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Diagnosis and Treatment of a Patient

Case Study: Diagnosis and Treatment of Susan

Recurrent Major Depressive Disorder is characterized by periodic Major Depressive Episodes that manifest in the form of a depressed or irritable mood, or ôa loss of interest or pleasure in all, or almost all activitiesö that is ôrelatively persistent,ö occurring most of nearly every day within a two-week period (DSM-III-R). In SusanÆs case, the depression is concurrent with cocaine and alcohol dependence, with Susan using an increasing amount of cocaine to achieve numbness ôso that nothing matters. Comorbidity of other disorders such as mood and substance-related disorders is typical with Borderline Personality Disorder, SusanÆs Axis II classification (ôPractice Guideline for the Treatment of Patients with Borderline Personality Disorderö). The increased drug usage was precipitated by an investigation by Child Protective Services following charges of sexual molestation against SusanÆs live-in boyfriend. During her recent hospitalization, Susan admitted having flashbacks of sexual abuse by her father that began when she was age 7 and continued until she was age 12, when she began menstruating. The association between the investigation by Child Protective Services and her own molestation is likely the key to her unresolved depression and the myriad symptoms she has complained of, since she has only recently begun remembering her molestation. This, in addition to her other Axis IV profile stressorsùunemployment and living in a dangerous neighborhoodù as well as her current GAF of 30 establish her circumstances and environment as potential factors that can precipitate or aggravate her condition. SusanÆs chronic self-destructive behavior in the form of suicide attempts is typical of Borderline Personality Disorder, as are her substance abuse and the antisocial behavior evinced during her recent hospital stay, where she provoked racial tensions (ôPractice Guideline for the...

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Diagnosis and Treatment of a Patient. (1969, December 31). In LotsofEssays.com. Retrieved 10:25, March 29, 2024, from https://www.lotsofessays.com/viewpaper/1712583.html