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Major Depressive Disorder Case Study Essay

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1.) Ellen’s symptoms point to a diagnosis of Unspecified Bipolar with atypical features (296.80). Because Ellen’s symptoms are multiple and indicative of several disorders, narrowing it down to one, has proven to be difficult. Therefore to reach an accurate diagnosis, other mood disorders need to be first ruled out. Upon reading Ellen’s case, the first disorder that comes to mind is Persistent Depressive Disorder, PDD, due to her lifelong history of unhappiness, low grade depression, overeating, low energy, and fatigue, poor concentration, and feelings of hopelessness. The DSM V indicates, p168., Part E, “There has never been a manic or hypomanic episode, and criteria has never been met for Cyclothymic disorder” (DSM-V, 2013, p. 168), therefore PPD has been ruled out. Cyclothymia can be ruled out as well. The diagnostic criteria needed for Cyclothymia is the absence of depressive, manic, and hypomanic episodes. Major Depressive Disorder, which is a close possibility, must too be ruled out. While she has several symptoms indicative of MDD, one of the criteria is …show more content…

Beidel, Frueh, & Herson (2014) report that high stress life events can trigger the recurrence or a relapse in individuals with Bipolar Disorder, BP. According to Beidel, et al (2014), both men and women are equally likely to develop Bipolar I, but women are more likely to develop bipolar II. It is noted that the biological and genetic models regarding the development of bipolar disorder were lacking and as a result more focus has been on the psychosocial factors, which are said to predict the course of the disorder. While there is a high genetic factor in developing the illness, other factors that include several neurotransmitters and their functions have been identified to play a role in the disorder. Particularly Dopamine and Serotonin seem to be the two most associated neurotransmitters involved in mood

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After careful consideration of the information that has been presented for Ellen Waters, I have decided that she meets the criteria for (F34.1) Persistent Depressive Disorder Severe with atypical features: Early onset. I have come to this conclusion after considering the following information. The synopsis states that Ellen has been referred for a medication consultation by her Psychotherapist whom she has been seeing for the last two years. Criteria A states that the depressed mood has to be present for most of the day, for most days and that this depression must be indicated by “subjective account” or observed by others for at least two years.

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Diana Miller exhibits numerous MDD-related behaviors, including sexual impulsivity and extensive alcohol and valium usage. Suicidal thoughts and irritation toward her mother’s conduct are indicative of symptoms that point to MDD. MDD triggers include personal losses and dysfunctional families, such as the death of her sister and the desertion of her father. Diana Miller’s challenges at work and in relationships are consistent with her BPD diagnosis, which is characterized by instability in relationships, self-image, emotions, and impulsivity. Furthermore, Diana Miller’s difficulties at work and in relationships lend credence to her BPD diagnosis, which is in

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