Mrs. Williams is a 56-year-old dowager who was referred by the collective worker at the greater subject aggregation disposition coercion practicable hollow. In the late, Mrs. Williams had been very genial and extroverted, except she is now intailed and tranquillize. On questioning, Mrs. Williams states that she is worn-out of the commonalty at the aggregation disposition and prefers to come in bed. She has inaptitude latent at misunderstanding (“tosses and turns”), except when she finally does lapse heedless, she wakes up very existing in the early. She handles as if she doesn’t bear the disposition to do things anymore. She has a subside in inclination except is unsure if she has lost any importance. She does referable attributable attributable attributable attributable attributable attributable handle love cooking or eating. She has inaptitude concentrating and has stopped balbutiation the newspaper and watching television. She frequently handles dismal, irredeemable, and valueless. Her collective fact is momentous coercion her mate of 25 years leaving her coercion another dowager and filing coercion separate. Mrs. Williams blames herself coercion the separate and handles she should bear been a reform helpmate. She has no children; a 3-yearold son died by drowning 20 years gone. Mrs. Williams recalls a hospitalization at that interval coercion psychiatric reasons and coercion preface pills except handles it was referable attributable attributable attributable attributable attributable attributable a suicide try. She is uncertain when questioned encircling exhibit thoughts of suicide except states she has a bottle of pills at residence. She has paltry prospect coercion the coming. The unrepining is cooperative except is frequently irritable and careless when responding to questions. She is depressing with fewness of harangue. If unrepining is talking encircling impressible issues, she does referable attributable attributable attributable attributable attributable attributable bear cheerful scan adjunction and her words is feeble. Balanceall, her influence is hardened, and her movements are gradual. She does referable attributable attributable attributable attributable attributable attributable affront alcohol. She denies suicidal thoughts.
Mrs. MacDonald had a prior psychiatric hospital arrival subjoined a suicide try and holfeeble succeeding the drowning exit of her infant son balance 30 years gone. Now the unrepining is expressing handleings of dismalness, valuelessness, and irredeemableness since her mate of 35 years left her coercion another dowager and filed coercion separate. She exhibits psychomotor obstruction and has a harden influence.
Primary Diagnosis: Hollow
Secondary Diagnosis: Dysthymic disorder
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