Diagnosing Depression Essay

705 WordsJul 15, 20133 Pages
Diagnosing Depression in a Native American Elder Robert O. Moore Walden University Diagnosing Depression in a Native American Elder The Diagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision (DSM-IV-TR) standardizes the diagnosis of mental disorders in the United States for medical doctors, psychiatrist, psychologists, and other professionals in the mental health field (American Psychiatric Association, 2000). This system is a 5 Axis system including Clinical Disorders (Axis I); Personality Disorders (Axis II); General Medical Condition (Axis III); Psychosocial and Environmental Problems (Axis IV); and Global Assessment of Functioning (Axis V). This week’s assignment is to create a five-axis diagnosis for the case "Depression in a Native American Elder" described in this week’s Learning Resources. Axis I Clinical Disorders Mood Disorders are classified under Axis I which is used for reporting various conditions excluding Personality Disorders and Mental Retardation. Major Depressive Episode is a Mood disorder featured by a period of at least 2 weeks of a depressed mood, or the loss of interest or pleasure in nearly all activities (American Psychiatric Association, 2000). In the case of JGH, a 71- year-old Native-American, the client acknowledges that he “has not been himself” lately. JGH complains of bodily aches and pains but does not report feeling sad (Criterion A1). Cultural consideration must be taken into account as JGH is a member of the Native American Culture which may demonstrate stress in only culturally acceptable fashion (Butcher, Neal & Hooley, 2004). JGH has stopped participating in many community events that had been previously been important to him (Criterion A2). JGH has lost weight during this episode as demonstrated by his clothes hanging loosely on his frame (Criterion A3) and has experienced difficulty

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