Week 3_ Assignment: Assessing and Diagnosing Patients with Mood Disorders

__ https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/watch/training-title-28

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OFF CAMERA Mrs. Carson? Tell me why you've come to see me today.

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MRS. CARSON I'm... [Shrugs] Wound up. Lost my temper.

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OFF CAMERA What sorts of things make you lose your temper?

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MRS. CARSON Oh... lots of things. The kids. They get on my nerves.

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OFF CAMERA When does that happen?

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MRS. CARSON Playing the television too loud. Take Shawn for instance? He spilled sugar all over the counter last night when my husband was out.

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OFF CAMERA And then what happened?

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MRS. CARSON I lost my temper. I pushed him down. Not hard... he wasn't hurt, just cried a little. Maybe...

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OFF CAMERA Maybe what?

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MRS. CARSON I was just thinking.

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OFF CAMERA What were you thinking?

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MRS. CARSON Maybe I should go away.

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OFF CAMERA Go away?

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MRS. CARSON Yeah. Like I shouldn't be here.

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OFF CAMERA Have you thought about killing yourself?

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MRS. CARSON [nods] Some.

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OFF CAMERA How would you do it?

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MRS. CARSON Driving into something. Drink a whole bunch, then drive... then make it look like an accident.

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OFF CAMERA Have you tried that? Or made plans?

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MRS. CARSON [Shakes head]. Naw. It was just a thought I had once or twice. Nothing for real. Everyone has those kinds of thoughts at some time, you know?

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OFF CAMERA I'm not so sure about that. How long have you been thinking about driving into something?

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MRS. CARSON Three months or so, I guess.

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OFF CAMERA What else was going on three months ago?

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MRS. CARSON I was up for a promotion, didn't get it. [Shrugs]. But lots of guys didn't make it either.

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OFF CAMERA So you didn't get the promotion?

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MRS. CARSON I should have had that promotion. I would... I would have been a supervisor at the whole office. But my supervisor said others who were better, younger.

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OFF CAMERA How did that make you feel about yourself?

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MRS. CARSON Not so hot. My husband and children deserve better. Even the job I'm doing is at risk, in jeopardy.

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OFF CAMERA How so?

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MRS. CARSON I forget things. Five years of a perfect work record and my supervisor asked me is something wrong. [Shrugs]. So much for a promotion.

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OFF CAMERA Has worrying about him interfered with your sleep?

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MRS. CARSON [nods] It goes round and round in my head like... I can't get to sleep. Finally after a few hours I... I drop off.

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OFF CAMERA And what time do you wake up?

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MRS. CARSON Three, maybe four in the morning.

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OFF CAMERA Do you go back to sleep then?

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MRS. CARSON I can't go back to sleep. If I take a stiff drink or two sometimes I can, but it wears off.

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OFF CAMERA How much are you drinking?

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MRS. CARSON I try and keep it to three or four. I took my husband's sleeping pills, but they didn't work.

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OFF CAMERA Have you found anything that's helpful?

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MRS. CARSON [shakes]. No.

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OFF CAMERA Do you think things will get better?

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MRS. CARSON I don't see how. I've pretty much ruined everything.

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OFF CAMERA Mrs. Carson, from what you are describing, it sounds like you're depressed. It's often hard to know why a depression occurs when it does. We do know depression can cause all of the symptoms you have told me... the loss of sleep, the feelings of exhaustion, memory loss, irritability and worry. It makes working difficult and some people even think of committing suicide. Many factors can contribute to a chemical imbalance in the nervous system, which can cause this problem. I would also like to see you again soon to talk further about these problems. Lets setup an appointment but if you really feel like hurting yourself, call me at anytime.

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