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Ongoing Mental Health Needs: Major Depressive Disorder - Essay Example

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Ongoing Mental Health Needs: Major Depressive Disorder Introduction This paper presents a case study of a chosen service user, one who is suffering from bipolar affective disorder. Patient X, a 35 year old female was admitted to the mental health unit after her mother observed her sullen and melancholy behaviour persisting for about three weeks…
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Ongoing Mental Health Needs: Major Depressive Disorder
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Download file to see previous pages She also had a history of attempted suicide. Her mother also observed that she felt tired all the time and was always sleeping. She was previously admitted a year ago for depression, underwent psychotherapy, and was given anti-depressants soon after. She has not attended any follow-up check-ups. Three months prior to her current consult, the patient’s mother consulted with the clinic about her daughter, expressing that after two weeks of manifesting severe depression, she was suddenly acting full of herself, having no care in the world, and often talked non-stop. She was also arrested for drunk and disorderly behaviour two weeks prior. She was later diagnosed with bipolar affective disorder. This paper shall provide a critical appraisal of the diagnostic label used in relation to the service user’s presenting behavioural features with reference to international classification. The impact and implications for service user and families, including long term prognosis and recovery will also be included. Thirdly, details of agreed treatment plan and nursing interventions would also be discussed. Next, a critical evaluation of any emerging legal, ethical, cultural issues in the provision of treatment and care for this service user will also be discussed. ...
tivity levels were seriously disturbed, with episodes of elevated mood and increased energy and sometimes a depressed mood and decreased activity (World Health Organization, 1992). She also seemed to recover between these episodes. The patient manifested several incidents of alternating periods of depression and mania through elevated moods and increased energy persisting for about two weeks and would plateau for several weeks, and later with depression manifesting for three weeks (WHO, 1992). Her depression is usually longer and her periods of depression are often triggered by trauma, in this case, her depression was triggered by her job loss. This diagnosis is supported by the ICD-10 because it includes the following: manic-depressive episodes, psychosis or reaction, and does not include bipolar disorder, single manic episode or cyclothymia (WHO, 1992). This diagnosis is the closest match to the ICD-10 standards. An initial diagnosis of depression in the patient’s case was very much appropriate, however, the incident shared by her mother brings a different angle to her diagnosis. It brought in the possibility of bipolar disorder which is rightly fitting in her case. If the patient’s case would have been depression alone, she would have persisted in such behaviour for a while, and her symptoms of impulsiveness as well as increased activity would not fit her depressed condition (Swann, et.al., 2008). The diagnostic label was useful in the patient’s case because it helped provide a clearer picture of the patient’s health condition (Angermeyer and Matschinger, 2003). The label helped the health professionals in planning the patient’s care and in helping the patient and her family understand the client’s condition (Angermeyer and Matschinger, 2003). There are ...Download file to see next pagesRead More
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