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case study

Mrs. M shows some signs of major depressive disorder. Mrs. M has been experiencing intense sadness without any real cause which is causing her to feel overwhelmed and perplexed. The most recent incidence was when a dish fell on the floor and broke which led her to sit on the floor, hit the floor with her fist, and cry. She stopped crying when she became startled at the fact that her hand was bleeding from pounding the broken glass. She then went into her car to go to work, when she began to cry again for no reason. She eventually called in sick to work. Mrs. M's intense sadness, the above being one example, is a symptom of major depressive disorder. Mrs. M has also been experiencing melancholic features such as a loss of interest in activities that are usually pleasurable. She has withdrawn herself from activities with her children, leaving the job to her husband. She has also withdrawn from her social contacts at work, no longer eating with her colleagues, but being alone as often as she can. Her usual close to infallible work performance has decreased having several mistakes. Mrs. M's lack of motivation and companionship are also signs of major depressive disorder. Mrs. M has also been under some stress at work wit


I would use several forms of treatment for Mrs. M's feelings that she has ruined the lives of her children and her husband. Although she wants very much to return to her "old self," she feels that this is impossible. M about her family history of mental illness since mood disorders greatly involves genetics. M's boss had been scolding her for the past week, probably because he was under stress of his own, rather then giving her positive comments about her work, especially because she had taken on some new responsibilities. The catecholamine hypothesis states that a relative shortage of norepinephrine causes depression. M on her physical well being during the past four to six weeks. The processes that cause a deficiency of serotonin are thought to be similar to those that cause norepinephrine deficits. Depressed clients often set unrealistic goals and then are unable to implement behaviors to reach these goals. In families in which one parent has a mood disorder, approximately 30% of the children are at risk of developing a disorder. She often heard her parents talking about it. This may be the reason for her lack of motivation in the workplace as well as her depression. M stated that she was ashamed of feeling sad all the time and is frustrated with her poor work performance.

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