Depression- Decision Tree Essay 7
Depression- Decision Tree Essay 7
The client is a 70 year-old Hispanic American male who came to
the United States when he was in high school with his father. His
mother died back in Mexico when he was in school. He presents
today to your office for an initial appointment for complaints of
depression. The client was referred by his PCP after “routine”
medical work-up to rule out an organic basis for his depression.
He has no other health issues with the exception of some
occasional back pain and “stiff” shoulders which he attributes to
his current work as a laborer in a warehouse.
SUBJECTIVE
During today’s clinical interview, client reports that he always felt
like an outsider as he was “teased” a lot for being “black” in high
school. States that he had few friends, and basically kept to
himself. He describes his home life as “good.” Stating “Dad did
what he could for us, there were 8 of us.” He also reports a
remarkably diminished interest in engaging in usual activities,
states that he has gained 15 pounds in the last 2 months. He is
also troubled with insomnia which began about 6 months ago, but
have been progressively getting worse. He does report poor
concentration which he reports is getting in “trouble” at work.
MENTAL STATUS EXAM
The client is alert, oriented to person, place, time, and event. He is
casually dressed. Speech is clear, but soft. He does not readily
make eye contact, but when he does, it is only for a few moments.
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