PATIENT’S
TROUBLED FAMILY LIFE IS CAUSING THE DEPRESSION
Research
shows family history, troubled childhood, family environment and upbringing as
well as genetics play an important role in depression. When childhood life is
full of challenges especially mental and has impact on emotions of human
beings, it will affect the mental health in later life (Monroe, Slavich and
Gotlib, 2014). In the present context, Miss J family history shows her mother
and sister both have suffered from depression. Her maternal grandfather was
alcohol addicted and this might be a factor that has further affected Miss J
mind. Research shows excessive alcohol addiction can lead to home violence
therefore Miss J might have been victim of passive abuse or must have seen her
mother being abused (Kose et al, 2015). In such cases, the person’s perception
towards the world changes and they comprehend the world to be a place of
uncertain, unpredictable and dangerous. When this condition is not treated this
might continue into later life with helplessness, anger or upset that is
evident from Miss J case.
This
condition can be treated by change in dietary habits and also changing the life
style factor. One of the most common causes is lack of minimal amount of
vitamins and minerals in the body. Therefore the client has to undergo a test
for vitamins and supplements status to see which vitamins and minerals are
short in the body and based on that she can be recommended pills or other
natural sources. Since in cases of
families having troubled environment has greater impact on emotions, therefore
it is recommended for the patient to undergo talk therapy which will help her
in expressing her fears and other hidden suppressed emotions (White et al,
2015).
GENDER
MIGHT BE FACTOR
The
client in the present case study is 23 years old implicating she is in young
adulthood. The client is a female person and research shows the emotional
security and support required by the females are more than the male individuals
(Lewis et al, 2015). There can be numerous factors that lead to such difference
but the fundamental difference can be due to societal perception of female,
expectations from them and upbringing from childhood. For example- boys in
general are sent to outside to carry out works and girls are mostly trained to
carry out home based works. In such cases facing a real world on own along with
a troubled childhood might be difficult for the client that is making her
depressive and low in mood (Horesh et al, 2015).
The
client will be recommended a food that has affect on mood and especially helps
in energising the body. Lack of energy in the body might lead to lethargy and
in long run due to lack of competitiveness; the person might show signs of
depression. In that case, the person must be assessed for nutrition’s she is
taking and follow up for a certain period to know what food factors might be
the causal factor for depression. Supplementing with particular type of
nutrients and eliminating the causing supplements it can reduce the stress on
client (Strasser, Gostner and Fuchs, 2016).
PREVIOUS
EPISODES
People
having previous episodes of depression are more or less prone to such episodes
later in their life. The medication history of the patient indicates she was
diagnosed with depression at an age of 18 and 20. In both episodes she
discontinued the medication by self. Research shows diagnosed with any type of
mental health issue can act as a further stressing factor, therefore being
diagnosed twice for the depression might be a factor for depression or low in
confidence. This is evident from client case where she complains of bout of
depression ranging for a period of 3-4 days.
The
dietary intervention includes reducing the sensitive foods from the diet. While
diary products and wheat products are considered to be healthy excessive
consumption might lead to low mood, irritability, and anxiety. In such cases,
reducing such foods or removing such foods that puts stress on the body
improves the condition. Similarly when the blood sugar is poorly regulated and
the person misses meals or breakfast it further reduces the energy and
increases the anxiety. In long run this might lead to depression. Therefore,
recommending proper diet for the client is an important factor for recovery
from depressive bouts (Buchtemann et al, 2012).
Psychosocial
factors
Although
the exact personality of the client has not been discussed but the day to day
interaction, their reaction to events and lastly their personality traits also
plays an important role in such situations. For an example- persons who easily
loose temper are more likely to suffer from depression as compared to others. While
losing temper the persons activity might result in poor results or negative
results. This might increase the depression symptoms. Similarly people who have
experienced negative views on themselves are more likely to have depressive
symptoms as compared to rest population (Poulsen, Pachana and Dermott, 2014).
In
present context Miss J although seems to be well dressed and physical fit, the
depressive symptoms indicate some issues with her personality traits and facing
the situation in life. It might be due to troubled childhood or due to low
serotonin level that can run in the family. In both the cases, the client has
to be studied psychologically before any treatment or supplement to be
recommended.
AGE
The
client Miss J is a young adult and only 23 years old. In such cases, the
younger people are vested with responsibilities that might seem burdening for
them. With growing competition and complexity at work place, it demands high
tolerance level to adjust to that environment (Arnett, 2014). Therefore, it is
essential to know what type of work place environment is maintained in case of
Miss J. Feeling complex about others and integrated factors such as poor diet,
family history and previous episodes of depression might be the triggering
factors. In such cases, the client requires emotional support , encouragement
and positive work environment. Similarly mood enhancers food or supplements can
be given. Exercise can be considered as a treatment since it releases
endorphins that has been shown to have positive effects on mood (Bachman et al,
2013).
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