Psychosocial Influences to Occupational Performance Major depressive disorder, MDD or clinical depression is a disorder of the mind whose manifestations includes an all round low mood, lack of interest in activities that one initially enjoyed, and low self-esteem (Beck, 2009)…
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Psychosocial Influences to Occupational Performance Major depressive disorder, MDD or clinical depression is a disorder of the mind whose manifestations includes an all round low mood, lack of interest in activities that one initially enjoyed, and low self-esteem (Beck, 2009). MDD is a condition that disables its victim’s health, eating and sleeping habits, school and work life, as well as family. Approximately 4% of victims end up committing suicide, while 65% of those committing suicide suffered from MDD or some other form of mood disorder.The patient’s experiences, reported by them, friends or relatives, as well as examinations aimed at mental status are the major diagnostic basis for the disorder. Depression is most likely to afflict individuals aged between twenty and thirty years. This may however peak towards the late thirties. Treatment is done using antidepressants together with counselling and psychotherapy. In cases where the disorder has brought on self-neglect, the patient requires hospitalization. The disorder has no fixed course and may last for a week or stretch to a lifetime punctured by episodes of major recurrences.This paper aims to present a case study for a patient suffering from depression and the role to be played by an occupational therapist. Mary-Scott is a twenty-year-old married woman of mixed race. She visited her physician with major depression disorder symptoms. She was suffering from sleeping difficulties, recurrent suicidal attempts, psychomotor retardation, significant energy loss, anhedonia, and sad feelings (Beck, 2009). She denied the existence of previous medical issues of significance and reported that the symptoms had begun after she caught her daughter having an affair with her stepfather seven months earlier. She revealed that she had been experiencing these symptoms on and off for the past six months and that they had greatly altered her ability to enjoy her marriage and be effective as a bank clerk. She is currently suspended from work for disruptive behaviour and increasing isolation, with her boss referring her to the physician. Upon the physician’s inquiries, she did not mention any previous pharmacological or psychiatric treatment aimed at treating these disorders. Her hypertension and obesity had recently increased due to her inactivity and bouts of binge eating. Major depression disorder may affect the occupational performance of the patient. It affects the following aspects: Task performance: major depression disorder makes it difficult to manage responsibilities at work and in her daily tasks (So?derback, 2009). Social interactions: patients who suffer from major depression disorder tend to avoid human contact, including friends and family. They become defensive since shunning communication makes conflict resolution more difficult. When it becomes impossible to avoid communication and they are forced to interact, conflicts are the result, causing frustration and anger (Stein & Cutler, 2008). Depression can also lead to memory difficulties and loss both in the long and short term, making of decisions, and loss of concentration (Willson, 2008). Depression also makes it difficult for the patient to enjoy their day-to-day life. Individuals will shun common fun and leisure activities that they enjoyed, leaving them isolated (Willson, 2008). Depression is also a major cause of disrupted sleep patterns and reduction in the levels of energy. This leaves patients tired and easily distracted (Willson, 2008). Occupational therapists have come up with strategies to help individuals with this disorder using various assessment tools to gauge just how best to help the patient. One tool that is applicable for MDD is OPHI-11 (Binswanger et al, 2011). This is an interview on history intended to give a detailed and broad appreciation of the patient’s life history, direction the patient wishes to take their life,
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“Occupational Therapy Case Study Example | Topics and Well Written Essays - 1000 Words”, n.d. https://studentshare.org/health-sciences-medicine/1399019-case-report.
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