Abstract
This case study presents the clinical journey of a 28-year-old female diagnosed with Depression. The study outlines her symptoms, clinical findings, management strategies, and treatment outcomes over several months. It highlights the importance of a multifaceted approach combining psychotherapy, medicinal treatment, and lifestyle modifications to effectively address depression.
Introduction
Depression is a common mental health disorder characterized by persistent feelings of sadness, loss of interest, and a range of emotional and physical problems. Depression affects millions globally and can significantly impair daily functioning. This case study focuses on a young woman who developed Depression following a significant life change. It explores her symptoms, treatment, and recovery process, emphasizing the need for comprehensive care.
Patient Information
Name: XXXXXX
- Age: 28
- Gender: Female
- Occupation: Software Engineer
- Living Situation: Single, residing in an urban environment
- Social Support: Close-knit family and a small circle of friends
History: Patient has no previous psychiatric history but reports increased stress following her father’s death about a year ago. She expresses feelings of isolation and has begun to withdraw from social interactions.
CLINICAL FINDINGS
Presenting Symptoms:
- Persistent low mood
- Loss of interest in previously enjoyed activities
- Sleep disturbances (insomnia and nightmares)
- Fatigue and low energy
- Difficulty concentrating
- Feelings of worthlessness and guilt
- Occasional thoughts of self-harm (no intent or plan)
Assessment Tools:
- PHQ-9 Score: 18 (moderate to severe depression)
- GAD-7 Score: 10 (mild anxiety)
Physical Examination: No significant physical findings; patient appeared fatigued and withdrawn during the assessment.
MANAGEMENT AND TREATMENT FOR DEPRESSION
Psychotherapy:
- Cognitive Behavioral Therapy : Focus on identifying and restructuring negative thought patterns and enhancing coping strategies.
- Supportive Therapy: To address emotional distress related to her father’s death and foster social engagement.
Medicinal treatment:
- Medication: Herbal medications which help to reduce stress and anxiety, Enhances cognitive function and alleviates mental fatigue.
- Panchakarma: Detoxification therapies that help cleanse the body and restore balance, which can positively impact mental health.
Lifestyle Modifications:
- Encouraged regular physical activity (e.g., walking and yoga).
- Established a consistent sleep schedule with recommended sleep hygiene practices.
- Introduced mindfulness and relaxation techniques to manage anxiety.
Social Support:
- Suggested re-engaging with friends and family and participating in group activities to enhance social connections.
OUTCOME AND FOLLOW-UP
Over the course of six months, Patient showed significant improvement:
- Reported increased engagement in social activities.
- Enhanced motivation and concentration at work.
- Sleep quality improved, with fewer disturbances.
- PHQ-9 and GAD-7 scores decreased, indicating a positive response to treatment.
Follow-up appointments were scheduled weekly initially, transitioning to monthly as her condition stabilized. The treatment plan was adjusted as needed, and patient continued to thrive, maintaining her coping strategies.