DOB: 2/18/82
Address: Jones,MS
Civil Status: Married
Nationality: Caucasian
Religion: Baptist
Admission: 9/7/12
Discharged: 9/10/12
Unit: Adult
Type of Admission: Voluntary
Ms. Doe is a 30 year old white female. She is married and lives at home with her husband, her four children (ages 11, 9, 6, and 4 yrs). Her youngest brother lives in the home with them, also. She is a graduate from Jones High School and is currently unemployed. Ms. Doe does not drink alcohol; however, she does have a positive history of illicit drug abuse (marijuana) but quit in 2001. She engages in smoking a synthetic form of cannabis in addition to a cigarette habit of 1-2 packs per day since 2009. She states that she is trying to quit the smoking habit, but that it is very difficult.
History of Present Illness: Ms Doe presented to the facility with her husband with increased anxiety and depression. In addition, she has been experiencing hallucinations and hearing voices. Her husband brought her to the facility because they both feared for the welfare of their children. She has not been able to sleep for about 1 week and has been having severe panic attacks for 2 weeks prior to admission. She states that her stress has increased due to having to care for her 4 year- old with developmental delays and that her family is experiencing added financial stress.
Patient Medical/Surgical History: Mood disorder/Depression, Substance Abuse, Anxiety, Cluster B Personality Trait, Asthma, Smoking Addiction, Peripheral Vascular Disease, UTI.
I. Diagnosis: Depression
Definition: ▪ Depressive disorders affect approximately 18.8 million American adults or about 9.5% of the U.S. population age 18 and older in a given year. Depression is a serious medical illness that involves the brain. It's more than just a feeling of being "down in the dumps" or "blue" for a few days. If you