CASE OF LUCIA Discussion

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1 CASE OF LUCIA Discussion Student’s Name Insertional Affiliation

2 Discussion 1. Depressed Mood and Anhedonia: Lucia reports dysphoria and depression. Constant physical discomfort, difficulties walking, and movement reflect a lack of interest or pleasure in previously enjoyed activities. She also has trouble sleeping, even when the discomfort subsides ( Barber et al., 2022) . 2. Weight/Appetite Changes: The case study doesn't include weight and appetite changes, but clinical examination should address these. 3. Sleep Disturbance: Lucia struggles to sleep owing to pain. Even when her discomfort subsides, she has trouble sleeping, indicating sleep disturbances. 4. Psychomotor Agitation/Retardation: Her motor activity is normal, but she mentions discomfort preventing her from walking and moving. Considering the symptoms and available evidence, a differential diagnosis of Persistent Depressive Disorder (Dysthymia) is required. Lucia's persistent pain, exhaustion, and feeling unworthy may match this diagnosis of chronic depression symptoms lasting at least two years. Exclusion of Differential Diagnosis: Lucia's severe depression episodes disrupt her everyday life, suggesting Major Depression Disorder. While she has chronic pain and weariness, her acute depressed symptoms, attention issues, and impact on job and relationships suggest Major Depressed Disorder ( Zurlo and Ruggiero, 2021) . Culture and suffering: Lucia's Hispanic ethnicity may affect her mental health and suffering. Cultural issues like a heavy focus on family duties and obligations may contribute to her sense of

3 duty to her extended family, and caring for her brother after her parents died may be especially stressful. Z Codes: Z63.0 - Relationship issues and Z63.2 - Family and home stress are acceptable to describe Lucia's psychological and environmental influence in the previous year. The pressure on her relationship with her live-in lover Tomaz, his terminal cancer diagnosis, and caring for her brother and family dynamics may contribute to her emotional and physical agony.

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4 References Barber, G., Nemeroff, C. B., & Siegel, S. (2022). A case of prolonged mania, psychosis, and severe depression after psilocybin use: implications of increased psychedelic drug availability. American Journal of Psychiatry , 179 (12), 892-896. Zurlo, M. C., & Ruggiero, M. (2021). Assessing pragmatic language skills in adults with major depressive disorder: an exploratory study. Psychopathology , 54 (2), 78-91.

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