hasn’t had much of an appetite and has lost 15 pounds. He reports that things he used to like just don’t seem enjoyable anymore, and he thinks that life is not worth living. Morris doesn’t expect things to improve in the future, which is why he tried to kill himself.
3. Phillip is a 22 year old college student. His friends have urged him to seek counseling because they feel that he is unhappy. Phillip says that he doesn’t think about it much, but he thinks that he has probably been pretty unhappy since his mother died, 6 years ago. He says that he just doesn’t get much enjoyment out of life, and that things always seem to go wrong for him. He denies that he has problems eating or sleeping. He denies having thoughts of suicide.
4. Kimiko is a 34-year-old community college instructor who, for the past 3 years, has had persistent feelings of depressed mood, inferiority, and pessimism. She realizes that, since her graduation from college, she has never felt really happy and that, in recent years, her thoughts and feelings have been characterized as especially depressed. Her appetite is low, and she struggles with insomnia. During waking hours, she lacks energy and finds it difficult to do her work. She often finds herself staring out the window of her office, consumed by thoughts of how inadequate she is. She fails to fulfill many of her responsibilities and, for the past 3 years, has received consistently poor teacher evaluations. Getting along with her colleagues has become increasingly difficult. Consequently, she spends most of her free time alone in her office.
5. Larry is a 60-year-old bank cashier who has sought treatment for his mood variations, which date back to age 26. For much of his adult life, co-workers, family, and friends have repeatedly told him that he is very moody. He acknowledges that his mood never feels quite stable, although at times others tell him he seems more calm and pleasant than usual. Unfortunately, these intervals are quite brief, lasting for a few weeks and usually ending abruptly. Without warning, he may experience either a somewhat depressed mood or a period of elation. During his depressive periods, his confidence, energy, and motivation are very low. During his hypomanic periods, he willingly volunteers to extend his workday and to undertake unrealistic challenges at work. On weekends, he might decide to put in long shifts at a homeless shelter without getting any sleep. Larry disregards the urging of his family members to get professional help, insisting that it is his nature to be high energy at times. He also states that he doesnâ€™twant some â€œshrinkâ€ to steal away the periods during which he feels on top of the world.
6. Daryll is a 37-year-old construction worker whose wife took him to a psychiatric facility. Although Daryll has been functioning normally for the past several years, he suddenly became severely disturbed and depressed. At the time of admission, Daryll was agitated, dysphoric, and suicidal, even going as far as to purchase a gun to kill himself. He had lost his appetite and had developed insomnia during the preceding 3 weeks. As each day went by, he found himself feeling more and more exhausted, less able to think clearly or to concentrate, and uninterested in anything or anyone. He had become hypersensitive in his dealings with neighbors, co-workers, and family, insisting that others were being too critical of him. This was the second such episode in Daryllâ€™s history, the first having occurred 5 years earlier, following the loss of his job due to a massive layoff in his business.