frequency of waking up
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Case 1: Volume 2, Case #16: The woman who liked late-night TV
The patient is a 70-year-old female with chief compliant of “being sad.” The patient is exhibiting signs and symptoms of depression due to increased loneliness. She has a home aide to assist her for her ADL’s as well as her son. She is hard of hearing and has extensive medical issues such as HTN, hypothyroidism, CAD, anemia, allergies, and obesity. Patient has never been on psychotropic medications. She has a family history of depression. Her condition became worse when she was unable to sleep perhaps due to restless leg syndrome (RLS). She has been suffering from daily crying spells.
Do you feel sleepy or do you have occasional sleep attacks during the day? Describe your usual night sleep. (Hours of sleep, frequency of waking up, quality, etc.). Sleep deprivation can lead to depression or worsening depression. Chronic sleep deprivation can lead to depression potentially attributing to neurochemical changes in the brain (Al-Abri, 2015).
Have any of your family members had a history of being depressed? Any mental health issues? History of suicide? Do you have any thoughts of killing yourself? Genetic factors play a huge role in the development of major depressive disorder (MDD) (Lohoff, 2010).
Have you ever suffered from depression, anxiety, or any other mental health issues in the past? Patient’s mother suffered from MDD. Patient reports loneliness. Spouse died. History of traumatic events or history of mother having MDD can cause depression especially now that the patient is lonely.
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