Keisha Case Study

Urban Healing Counseling, PLLC Case Study Kiesha, a 27-year-old woman presents to your office stating that she is troubled by headaches and fatigue. She says that she always feels tired and can’t sleep well, often waking up early. She describes her headaches as dull, aching and generalized. These symptoms began about three weeks ago and have been getting worse. She reports a lack of interest in her usual activities. She also reports that she is missing work due to fatigue and inability to concentrate. Although her two children are both in school, she is concerned that she is not spending quality time with them. She is worried that she might have “something bad” because she has difficulty concentrating and is having frequent crying spells. She reports not sleeping well and a loss of appetite, with a weight loss of 10 pounds in the last month. During the interview, the client suddenly bursts into tears. She endorses feelings of hopelessness and worthlessness. She denies current suicidal ideation. The client is cooperative, alert, oriented; no delusions or hallucinations, and her thoughts are goal-directed and logical. Social History​: The client has no significant past medical or psychiatric history and takes no regular medications. However, she takes ibuprofen for headaches. She denies using alcohol or drugs. The client is married, with two elementary school-age children. Physical Examination​: The physical examination is unremarkable.. Questions 1. What is this patient’s most likely diagnosis? a. Bipolar I Disorder b. Generalized Anxiety Disorder (GAD) c. Major Depressive Disorder d. Obsessive-Compulsive Disorder e. Personality disorder not otherwise specified *Explain the rationale for your selection* 2. Write a brief psychotherapy note outlining your first appointment with Kiesha?