Axis I also lists whether or not symptoms ar Single Episode. An interval of at least 2 incidental months, with a lack of symptoms meeting criteria for the diagnosis must be present for episodes to be diagnosed as recurrent. In this subject area symptoms be described as a steady progression, indicating a ace episode. Axis I states the presence of melancholiac Features. In this case this part of the diagnosis is considered preliminary, since more(prenominal) information is involve to body forth it. The client stated that she experienced a loss of sport in all activities and an absence of response to the point of shade like the walking dead. While these symptoms meet part (A) of the criteria for Melancholic Features, and are the essential features of this diagnosis, part (B) requires 3 or more symptoms. For part (B), on that point is a distinct quality of dispirited mood and marked psychomotor retardation, however, more information is needed to confirm the third symptom. It is unknown whether the client feels worse in the morning, awakens early in the morning, has had any weight loss, or suffers from profligate guilt. Guilt is implied since the client states that she feels so unworthy of living, however this would need to be substantiated.
Axis II has no diagnosis since there is no reference work of any personality disor
Kendall, P. C., Kortlander, E., Chansky, T. E., & Brady, E. U. (1992). Comorbidity of anxiety and low in youth discussion implications. Journal of Consulting and Clinical Psychology, 60(6), 869-880.
A multi-faceted and practical apostrophize to interact with this patient would include recommending her to increase her use of different curative modalities.
Since the client is already comfortable with seeing a therapist and has realized her need for therapy, the addition of a cognitive approach as well as a support chemical group is appropriate. Cognitive therapy has been certifyn to benefit depressive patients who tend to blame their symptoms on empiric or characterological reasons (Addis & Jacobson, 1996) (the client reports feeling bad about herself and her existence). A therapeutic support group would offer a operable solution to social needs and the attainment of social skills. Studies show that social functioning is a factor in depression (Hoberman, Lewinsohn, & Tilson, 1988). Since the client also reported symptoms of anxiety, correction of cognitive distortions, enhancement of problem-solving skills with cognitive therapy, and a support group would help salvage anxiety as well (Kendall, Kortlander, Chansky, & Brady, 1992).
der or tendencies. Axis terce is "none" since there is no mention of any tangible disorder. Axis IV is "none" since there is no mention of additional psychosocial and environmental problems. Axis V reports the highest functioning in the last year to support the diagnosis of Major Depressive distemper for this case rather than current functioning,
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