Depression Diagnosis and Assessment
Read the following vignette, keeping in mind the importance of knowing symptoms, and their duration and severity:
Christina is a 25-year-old Mexican American woman who has been
working as an elementary school teacher since she graduated from
college three years ago. Although she does well at her job, she has
been feeling low ever since she left college. When she took this
teaching position, she had to relocate to a city over four hours
away from her family and the house she grew up in. Even though she
has made some new friends, Christina still feels disconnected and
lonely. She is also concerned about her mother, who has been
diagnosed with a serious health condition.
For the past month, Christina has felt much worse. She reports feeling very sad and tired most of the time and is having difficulty concentrating at work. She says that she does not have enough energy to accomplish the things she would like to do. She admits to overeating to “unwind” after school, and is concerned she is sleeping too much on the weekends. She also has very low self-esteem, despite being well-liked at her school and receiving good performance evaluations.
Christina describes her life as “heading nowhere” and says that lately she has felt extremely hopeless. She wonders if she will ever feel as happy as she did when she was in college. She does not have a history of ever feeling worse than this, and is in good health.
Based on the information presented, address the following questions in your discussion post using headings to match content in each bullet point:
What depressive disorder diagnosis would you consider assigning
to Christina? Describe the process you used for making this
decision, including your use of the “Differential Diagnosis by the
Trees” from the DSM-5 Handbook of Differential Diagnosis (linked in
Describe how the Beck Depression Inventory-II would aid in making a diagnosis for this client. (See page 63 ofAbnormal Psychology).
What V and Z codes would you consider for Christina? How would including these systemic considerations help you understand Christina’s presenting symptoms and consider your treatment approach?
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