Client: William Styron
Axis I 296. 25 Major Depressive Disorder, Single Episode, In Partial Remission
Axis II 799.9 Deferred
Axis III Deferred
Axis IV Recent awarding ceremony Problems related to the social environment: Death of friends Problems with primary support group: Unsolved grief
Axis V GAF= 50 GAF= 65 SOFAS = 45 SOFAS = 70
Defensive Functioning Scale
A. Current Defenses styles or Coping Style: 1. Self –observation 2. Sublimation 3. Affiliation 4. Intellectualization 5. Devaluation 6. Passive aggression
B: Predominant Current Defense level: High adaptive level
William Styron has laid out a detailed description about the signs and symptoms of his illness. The concluded diagnosis is based on William Styron’s illustration and his current mental state. Styron’s symptoms have fulfilled the criteria of depressive disorder. The basic abnormality in depressive syndrome is the alteration in mood with a group of vegetative symptoms (Andreasen & Black, 2011). He chronicles “the leaden and poisonous mood” (Styron, 1990) that occupies most of his days. He reflects his diminished interest and pleasure towards “exceptionally island’s pleasure”, his “beloved home”, writing and other activities that he used to enjoy. He wonders how his friendly place seemed so hostile and forbidding. As a writer it felt helpless and painful to him when he found out “the writing becomes more difficult and exhausting, finally ceased” because depression has made him unable to concentrate. Styron’s statement of “two or three hours of sleep I was able to get at
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