Case Study: 45-years-old African American Woman Diagnosed with GDD
CASE IS : GM is 45 years old African American working mother of 3 children diagnosed with GDD.
ON medications, goes for psychotherapies
Diet – appetite is good.
Sleeping – good
No suicidal ideations
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Select an adult or older adult client with a depressive disorder you have seen in your practicum.
In 3–4 pages, write a treatment plan for your client in which you do the following:
Describe the HPI and clinical impression for the client.
Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)
Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.
Identify medical management needs, including primary care needs, specific to this client.
Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.
Recommend a plan for follow-up intensity and frequency and collaboration with other providers.
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Treatment Plan for GM, a 45-year-old African American Working Mother of 3 Children Diagnosed with GDD
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I. HPI and Clinical Impression
GM is a 45-year-old African American working mother of 3 children who has been diagnosed with GDD.
She reports experiencing symptoms of depression, including feelings of sadness, hopelessness, and lack of interest in activities.
She is currently on medication and receiving psychotherapy.
Appetite and sleep are reported as good and there are no suicidal ideations
II. Psychopharmacologic Treatment
Recommendation: SSRI (Selective Serotonin Reuptake Inhibitor) such as Sertraline or Fluoxetine
Specific and therapeutic endpoints:
Achieve remission of symptoms of depression as measured by the Hamilton Depression Rating Scale (HAM-D)
Improve functioning as measured by the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0)
III. Psychotherapy
Recommendation:
Individual therapy: cognitive-behavioral therapy (CBT)
Family therapy: Family-Focused Therapy (FFT)
Specific therapeutic endpoints:
Improve coping skills and problem-solving abilities
Improve communication and relationship dynamics within the family
IV. Medical Management
Primary care needs:
Regular monitoring of blood pressure and weight
Screening for diabetes and other comorbid conditions
Monitoring for potential drug interactions and side effects
Community support resources:
Housing assistance
Financial assistance
Access to transportation
V. Follow-up and Collaboration
Recommend a plan for follow-up intensity and frequency:
Initial follow-up within 1 week of starting treatment
Follow-up every 2-4 weeks for the first 3 months
Monthly follow-ups for the next 3 months
Follow-up every 2-3 months thereafter
Collaboration with other providers:
Communicate with the patient’s primary care provider
Collaborate with other mental health providers as needed
Coordinate with community agencies to ensure continuity of care.
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