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Sample Case Conceptualization Paper

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Words 1911
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Presenting complaint:
Sarah, a thirty two year old divorced mother of two gets off of work and drives aimlessly wondering if it is worth even going home. Her kids are with their dad and with nobody to go home to, she shares that all she will do is sit on her couch watching television over a glass of wine with the hopes that she will sleep. Sarah struggles with sleep every night, even when her kids are home with her. She shares that over the last six months she has been overtaken by a sadness that affects her daily functioning at work and at home. She is able to make it through a workday, though she takes little pleasure in the job she once loved. The one pleasure Sarah has in her life is being a mother but even with that she shares the …show more content…
She was required to go to both churches which she found confusing because neither one of them lived out the words that were preached at their respective churches so she really found no use for church even though she does believe in God.
Diagnosis:
According to the DSM-IV Checklist the presence of at least five of the symptoms during the same two-week period must be present for a diagnosis of major depressive disorder. Sarah presents with six of the symptoms so it is possible that she suffers from major depressive disorder like her father had. The symptoms that Sarah present that meet DSM-IV criteria for major depressive episode are
1. Depressed mood most of the day, nearly every day. Sarah shares that sadness has taken over her life for the last months.
2. Decreased interest or pleasure. Although Sarah still enjoys being a mother, it is still expresses that she takes little pleasure in her job which she once loved.
3. Significant weight loss or weight gain, or decrease or increase in appetite nearly every day. Sarah expresses her family’s concern for her health in not eating and her constant weight

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