Comprehensive Integrated Psychiatric Assessment

Transcript

Vignette 5 - Assessing for Depression in a Mental Health Appointment

LINK: https://youtu.be/Gm3FLGxb2ZU

tony has been referred to a social

worker by his medical provider who is

concerned about symptoms of depression

and anxiety that Tony reported in his

physical exam

do you have a sense of why you're here

yeah, my doctor sent me, so I'd like to

ask you some questions about how you're

feeling how is your mood been lately um

I don't know what you mean

have you been feeling sad or depressed

not really have you been crying a lot

I don't really cry have you been feeling

hopeless

yeah, how about feeling edgy you're angry

well yeah, I guess I feel angry sometimes

um like kind of like I just want to

fight someone you can definitely talk

more about that do you ever feel like

you don't have much energy or like

you're not very interested in things

well, I like basketball um but sometimes

I don't have enough energy to play don't

like school how are you doing in school

well, I used to get all A's and B's but

my grades are kind of going down that's

mainly just cuz I don't do my homework

anymore

why not don't like it it's even hard

getting up in the mornings do you use

drugs or alcohol

I guess I'll have a beer or two with my

friends sometimes sounds like things are

not always going so great you like

playing basketball but sometimes you

have trouble getting up in the morning

and getting interested in school and you

can sometimes get pretty angry how long

have you been feeling that way for like

two months um since May my girlfriend

broke up it makes me like really angry

with her or just with anyone mm-hmm

when I think about it, I get a tight pain

in my chest and my heart beats really

fast

I don't know Hey I don't even know why

she did break up with me, but it hurts

and I don't yeah, I don't even want to be

alive have you had thoughts about doing

something to hurt yourself yeah yeah

tell me more about that