Diagnose and Recommend Treatments for Depressive, Bipolar, Anxiety, Obsessive-Compulsive, and Related Disor

 This week, please read the three vignettes and choose one client from the three presented to write a case analysis with potential treatment options. After you read through and select your client, provide a diagnosis, an alternative/rule-out diagnosis, and a comprehensive treatment plan that explores psychopharmacological options, individual psychological treatment, family therapy, and biomedical treatments like electroconvulsive therapy (ECT). Client One: Yvonne Perez is a 23-year-old woman who presented for an outpatient psychiatric evaluation two weeks after giving birth to her second child. She was referred by her breastfeeding nurse, who is concerned about the patient’s depressed mood, flat affect, and fatigue. Ms. Perez said she has been worried and unenthusiastic since finding out she is pregnant. She and her husband planned to wait a few years before having another child, and her husband made it clear that he would have preferred that she terminate the pregnancy, an option she would not consider because of her religion. He was also upset that she was “too tired” to do paid work outside of the home during her pregnancy. She has become increasingly dysphoric, hopeless, and overwhelmed after the delivery. Breastfeeding is not going well, and she has begun to believe her baby is “rejecting me” by refusing her breast, spitting up her milk, and crying. Her baby has become very colicky, so she feels forced to hold him most of the day. She wonders whether she deserves this difficulty because she did not want the pregnancy. Her husband is gone much of the time for work, and she finds it very difficult to take care of the new baby and her lively and demanding 16-month-old daughter. She sleeps little, feels constantly tired, cries often, and worries about how she is going to get through the day. Her mother-in-law has just arrived to help her care for the children. Ms. Perez is an English-speaking Hispanic woman who has worked in a coffee shop until midway through her first pregnancy, almost two years ago. She was raised in a supportive home by her parents and a large extended family. She moved to a different region of the country when her husband was transferred for work, and she has no relatives nearby. Although no one in her family has seen a psychiatrist, several family members appeared to have been depressed. She has no prior psychiatric history or treatment. She denied illicit drug or alcohol use. She has smoked for several years but stopped when she was pregnant with her first child. Ms. Perez has a history of asthma. Aside from a multivitamin with iron, she takes no medications. On mental status examination, Ms. Perez is a casually dressed, cooperative young woman. She makes some eye contact, but her eyes tend to drop to the floor when she speaks. Her speech is fluent but slow, with increased latency when answering questions. The tone of her speech is flat. She endorses low mood, and her affect is constricted. She denies thoughts of suicide and homicide. She also denies any hallucinations and delusions, although she has considered whether the current situation is punishment for not wanting the child. She is fully oriented and could register three objects but only recalls one after five minutes. Her intelligence is average. Her insight and judgment are fair to good.

Looking for a Similar Assignment? Order now and Get a Discount!

"Looking for a Similar Assignment? Order now and Get a Discount!