Maria is a 28-year-old woman who has recently been divorced from her husband of 5 years. She has the history of one admission to a psychiatric hospital at age 22 years for depression and suicidal ideation. After that hospitalization, she was followed for 6 months of individual and group therapy. She works as a teller in a bank, where has been employed for 7 years. She is now seeking care in a mental health clinic because of feelings of severe depression, sadness, and inability to concentrate at work. She is having increasing trouble thinking of herself as independent; she states, “I can’t handle life alone.” She reports that her coping style had been such that her former husband would “take care of things” and “tell me what to do”. She did not want the divorce and identifies the divorce as the event that precipitated her current state. Past medical history indicates adult-onset asthma, which she controls with inhaled medication. Other medical history is unremarkable. She lives alone, reports feeling isolated from others and states she wishes she had more social contact with others. She has very few friends and has begun to experience conflicts with others at work because she isn’t “doing her share”. She has lost her appetite and doesn’t prepare meals for herself at home. She lost about 10 pounds over the past few weeks. Her parents are a source of support to her, but they live in the family home, about 2 hours’ drive from the city in which Maria lives. Maria is referred to you for consultation. What initial diagnosis would you give your client? 1. AXIS I? Justify. 2. AXIS II? Justify. 3. AXIS III? Justify. 4. AXIS IV? Justify. 5. AXIS V: GAF = 50 (current) 6. What recommendations can you give? Provide only 1 S.M.A.R.T, personal and practical recommendations. Make sure to justify your recommendation.
Maria is a 28-year-old woman who has recently been divorced from her husband of 5 years. She has the history of one admission to a psychiatric hospital at age 22 years for depression and suicidal ideation. After that hospitalization, she was followed for 6 months of individual and group therapy. She works as a teller in a bank, where has been employed for 7 years.
She is now seeking care in a mental health clinic because of feelings of severe depression, sadness, and inability to concentrate at work.
She is having increasing trouble thinking of herself as independent; she states, “I can’t handle life alone.” She reports that her coping style had been such that her former husband would “take care of things” and “tell me what to do”. She did not want the divorce and identifies the divorce as the event that precipitated her current state.
Past medical history indicates adult-onset asthma, which she controls with inhaled medication. Other medical history is unremarkable.
She lives alone, reports feeling isolated from others and states she wishes she had more social contact with others. She has very few friends and has begun to experience conflicts with others at work because she isn’t “doing her share”.
She has lost her appetite and doesn’t prepare meals for herself at home. She lost about 10 pounds over the past few weeks. Her parents are a source of support to her, but they live in the family home, about 2 hours’ drive from the city in which Maria lives.
Maria is referred to you for consultation. What initial diagnosis would you give your client?
1. AXIS I? Justify.
2. AXIS II? Justify.
3. AXIS III? Justify.
4. AXIS IV? Justify.
5. AXIS V: GAF = 50 (current)
6. What recommendations can you give? Provide only 1 S.M.A.R.T, personal and practical recommendations. Make sure to justify your recommendation.
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