ADD5107: Week 4 Discussion 1: Christina: A Case Study
Christina is a 25-year-old Mexican American woman who has been working as an
elementary school teacher since she graduated from college three years ago. Although
she does well at her job, she has been feeling low ever since she left college. When she
took this teaching position, she had to relocate to a city over four hours away from her
family and the house she grew up in. Even though she has made some new friends,
Christina still feels disconnected and lonely. She is also concerned about her mother,
who has been diagnosed with a serious health condition.
For the past month, Christina has felt much worse. She reports feeling very sad and
tired most of the time and is having difficulty concentrating at work. She says that she
does not have enough energy to accomplish the things she would like to do. She admits
to overeating and drinking every evening to “unwind” after school, and she is concerned
that she is sleeping too much on the weekends. She also has very low self-esteem
despite being well-liked at her school and receiving good performance evaluations.
Christina describes her life as “heading nowhere” and says that lately she has felt
extremely hopeless. She wonders if she will ever feel as happy as she did when she
was in college. She does not have a history of ever feeling worse than this and is in
good health otherwise.
Based on the information presented, address the following questions in your discussion
1. What depressive disorder diagnosis would you consider giving to Christina?
Describe the process you used for making this decision.
2. Knowing that substance use disorders can mimic and coexist with other
disorders and that depressive disorders frequently co-occur with other
disorders (including anxiety disorders, substance-related disorders, and
eating disorders), what other information would you gather, or what other
assessment instruments might you use, to help you make an accurate
diagnosis for Christina?
3. What social, cultural, and systemic factors would be important for you to
consider when assessing and diagnosing Christina? How is the separation
from her mother, family, and home impacting her? What multigenerational
issues might be affecting Christina at this time?
Note: Please see attached
Note: 1 reference required
Note: Minimum of 300 words.
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