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DSM-5 Major Depression Case Studies

Two case studies are presented from the DSM-5 involving depression. The first case involves a 51-year-old woman, Barbara Reiss, who was experiencing depression, loss of appetite, insomnia, low energy, and thoughts of death. She was diagnosed with major depressive disorder. The second case involves Michelle, a 51-year-old former hairdresser who has experienced chronic back pain for 13 months following an accident. She was using marijuana daily to manage pain and had lost her job and social connections. She was diagnosed with major depression, cannabis use disorder, and somatic symptom disorder related to her chronic pain.

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943 views1 page

DSM-5 Major Depression Case Studies

Two case studies are presented from the DSM-5 involving depression. The first case involves a 51-year-old woman, Barbara Reiss, who was experiencing depression, loss of appetite, insomnia, low energy, and thoughts of death. She was diagnosed with major depressive disorder. The second case involves Michelle, a 51-year-old former hairdresser who has experienced chronic back pain for 13 months following an accident. She was using marijuana daily to manage pain and had lost her job and social connections. She was diagnosed with major depression, cannabis use disorder, and somatic symptom disorder related to her chronic pain.

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tim clay
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We take content rights seriously. If you suspect this is your content, claim it here.
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  • Case 4.4: Lost Interest in Life: This clinical case describes a 51-year-old woman experiencing loss of interest in most activities and changes in behavior, leading to a diagnosis of Major Depressive Disorder.
  • Case 9.1: Pain and Depression: This case covers a 63-year-old woman's challenges with chronic pain and its relation to depression, highlighting the impact on her life and potential treatments discussed.

DSM 5 Clinical Cases

Case 4.4: Lost Interest in Life


https://dsm.psychiatryonline.org/doi/full/10.1176/appi.books.9781585624836.jb04#x78756.8297212

- 51-year-old woman Barbara Reiss


o Reported depression every day for most of the day
o Lost weight without dieting, trouble falling asleep almost every night and woke up in
the middle of the night a lot
o Diminished energy, concentration, and ability to do her administrative job at a dog
food processing plant.
 Convinced that she had made a mistake that would lead to the deaths of
thousands of dogs. She expected that she would soon be arrested, and would
rather kill herself than go to prison.
- Diagnosis: Major depressive disorder (MDD)
o Ms. Reiss has exhibited all nine of the symptomatic criteria for major depression:
depressed mood, loss of interest or pleasure, weight loss, insomnia, psychomotor
agitation, loss of energy, excessive guilt, trouble concentrating, and thoughts of death.
o Only five are necessary for a major depression diagnosis.

Case 9.1: Pain and Depression


https://dsm.psychiatryonline.org/doi/full/10.1176/appi.books.9781585624836.jb09#x63524.8289705
- Michelle, 51-year-old former hairdresser
- Woman with shaggy silver hair and dark sunglasses, seated in a wheelchair, who offered a limp
handshake and a plaintive sigh before asking the psychiatrist if he would mind pushing her
wheelchair into his office.
- Stated that she had been suffering from back pain for the last 13 months
o Accidentally fractured her pelvis, coccyx, right elbow, and three ribs when climbing a
fire escape
o Accident seemed to change her- underwent several months of physical therapy
o Daily narcotic medication was only moderately helpful.
o Seen “a dozen” doctors in various specialties and tried multiple treatments, including
anesthetic injections and bioelectric stimulation therapy,
 Still did not help with the pain
- Smoked marijuana daily, explaining that a joint enjoyed in hourly puffs softened her pain and
helped her to relax.
- She did not drink alcohol or use other illicit drugs.
- Before the accident, Michelle had a steady job and worked at the salon more than 20 years
with huge popularity
o Her colleagues= “my real family”- has not been back to work since accident due to
pain, despite doctors say that it is alright
- Diagnosis: Major depression
o Cannabis use disorder
o Somatic symptom disorder (With predominant pain, persistent, moderate to severe)
 excessive thoughts, feelings, and behaviors related to her pain and physical
debility
-

This study source was downloaded by 100000799101754 from CourseHero.com on 03-21-2023 13:16:23 GMT -05:00

https://www.coursehero.com/file/28637320/DSM-5-Clinical-Cases-Notesdocx/
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