Major Depressive Disorder_Gary\u2019s Case_Psyc 353 Final - GARYS ASSESSMENT 1 Major Depressive Disorder Garys Case Diana D Melton Abnormal Psychology

Major Depressive Disorder_Garyu2019s Case_Psyc 353 Final -...

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GARY’S ASSESSMENT 1Major Depressive Disorder: Gary’s CaseDiana D. MeltonAbnormal PsychologyUniversity of Maryland University College
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GARY’S ASSESSMENT 2Major Depressive Disorder: Gary’s CaseCase SummaryThe patient, Gary, is a 39-year-old married male with two children. He and his wife have been married for 12 years and he describes his marriage as intact and relatively happy, with normal ups and downs. Patient is complaining of the following symptoms:Weight gain of approximately 20 poundsInsomnia and interrupted sleepDecreased self-esteemGeneral fatigueMoodiness and irritabilityAnxietyLoss of appetite followed by increased eatingDecreased libidoFeelings of guilt stemming from loss of income due to economic troubles (business owner)Gary and his family has been effected by the declining economy, which has taken a toll on their savings and investments, thus altering their way of life they have grown accustomed to (i.e. upper-middle income household).The patient is well educated, holding an MBA from John Hopkins University, and owns his own business. He has to earn enough income to pay his employees, bills and meet his family obligations. Patient’s wife owns a successful business and works from home in order to care for their children as well. Due to his wife’s pre-existing medical conditions, their health care premium is enormous. Gary recently took over those payments from his wife, as he felt he needed to alleviate that burden from her since she covered all expenses he was unable to pay when he was building his company. Patient feels that since his GARY’S ASSESSMENT 3
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wife had to bear the financial burdens, it put a strain on his marriage during these stressful economic times. He feels his wife must resent him. As the economy declines, so does the patient’s overall physical, emotional, professional and personal well-being.Axis IAxis I seems to be Major Depressive Disorder (MDD), Single Episode, Moderate. MDD is described as “a serious clinical mood disorder in which feelings of sadness, frustration, loss, or anger interfere with a person’s everyday life for weeks or months at a time” (Kerr, 2012). Per the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition(DSM-V), criteria required for a diagnosis of MDD are as follows:Depressed mood or a loss of interest or pleasure in daily activities for more than two weeksMood represents a change from the person’s baselineImpaired function: social, occupational, educationalEpisode is not attributable to the psychological effects of a substance or to another medical condition.
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