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The relationship between physical and psychological health
Depression and its disorders
Introduction about depression
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Dewayne, a 37-year-old male, who presented for outpatient psychiatric evaluation. He states that he feels so tense that he might “explode.” He has always had a tendency to worry, but never to the degree where he absolutely “can’t relax.” Over the course of the past year, he has felt constantly on edge. Dewayne has had issues with stomach pain and loose stools over the past 6 months as well as difficultly concentrating at work. His wife states his restlessness has been inhibiting her ability to get a good night’s sleep. Dewayne tosses and turns in bed till the early hours of the morning, getting up frequently to use the restroom. His mood has been very poor in the past 6 months, causing him to have little patience with his family or coworkers. …show more content…
The business started slowly, involving a large initial investment, which they borrowed from family. After 2 years they had enough capital to take out a bank loan, repaying the money owed to their family. The business began to grow quickly shortly afterward, creating a comfortable living for the business partners. However, the partners began to have disagreements regarding the future of the company that they could not reconcile. Last year Dewayne’s partner left the company, forming a separate import/export business, taking with him many of their largest contracts. This was a significant blow to the business, giving rise to the possibility of bankruptcy. Although he has been successful at gradually rebuilding the company, he has been unable to suppress his nervousness and tension. At night, he lies awake staring at the ceiling and worrying about routine work issues, what the future holds for him, and how he would support himself and his family if his company went bankrupt. It makes him sick to his stomach to think about losing his business and possibly his house, being unable to pay his mortgage. Dewayne went to see an internist and a gastroenterologist, but his exams were normal and his symptoms were thought to be anxiety related. He attempts to relax occasionally with a beer or two but denies any alcohol-related problems. He feels sad but denies feelings of worthlessness or suicidal
When considering the 5 D’s of abnormality, he possesses characteristics of them all. For dysfunction, he experiences social dysfunction by being unable to create and maintain relationships. He also experiences emotional dysfunction by having a fear of being alone, bouts of crying, and feelings of low self-worth. Physiological symptoms such as insomnia,
For example, Victor, his parents, and his uncles hold onto painful events and memories that hinder their productivity and cause them to lack the skills needed to grow emotionally. This is a clear indication that they suffer from poor emotional health and coping skills. This is most likely the reason that they all drink alcohol and party on a regular basis. This is also why small issues in their household can blow up into huge arguments and ultimately result in cursing and fighting. Continuing to drink under the circumstances Victor and his family live in only worsen their emotional health. A viscous cycle repeats over and over until a hole is dug so deep that none of them can gain traction to pull themselves out of the misery that’s been created. Victor witnesses this cycle and locks each incident in his mind for safe
A 38-year-old single woman, Gracie, was referred for treatment of depressed mood. She spoke of being stressed out due to conflicts at work, and took a bunch of unknown pills. She reported feeling a little depressed prior to this event following having ovarian surgery and other glandular medical problems. She appeared mildly anxious and agitated. She is frequently tearful, but says she does not have any significant sleep or appetite disturbance. She does, however, endorse occasional suicidal ideation, but no perceptual disturbances and her thoughts are logical and goal-directed.
The article opens with a former football player and offensive lineman, Kyle Turley, who begins having episodes while he was at a bar with his family and friends. Turley was passing out, puking, becoming paranoid, and began to overall lose control of everything.
This disorder is a serious clinical mood disorder in which feelings of sadness, frustration, loss or anger interfere with a person’s everyday life. The exact cause of major depressive disorder is not known, however many researchers believe it is linked to chemical changes in the brain, problems with a person's genes, or a combination of both. It tends to run in families, but can also occur in those with no family history of the disease. As stated in the case study, Andrea’s mother and 3 of her siblings were diagnosed with serious mood disorders or alcohol abuse. Symptoms of MDD may include: irritability, difficulty with concentration, fatigue or lack of energy, feelings of hopelessness and/or helplessness, feelings of worthlessness, guilt, or self-hate, social isolation, loss of interest in once pleasurable activities, sleep problems (insomnia or excessive sleeping) and suicidal ideation or behavior. In more severe cases of MDD, patients may experience psychotic symptoms such as delusions or hallucinations. Andrea shows signs of many of these symptoms. She is having hallucinations of people being stabbed and being possessed by the devil. She is
Eric worried about everything such as: keeping a job, being too much of a burden on his family, his lack of a girlfriend, and even his car breaking down. His inability to sustain a career, and thoughts of being a “failure” also constantly worried him. Eric also experienced restlessness, irritability, and muscle tension. None of these symptoms were due to drug use, However, I do feel like this disturbance was better explained by Bipolar
The results suggested that Ms. M is vulnerable to emotional disruptions. Specifically, she is often confused by situations in which emotion is involved, experiences feelings more intensely than others, and struggles bringing closure to emotional situations. In addition, she is not very careful about modulating her emotional discharges, which is noticeable to others. Moreover, Ms. M may be experiencing some significant anger, which influences her overall view of her environment, and affects her decision making, problem solving, and coping. Her anger also hinders her from having close relationships with others. Ms. M’s emotional issues are causing her to experience some distress. Her distress may manifest as depression, anxiety, apprehension, or other various issues (i.e., lethargy and insomnia). Moreover, she is often confused by her feelings and inconsistently uses them to make decisions. In addition, Ms. M may deal with her feelings on an intellectual level, which creates a sense of denial where she is unable to comprehensively understand the impact of situations. Overall, Ms. M suffers from the presence of a very painful emotion, which has negatively impacted her psychological functioning. It will effect attention, concentration, thinking, and
Peter Dickinson, a 28-year-old Caucasian male was referred to an outpatient mental health clinic by his current girlfriend of one year, Ashley. Ashley reported that about six months ago, she noticed changes in Peter’s behaviors after the announcement of his parents’ divorce proceedings. Peter is a motivated hard worker who devotes himself to his career and is currently working as a defense attorney at a small firm. However, he described himself as “obsessive” about his work in which he was afraid to make errors and would spend a lot of time worrying about failing the assignment rather than completing it. Since he spends a lot of time worrying about his work, he had little leisure time for friends and romantic relationships. Peter has also always felt anxious and is a “worrier”. After Peter’s parents’ divorce proceedings began, Peter had troubl...
From reading the online description of Mr. Sanchez, I can honestly say that I am worried about his physical and mental health, but I cannot tell Mr. Sanchez to stop working because that is a violation of the client’s ability to self – determination. As a social worker however, I can warn him of the possible risks and encourage him to visit the doctor but I cannot tell him to stop working. As a social worker I have the responsibility to guide Mr. Sanchez and provide him with alternatives and options, but ultimately the decision is his to make.
As a first step, a mental status exam of Randal was taken. Clad in business-casual attire, Randal was physically appearance appropriate. His thought processes were reasonable and he displayed proper affect. He had stated that his mood was depressed and anxious. Intellectually Randal had an extensive vocabulary and seemed extremely bright. In regards to Randal’s sensorium, he was oriented times three. Although falling in the overweight category, Randal otherwise appeared healthy and had no adverse health history. Randal was asked to get lab work assessing the functioning of his thyroid, as that often can influence anxiety levels. It was decided that Randal was neither a candidate for psychological and personalit...
Rob shows a pattern of the following disorders: panic disorder: he has palpitations of the heart, sweeting and fear of losing control or going crazy. Dysthymic disorder: insomnia, overeating, low self-esteem, difficulty making decisions and feelings hopelessness. Identify Problems: Rob patterns fit the syndrome of identity problem. He is uncertain about friendship patterns, sexual orientation and behavior, moral and religious values and group loyalties. Adjustment Disorder: nervousness, worry and fear of separation from his Navy officer, who is a key figure in his life. He also has symptoms of physical complaints (headaches) and social withdrawal. The final axis, Axis V is used to report Rob’s overall functioning.
mental problem that needs some attention. Yet even in his own home, he can't get
PubMed Health:Psychosis. U.S. National Library of Medicine., Bethesda, MD, 2013. Web. 22 Apr. 2014. .
Manuel is a client that has been depressed for the past two months. He has lost his construction job, because he missed too much from the effects of drinking heavily and using drugs. His use of drugs and alcohol became a daily routine and was close to killing himself several times. He would be in his apartment all day watching T.V. and drinking and isolated from his family. Also thought of death a lot. His girlfriend left him and became even more depressed because he was alone. He used more to feel better but it made him feel more depressed. He did go see a doctor and prescribed him medication for his depression but he didn’t disclose that he was using drugs.
American Heart Association. (2000). Clinical training in serious mental illness (DHHS Publication No. ADM 90-1679). Washington, DC: U.S. Government Printing Office