Major Depressive Disorder

Client Profile

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• 61 yr old male
• known diabetic, hypertensive, w/liver cirrhosis
• Single, No children
• Mexican American
• Retired English Teacher
• Dx: Major Depressive Disorder, recurrent w/out psychosis

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Major Depression

• over 2 weeks of intense sadness;disruption of previous functioning & five other symptoms
• Reoccurs in episodes throughout ones life

Onset/Etiology

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• average onset: mid twenties
• 15-25% females; 8-15% for males
• may be related to other medical illnesses/mental health conditions
• 2-4 times likely to develop - 1st degree biological relatives

Signs/Symptoms

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• Dejected Mood
• Reduction in Gratification
• Avoidance, Escapist, Withdrawal
• Loss of appetite
• Sleep Disturbance

Diagnostic Tests

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• Physical Exam
• Psychological Evaluation
• must meet the symptom criteria: Diagnostic and Statistual Manual of Mental Disorders (DSM)

Medical Mngt.

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Nurs. Mngt.

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• Promoting Self esteem
• Instilling Hope
• Enhancing Socialization
• Preventing Suicide

Progression

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Student Involvement

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• Client was open to discussing his feelings but only after some considerable time, patience and use of silence was key,encouraged him to identify strengths that included a passion for writing and verbally expressed spending more time with friends & family; showed an interest in participating in group while I was there.