Mindy Wright | Interview the Patient | Review
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Answers and Rationale
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1.
You said that you are experiencing some periods of sadness.
Rationale Relevancy
Your
Answer
Because the criteria for depression involve identification of
symptoms of sadness, dejection, anger, guilt, helplessness,
hopelessness, despondency, etc., this broad opening allows
the client to start speaking about what “sadness” means to
her. Relevant Relevant
Client: Yes. It started about 2 months ago and I thought I could work through it myself.
2.
Do you get the sensation of heart palpitations when you are feeling sad?
Rationale Relevancy Your Answer
Physical symptoms such as heart palpitations occur
with anxiety, not depression. Irrelevant Irrelevant
Client: I do not have heart palpitations.
3.
Does it seem like your feelings of sadness occur at certain times of the year? (Do you feel
better in the summer, for example?)
Rationale Relevancy
Your
Answer
Seasonal affective disorder is identified by seasonal variances
in the depressive symptoms. The client’s symptoms have
been occurring for only 2 months so it may be hard for her to
quantify whether the season makes a difference. Irrelevant Irrelevant
Client: Not that I know of. This has only been going on for 2 months.
4.
Did something in particular happen that triggered these feelings of sadness?
Rationale Relevancy
Your
Answer
Depression can begin after a situational occurrence that is
of significance to the client. It is important to understand if
an event in the client’s life precipitated her symptoms. Relevant Relevant
Client: Yes. These feelings started shortly after my mom died. She had been sick a long
time so we knew she was dying, but I just really miss her. I don’t know why God allowed
her to be that sick and suffer so much. I thought I was prepared for her death, but I
continue to think about her dying and how much she suffered.
5.
Have you ever experienced the feeling of a “racing heart?”
Rationale Relevancy
Your
Answer
Physical symptoms such as heart palpitations and the
sensation of a “racing heart” occur with anxiety, not
depression. Irrelevant Irrelevant
Client: I’ve never felt like that.
6.
Are you experiencing clammy hands or breaking out in a sweat when you begin feeling sad
or depressed?
Rationale Relevancy
Your
Answer
Physical symptoms such as heart palpitations, the sensation
of a “racing heart,” clammy hands, and breaking out in a
sweat occur with anxiety, not depression. Irrelevant Irrelevant
Client: I do not have clammy hands, nor do I break out in a sweat when I feel sad.
7.
How long after your mother passed away did you start feeling depressed?
Rationale Relevancy
Your
Answer
Establishing a timeline for the onset of symptoms is
important, as the psychiatrist will use this information to
determine whether the client has acute or chronic
depression. Relevant Relevant
Client: Probably about a week—after the funeral, and after all of my out-of-town relatives
went home. I felt like my life was empty. I would start to call or go see my mom and then
would remember that she was gone.
8.
How would you describe [Show Less]