Case Study: Severe Depression.

Case Study: Severe Depression.
Case Study: Severe Depression.
Case Study: Severe Depression.
Module 6: Discussion Mike is a 23-year-old white male admitted for severe depression. He has a history of bipolar disorder and is currently taking valproate (Depakote) 500 mg XR daily. His psychiatrist ordered LFT’s to follow the valproate therapy. LFT’s were abnormal: ALT 1178 u/L, AST 746 u/L. the patient was asymptomatic. He denies fever, abdominal pain, nausea, vomiting or jaundice. He denies using other medication or alcohol but admits using illicit IV drugs starting about 8 weeks ago and continuing to present. He never had a blood transfusion. Aside from Depakote he is presently taking clonazepam 1 mg prn and fluoxetine (Prozac) 40 mg qd. Other blood work: Direct bili 1 mg/dL, alkphos 188 u/L, anti-HCV negative on hospital day 1, positive on day 3. HCV-RNA PCR positive. Hep A, B, and D markers negative. Patient diagnosis: Acute Hepatitis C. 1. List some clinical manifestations typically seen in Hepatitis C and major treatment strategies.
IN THIS ARTICLE
is a common but serious disease that ranges widely in severity. If you have a milder case, you may struggle with symptoms that include sadness, irritability, anger, and that last for weeks or longer. Such interferes with your daily life and .
But some cases of are more severe, with intense symptoms that may include significant appetitie and , problems, and frequent thoughts of death or . Such can be paralyzing. You may isolate yourself and have trouble getting out of bed or leaving the house.
Symptoms of Severe Depression
What are the symptoms of severe depression?
or excessive sleeping
Irritability
Loss of interest in activities that used to be enjoyable
Hopelessness
Persistent thoughts of something bad happening
Thoughts of death or or suicide attempts
In very severe cases, psychotic symptoms (such as or delusions)
Inability to take care of oneself, such as eating, bathing, or fulfilling family or work responsibilities