MDC Experiencing Several Signs and Symptoms Discussion Response

Create a reply for the discussion of this other student:

Other student reply:

Discussion Week 6

1. Clinical Case Summary:

A 28-year-old female presents with headaches, fatigue, poor sleep, early waking, diminished interest in activities, missing work, difficulty concentrating, frequent crying spells, loss of appetite, and a weight loss of 10 pounds over the past month. No significant medical or psychiatric history, takes ibuprofen for headaches, denies alcohol or drug use, married with two children.

2.List of Patient’s Problems (Prioritized):

• Severe fatigue and insomnia
• Depressed mood and anhedonia
• Impaired concentration
• Weight loss and loss of appetite
• Headaches

3.Considered Diagnosis:

1. Major Depressive Disorder (MDD)

4.Rationale for Diagnosis:

1. The patient exhibits several key symptoms of MDD, including depressed mood, anhedonia, fatigue, insomnia, weight loss, and impaired concentration. These symptoms have significantly impacted her daily life, including work and relationships.

5.Differential Diagnosis:

• Generalized Anxiety Disorder (GAD)
• Chronic Fatigue Syndrome (CFS)
• Thyroid disorders
• Other mood disorders (e.g., bipolar disorder)

6.Tests/Screening Tools:

• Blood tests (thyroid function, CBC)
• Screening for substance use
• Structured clinical interviews (e.g., PHQ-9 for depression, GAD-7 for anxiety)

7.Treatment and Rationale:

• Psychopharmacology: Selective Serotonin Reuptake Inhibitor (SSRI) for depression.
• Diagnostics Tests: Thyroid function tests to rule out underlying medical conditions.
• Referrals: Consultation with a psychiatrist for further evaluation.
• Psychotherapy: Cognitive-behavioral therapy (CBT) to address depressive symptoms and improve coping skills.
• Psychoeducation: Educate the patient and family about depression, its course, and the importance of treatment adherence.

8.Standard Guidelines:

• Follow guidelines from the American Psychiatric Association (APA) for the assessment and treatment of Major Depressive Disorder.
• Use evidence-based practices for psychotherapy, considering the patient’s preferences and cultural factors.
• Collaborate with other healthcare providers to address any comorbid medical conditions.