You are working at a free clinic and evaluate a 30-year-old woman who complains that she has been recently fired from her job as an accounting bookkeeper due to inconsistent attendance. Three months ago, she finally left her husband, who used to hit her when he got drunk. Since then, she has found it increasingly difficult to get out of bed in the morning. She feels tired, heavy, and empty most of the time, naps several hours per day, and has gained 10 pounds. She recently dropped out of the book club at her church; she could not concentrate to read for more than 5 to 10 pages at a time, and felt that the other members were probably blaming her for the end of her marriage. Her asthma has been flaring up, as she has been unable to pay for her medications since losing her job, and she often feels short of breath, which increases her worry. Last week, her estranged husband showed up at her apartment and pushed and threatened her. Since then, she has been wishing she were dead but feels “too chicken” to follow through with suicide. While she has never felt so empty and sad before, she does note that she has lost other jobs in the past. When her fears that co-workers were making fun of her clothing and conversational skills escalated, her asthma would often begin to act up. She would then repeatedly call in sick until she was fired, never getting a doctor’s note. She describes herself as shy in childhood and never dated until she met her husband, who pursued her for months before she agreed to go out with him. Although she used to enjoy the book club, she has never felt safe discussing personal matters with anyone there, except her friend from grade school, who introduced her into the group. Most of the time, she made few comments, for fear that she would be exposed as unsophisticated. Diagnostic Impression: Axis I: __________________ Axis II: _________________ Axis III: _________________ Axis IV:_________________ Axi V: __________________
You are working at a free clinic and evaluate a 30-year-old woman who complains that she has been recently fired from her job as an accounting bookkeeper due to inconsistent attendance. Three months ago, she finally left her husband, who used to hit her when he got drunk. Since then, she has found it increasingly difficult to get out of bed in the morning. She feels tired, heavy, and empty most of the time, naps several hours per day, and has gained 10 pounds. She recently dropped out of the book club at her church; she could not concentrate to read for more than 5 to 10 pages at a time, and felt that the other members were probably blaming her for the end of her marriage. Her asthma has been flaring up, as she has been unable to pay for her medications since losing her job, and she often feels short of breath, which increases her worry. Last week, her estranged husband showed up at her apartment and pushed and threatened her. Since then, she has been wishing she were dead but feels “too chicken” to follow through with suicide.
While she has never felt so empty and sad before, she does note that she has lost other jobs in the past. When her fears that co-workers were making fun of her clothing and conversational skills escalated, her asthma would often begin to act up. She would then repeatedly call in sick until she was fired, never getting a doctor’s note. She describes herself as shy in childhood and never dated until she met her husband, who pursued her for months before she agreed to go out with him. Although she used to enjoy the book club, she has never felt safe discussing personal matters with anyone there, except her friend from grade school, who introduced her into the group. Most of the time, she made few comments, for fear that she would be exposed as unsophisticated.
Diagnostic Impression:
Axis I: __________________
Axis II: _________________
Axis III: _________________
Axis IV:_________________
Axi V: __________________
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