The patient is a 26-year-old college graduate who is currently euthymic but who has a history of major depressive episodespsychologyDescriptionInstructionsPatient Intake and HistoryThe patient is a 26-year-old college graduate who is currently euthymic but who has a history of major depressive episodes  He has experienced major depressive episodes, mostly untreated, of varying lengths and severities since he was a teenager His symptoms have included insomnia, despondent thoughts, depressed mood, low interest in activities, poor energy, and impaired cognition   He says his self-esteem drops and he feels rejection-sensitive and guilt-ridden for no apparent reason   He has never had suicidal thoughts   Some of the depressive episodes have been incapacitating and have interfered with school and workHe appears to have good inter-episode recovery and is able to return to class and work patient also has symptoms of social anxietyHe is often nervous around new people and acquaintancesHe experiences anticipatory anxiety and will avoid certain social eventsThese symptoms are present regardless of his affective stateHe has asked for a consultation because he has legal issues regarding drinking and driving that he thinks were likely fueled by his psychiatric symptomsAt the time of the infraction (several months ago, just before graduating college), he had been started on a selective serotonin reuptake inhibitor (SSRI) for the depression and SAD symptomsWithin days of starting he experienced elevated mood in a sustained fashion over several daysHe lost all anxiety, fear, and avoidance was unusually talkative; had racing thoughts; was distractible, hyperactive, and impulsive; and had decreased need for sleepInstruction FilesUnit3Assignment-casestudy.docx29.9 KB

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