Major Depressive Disorder and treatment.

Major Depressive Disorder and treatment.

Part 1.

Major Depressive Disorder is the most common type of depression that is generally regarded as depression. It affects people of all ages, and people tend to have episodes of the disease depends on many factors. The disease is common among teenagers and affects their emotional, social, and physical growth. Depression may be due to inheritance and inability to cope with problems. Moreover, several risk factors increase the risk of developing depression. These might be hereditary or developed. Genetic risk factors include; certain personality traits such as pessimism and a history of depression in the family, alcoholism, and bipolar disorder in the family (American Psychiatric Association, 2015) Major Depressive Disorder and treatment. Developed risk factors include traumatic experiences such as sexual abuse, drug abuse, chronic illnesses, medications for various lifestyle diseases such as high blood pressure, and a history of other mental and mood disorders.

The disorder’s primary symptoms include feelings of sadness or hopelessness, frustration, lack of interest in activities such as sports, poor sleeping patterns, reduced appetite, and tiredness. Others are trouble concentrating, frequent suicidal thoughts and attempts, and body aches such as headaches. These symptoms are sometimes different, depending on the age of the patient Major Depressive Disorder and treatment.

In Danny’s case, he is suffering from Major Depressive Disorder or Depression, which is clear from the disease symptoms among teenagers. These include sadness, lack of sleep or insomnia, negative feelings about themselves or people around them, and feeling misunderstood by other people. Danny also wanted to harm himself, was frustrated about the school administration and his parents, and refusal to talk more or interact with the therapist. These symptoms show that Danny is depressed mainly due to his failure to deal with problems such as cheating by his girlfriend Major Depressive Disorder and treatment.

Part 2.

Question 1.

As a therapist, the differential diagnosis would be important in determining the disorder and treatment plan for Danny. Since diagnosis is based on an interview, focusing on underlying issues is essential before drawing a conclusion that might lead to a more direct question to the patient. For example, asking whether Danny feels depressed is not okay because he concludes that the therapist has an already formed idea of what he is going through. Therefore, differential diagnosis on Danny should focus on the patient explaining what he is going through, the patient’s medical history, and what he feels should be done to him by other people (American Psychiatric Association, 2015). As a therapist, I would interview the parents and Danny separately to get to the bottom of the problem. Interviewing them both may result in Danny concealing information about what he feels about his issues.

Question 2.

During the interview, I would focus on questions that try to ascertain whether Danny has the symptoms while caring that he does understand what I am aiming at and fail to answer correctly. Examples of these questions include; Would you prefer to stay home rather than go to school? What do you think the school administration should have done instead of putting you on probation or therapy? How do you feel about your girlfriend? What can you tell her if you have a chance? How is your sleep? How do you think about therapy? These questions may provoke Danny to speak more about his feelings, hence helping develop a treatment plan Major Depressive Disorder and treatment.

Question 3.

As a therapist, I would put Danny under rigorous treatment to ensure that he is completely healed since he seems like a person who may conceal a lot of information and feelings and end up attempting suicide. I would develop a treatment plan divided into three phases: acute, continuation, and maintenance. Acute treatment would mainly include therapy, where I would expect Danny to accept that he has a problem, and he needs to address it. Acute treatment also targets a response, which will be crucial throughout the treatment journey (Otte et al., 2016). It also helps at the instant remission of the disorder, which is usually possible if patients accept that they have a mental illness.

Continuation treatment comes second and targets to prevent the occurrence of the disease and to eliminate various symptoms. Continuation treatment may involve psychotherapy divided into behavioral or interpersonal therapy (American Psychiatric Association, 2015). Psychotherapy is essential because it will help Danny make a step forward and move one, which is critical in treating depression. As a therapist, I can help Danny identify negative beliefs and behaviors that are the main contributors to the disorder. These beliefs and actions can then be replaced with more positive ones. For example, on the issue of superfast cars, I can help Danny identify that he can still own several super-fast vehicles, not at the moment but later in life. Continuation treatment will offer a step by step healing opportunity for Danny Major Depressive Disorder and treatment.

Finally, I would put Danny under maintenance treatment, which would involve observation and time to time therapies to find how he is doing and prevent the symptoms’ reoccurrence. The period for maintenance treatment can go up to a year or more (American Psychiatric Association, 2015). I would not put Danny under antidepressants since his condition is not that severe due to the medication’s side effects.

References

American Psychiatric Association. (, 2015). Depressive Disorders: DSM-5® Selections. American Psychiatric Pub.

Otte, C., Gold, S. M., Penninx, B. W., Pariante, C. M., Etkin, A., Fava, M., … &Schatzberg, A. F. (2016). Major depressive disorder. Nature reviews Disease primers, 2(1), 1-20.