Mental Healthcare Assignment (Case Study Analysis)
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This paper discusses a case study analysis of mental healthcare assignment. It covers ICD-10 and the disorder identification, description of the disorder, possible causes of her mental health condition, available treatment for the disorder, historical and global perspectives of depression.
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Running head: MENTAL HEALTH ASSIGNMENT MENTAL HEALTHCARE ASSIGNMENT (CASE STUDY ANALYSIS) Name of the student Name of the university Author note
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1MENTAL HEALTH ASSIGNMENT Introduction Mental health is one of the major disorders affecting a wide array of population throughout the world. As per World Health Organization (2017), mental health along with physical and emotional wellness determines holistic wellbeing. Despite this, a large section of the society is unable to understand or identify the signs and symptoms of mental illness. One such case has been mentioned in this paper, in which the subject Sarah (39) is suffering from mental illness, however she is unable to understand the effects of this disorder. In this aspect, discussion about the ICD-10 aspect and its effect on the disorder would be discussed. Further, with description of the mental disorder, the type of treatment and the global or historical perspective of this disorder would be discussed. ICD-10 and the disorder identification In the case study, it is seen that Sarah (39) is a fitness enthusiast and manages work and life properly. However, the last two months she is unable to focus on her work and her life. Further, it was seen that she is unable to complete her sleep, due to which she is always weak and fatigue. It was also noted that she is unable to achieve her fitness goals and due to this, she is suffering from loss of energy and loss of appetite. Therefore, due to this inactive lifestyle, lack of energy, she is suffering from mood swings and thinks she would not be able to justify her professional commitments. ICD-10 is framework, which helps to identify the type of mental illness people are suffering from. In this case study, depending upon the symptoms observed in Sarah and her mental health condition, it is observed that her health condition is major depressive disorder, due to which, she is depressed and the condition is severe, however without any psychotic features. The ICD-10 code for this disorder is F32.2. The identification of this disorder was obtained depending upon the type of symptoms
2MENTAL HEALTH ASSIGNMENT observedintheirhealthcarecondition.Thefollowingsectionwouldprovidedetailed description of the disorder. Description of the disorder As the case study identifies Depression as the primary mental health concern of Sarah, it would be discussed for the healthcare complication discussion. Depression is a major healthcare complication due to which patients suffering from it, develops negative feelings, negative thinking and loses their interest in activities of daily life. Depression could be of several types and depending upon its manifestation, the symptoms and signs are observed in patients (Smith, 2014). Depressive disorders ranges from persistent depressive disorder, psychotic depression, postpartum depression, bipolar disorder, seasonal affective disorder and others. Within these, the mental healthcare complication that Sarah was diagnosed with, is bipolar disorder without psychotic disorder. As per Kootker et al. (2015), patients suffering from bipolar disorder are affected with severe level of depression due to which they are unable to focus on their activities of daily life. Further, patients suffer from low level of mood and loses their appetite and activity level. As per Ebert et al. (2015), there are several risk factors associated with this disorder such as personality, genetics, environmental factors and bio- chemistry. Due to these patient starts developing pain and grief related feelings and become unable to understand the complication they are suffering from. Besides, due to the disorder, patients loses their self- esteemed and self- confidence. Similar signs and symptoms were observed in the case of Sarah, which require immediate medical and psychological assistance for her health and wellbeing improvement. Possible causes of her mental health condition Depression could be caused by complications in hormonal changes, inherited traits, brain chemistry and biological differences. As per Smith (2014), physical changes in the
3MENTAL HEALTH ASSIGNMENT brainleadsotdepressivesyndromeandduetothispatientsstartdevelopingtypical characteristics of mood swings and other mental and physiological problems. Further, it might possible that due to excessive work pressure, inability to manage her physical activities with excess workload and other physiological and environmental reasons Sarah is suffering from mental trauma, which is ultimately affecting her mental health condition (Miller & Raison, 2016). Further as per Duman (2014), hormonal changes and imbalance in the hormonal status could also affect the patient and her mental health condition. It was seen that patient is majorly involved in her work and lifestyle activities and hence, due to excessive environmental pressure and stress it could be possible that the patient is suffering from mental healthcare conditions (Depression & Causes, 2015). Hence, these could be the possible reasons due to which, the patient Sarah, may develop healthcare complications and hence, in the following section, the available treatment interventions for the patient would be discussed. Available treatment for the disorder There is a wide array of interventions that could be applied in the healthcare complication of Sarah. These interventions for her severe depressive condition could range from pharmacological interventions, psychotherapies and brain stimulation therapies. Further cognitive behavioural therapies could also be utilized for the healthcare of patients suffering from mental health condition and depending on that the mental health improvement of the patient is determined. The first healthcare intervention that would be implemented for the mental healthcare concern of Sarah would be application of pharmacological interventions. The type of medication that should be implemented in the care process would be anti- depressants. As per Ebert et al. (2015), antidepressants should be implemented in the care process should be provided to the patients for 2 to 4 weeks and with that it she should be provided with physical
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4MENTAL HEALTH ASSIGNMENT activities and psychological treatments to provide a holistic and developmental healthcare intervention. There are several; anti-depressant medications, such as sertraline, citalopram and others that help to relieve the patient and her mood swings so that she could focus on other psychological interventions. As per Cipriani et al. (2016) while suggesting these medication to the patient, the healthcare professionals should help the patient with all the interventions as without healthcare professionals’ observation, anti-depressants should not be provided to the patients. The second medication that should be implemented in the care process of Sarah, is the psychological counselling. As per Cuijpers et al. (2014) counselling is the healthcare intervention that helps the patients by helping with their negative thoughts and ideations. Therefore, as per Haq et al. (2015), application of counselling would help the patients to understand their healthcare complication and they would be able to help the healthcare professional by accepting the implementing intervention and follow them diligently. As per Miniati et al. (2014) mental healthcare complication is named as the talk therapy of psychotherapy depending on that the health improvement of the patient is determined. There are several types of healthcare interventions such as cognitive behavioural therapy and the interpersonal therapy application of which helps the healthcare professionals to include different psychological interventions, constructive activities and communication interventions that helps the patients to overcome their mental healthcare complications (Cooper & Conklin, 2015). Besides this application of CRT and interpersonal behavioural therapy helps the nursing professionals to help the patients with their problem solving abilities and other interventions. The third intervention of treatment that should be included in the healthcare process ofSarah,wouldbeapplyingbrainstimulationtherapy,whichisalsoknownasthe electroconvulsive therapy. As per Haq et al. (2015), electroconvulsive therapy is applied to
5MENTAL HEALTH ASSIGNMENT the patients who are suffering from severe low mood and are unable to concentrate on their health due to severe depressive condition. Further patients who are suffering from mental healthcare complications like confusion, memory issues, and discomfort are also could be provided with this intervention so that they could overcome their mental health complications (Cooper & Conklin, 2015). Historical and global perspectives ofdepression Despite the healthcare promotional and awareness regarding mental health around the world, discrimination, racism and social stigma related to mental healthcare complications still present in the society (Roy et al., 2016). That affects people with their healthcare intervention and hence, they are unable to receive timely and accurate healthcare services for theircrucialhealthcarecomplications.AsperMasten(2014),mentalhealthcare complications are always perceived as the a social stigma and people are not concerned about their own health, but are concerned about the social perception, this could create due to such healthcare complication. As per Borio, James and Shin (2014), not only the third and second world countries, but the first world nations are also affected with such mental and social stigma due to which they are unable to provide proper care to the patients affected with mental healthcare complications. However, in this aspect it should be mentioned that with increased activity of people involved in the care process and awareness about mental healthcare interventions, people are changing their perceptions for the mental healthcare complications. Conclusion Mental health is a crucial aspect that requires proper medical assistance and interventions so that affected individuals could overcome their healthcare complications. In this paper, discussion about one such healthcare complication was carried out and in this
6MENTAL HEALTH ASSIGNMENT context the case of Sarah (39) was mentioned who was suffering from severe depression syndrome. This paper, therefore, provided detailed healthcare interventions so that with the help of healthcare interventions, patient could be provided with effective therapies and medication so that rapid and effective relief could be provided.
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7MENTAL HEALTH ASSIGNMENT References Borio, C. E., James, H., & Shin, H. S. (2014). The international monetary and financial system: a capital account historical perspective. Cipriani, A., Zhou, X., Del Giovane, C., Hetrick, S. E., Qin, B., Whittington, C., ... & Cuijpers, P. (2016). Comparative efficacy and tolerability of antidepressants for major depressivedisorderinchildrenandadolescents:anetworkmeta-analysis.The Lancet,388(10047), 881-890. Cooper, A. A., & Conklin, L. R. (2015). Dropout from individual psychotherapy for major depression:Ameta-analysisofrandomizedclinicaltrials.ClinicalPsychology Review,40, 57-65. Cuijpers, P., Sijbrandij, M., Koole, S. L., Andersson, G., Beekman, A. T., & Reynolds III, C. F. (2014). Adding psychotherapy to antidepressant medication in depression and anxiety disorders: a meta-analysis.Focus,12(3), 347-358. Depression, P., & Causes, A. T. (2015). Heterogeneity of postpartum depression: a latent class analysis.The Lancet Psychiatry,2(1), 59-67. Duman, R. S. (2014). Pathophysiology of depression and innovative treatments: remodeling glutamatergic synaptic connections.Dialogues in clinical neuroscience,16(1), 11. Ebert, D. D., Berking, M., Cuijpers, P., Lehr, D., Pörtner, M., & Baumeister, H. (2015). Increasing the acceptance of internet-based mental health interventions in primary care patients with depressive symptoms. A randomized controlled trial.Journal of affective disorders,176, 9-17.
8MENTAL HEALTH ASSIGNMENT Haq, A. U., Sitzmann, A. F., Goldman, M. L., Maixner, D. F., & Mickey, B. J. (2015). Response of depression to electroconvulsive therapy: a meta-analysis of clinical predictors. Kootker, J. A., Rasquin, S. M., Smits, P., Geurts, A. C., van Heugten, C. M., & Fasotti, L. (2015).Anaugmentedcognitivebehaviouraltherapyfortreatingpost-stroke depression: description of a treatment protocol.Clinical rehabilitation,29(9), 833- 843. Masten,A. S. (2014). Globalperspectiveson resiliencein childrenand youth.Child development,85(1), 6-20. Miller, A. H., & Raison, C. L. (2016). The role of inflammation in depression: from evolutionaryimperativetomoderntreatmenttarget.Naturereviews immunology,16(1), 22. Miniati, M., Callari, A., Calugi, S., Rucci, P., Savino, M., Mauri, M., & Dell’Osso, L. (2014). Interpersonal psychotherapy for postpartum depression: a systematic review.Archives of women's mental health,17(4), 257-268. Roy, H. E., Brown, P. M., Adriaens, T., Berkvens, N., Borges, I., Clusella-Trullas, S., ... & Evans, E. W. (2016). The harlequin ladybird, Harmonia axyridis: global perspectives on invasion history and ecology.Biological Invasions,18(4), 997-1044. Smith,H.R.(2015).Depressionincancerpatients:Pathogenesis,implicationsand treatment.Oncology letters,9(4), 1509-1514. World Health Organization. (2017).Depression and other common mental disorders: global health estimates(No. WHO/MSD/MER/2017.2). World Health Organization.