Mrs. Williams is a 56-year-old dowager who was referred by the gregarious worker at the superior inhabitant nationality courage restraint practicable debasement. In the elapsed, Mrs. Williams had been very friendly and extroverted, barring she is now subordinate and lull. On questioning, Mrs. Williams states that she is jaded of the commonalty at the nationality courage and prefers to alight in bed. She has inaptitude undeveloped at mystification (“tosses and turns”), barring when she finally does decline heedless, she wakes up very coming in the waking. She arrive-ats as if she doesn’t accept the earnestness to do things anymore. She has a decline in disposition barring is unsure if she has lost any consequence. She does referable arrive-at enjoy cooking or eating. She has inaptitude concentrating and has stopped balbutiation the newspaper and watching television. She repeatedly arrive-ats sorrowful, desperate, and vicious. Her gregarious truth is telling restraint her mate of 25 years leaving her restraint another dowager and filing restraint dissever. Mrs. Williams blames herself restraint the dissever and arrive-ats she should accept been a ameliorate helpmate. She has no children; a 3-yearold son died by drowning 20 years gone. Mrs. Williams recalls a hospitalization at that age restraint psychiatric reasons and restraint preamble pills barring arrive-ats it was referable a suicide try. She is smooth when questioned environing introduce thoughts of suicide barring states she has a bottle of pills at abode. She has mean vision restraint the advenient. The resigned is cooperative barring is repeatedly hypercritical and careless when responding to questions. She is lugubrious with deficiency of oration. If resigned is talking environing perceptive issues, she does referable accept good-natured-natured glance adjunction and her vote is gentle. Balanceall, her seek is tranquilizeed, and her movements are tedious. She does referable affront alcohol. She denies suicidal thoughts.
Mrs. MacDonald had a antecedent psychiatric hospital approximation coercionthcoming a suicide try and debasement behind the drowning demise of her infant son balance 30 years gone. Now the resigned is expressing arrive-atings of sorrowfulness, viciousness, and desperateness gone her mate of 35 years left her restraint another dowager and filed restraint dissever. She exhibits psychomotor retardation and has a tranquilize seek.
Primary Diagnosis: Debasement
Secondary Diagnosis: Dysthymic disorder