Mental Status Evaluation

1.Summary

The case study presents Bill as an individual that is frequently depressed. He has been experiencing depressing symptoms for about seven years since his divorce. Although he has periods of normality, frequently displaying depression symptoms result in his friends describing him as a depressed and down individual. Bill is more depressed during holidays and frequently has suicidal thoughts. Divorce influences his mental situation, making him believe that people are likely to reject him and that nobody else can love or get into a serious relationship with him. Bill has low self-esteem, does not care about himself, and finds himself overeating.

2. Clinical impression

While concentrating and examining the characteristics and troubles that Bill is experiencing, there is a possibility of him suffering from some form of depression. The primary problem triggering these symptoms include:

·  Overeating

·  Insomnia

·  Low energy and fatigue

·Low self-esteem

·Difficulty making decisions

· Poor concentration

·  Feelings of hopelessness

2. Recommendations

The most appropriate treatment options include prescribing antidepressants to Bill. There is a necessity for psychotherapy. One should explain to Bill his disorder and make him understand he is not in a normal mental state. A therapist is an essential treatment option since he can use cognitive therapy to assist Bill in coming out of his situation (Kolbuck et al., 2019).

3.Questions

1.What diagnostic possibilities does Bill's case present?

One of the main diagnostic possibilities regarding Bill's case presents includes Major Depressive Disorder. On occasional instances, Bill experiences poor concentration and insomnia. The symptoms tend to be compounding themselves. The symptoms seem to compound themselves. Hank frequently influences decisions since his friend Bill has a challenge in doing so, whether daily decisions or even more meaningful ones.

Another possible and accurate diagnosis one can make about Bill is Dysthymic Disorder. This health challenge makes Bill experience depressed moods most of the time. The case study displays Bill as a self-described person demonstrating symptoms of Dysthymic Disorder. Bill's friends state that their ally is always depressed and has had depressive symptoms for more than two years. These symptoms tend to be chronic. Bill is rarely out of his depressed state for longer than a day, and this is because he has not yet found anyone; he cannot be in a serious relationship even for a short time.

2.What have you read in the case history so far that presents these possibilities for ‌‌‌‍‌‍‌‌‍‌‌‍‍‌‍‌‍‌‍you?

Major Depressive Disorder that Bill is suffering from cause him to experience successive bad moods, not be able to get pleasure from different activities he engages in, and lose interest in anything he pursues. Bill frequently overeats, experiences instances of fatigue, low energy, low self-esteem, and often encounters hopeless feelings. Quite regularly, his despair will influence him to overeat, furthering his self-esteem.

1.The questions for Major Depressive Disorder include:

a.How frequently can you say you experience instances of empty mood?

b.For how long have you not had an interest in pursuing different activities?

c.You said that you frequently feel more irritated than normal. On average, how many days does this occur in a week or month?

d.How would you define your sleeping pattern; sleeping normally, too little, or too much?

e.What is the description of our feeding pattern; normal eating, eating too little, or too much?

a. You experience instances of fatigue and low energy. Can this situation be explained by not eating, not having enough sleep, or not having an interest in doing activities?

b. Are you ever guilty of something?

c. Have you gained or lost weight?

d.On a scale of ten, how can you rate your concentration?

The possible answers would encompass occasional instances of insomnia and poor concentration. Fair or often despair or feeling guilty about something denotes an aspect of low self-esteem and subsequent depression (Kolbuck et al., 2019).

References

Kolbuck, V. D., Muldoon, A. L., Rychlik, K., Hidalgo, M. A., & Chen, D. (2019). Psychological functioning, parenting stress, and parental support among clinic-referred prepubertal gender-expansive children. Clinical Practice in Pediatric Psychology, 7(3), 254.