Case B: 27 year old Caucasian female came to the clinic with the chief complain

Question

Case B: 27 year old Caucasian female came to the clinic with the chief complain “I have problem taking instructions from my supervisor.” She was first hospitalized at the age of 15 for ADHD, She is unable to keep friend because of intrusive behavior. Patient had presented in the past with alternative agitation and depression, has had two hospitalization for depression and is currently depressed with no interest in activity, have problem falling asleep, unable to think and has loss of energy. Patient denied suicidal ideation. She has thought blocking, easily distractible and disorganized. No history of drug abuse

Clinical Impressions: (Rationale for diagnosis and recommendations for services)

DSM-5 Diagnosis with list of diagnostic creterials:                                   

Recommendations:

Labs:

Psychiatric Medications:                                                                                                                                                                                          

Drug:                                            Dose/Schedule:                            Number/Refill:                                           Fact Sheet Given     Other

Rationale for each recommendation

Teaching

What would you include in a biopsychosocial treatment plan for the patient in addition to pharmacotherapy?

Explanation / Answer

Clinical Impressions: Unipolar depression

DSM-5 Diagnosis with list of diagnostic creterials: MAJOR DEPRESSIVE DISORDER

Recommendations:

LABS:

RATIONALE FOR RECOMMENDATIONS;

Psychotherapy

Always treatment should be taken regularly.

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