MN 669 UNIT 4 Suicidal Ideation and Depression in Adolescent

Suicidal Ideation and Depression in Adolescent
The patient is a 15‐year‐old Puerto Rican adolescent female living with both her parents
and a younger sibling. Her parents presented with significant marital problems, had been
separated several times and were discussing divorce. Her mother reported having a history
of psychiatric treatment for depression and anxiety and indicated that the patient's father
suffered from bipolar disorder and had been receiving psychiatric treatment. He was
hospitalized on multiple occasions during previous years for serious psychiatric symptoms.
The patient is failing several classes in school, and her family was in the process of looking
for a new school due to her failing grades and difficulties getting along with her classmates.
She presented the following symptoms: frequent sadness and crying, increased appetite
and overeating, guilt, low self‐concept, anxiety, irritability, insomnia, hopelessness, and
difficulty concentrating. In addition, she presented difficulties in her interpersonal
relationships, persistent negative thoughts about her appearance and scholastic abilities, as
well as guilt regarding her parents' marital problems. She states that sometimes she feels
the world would never know if she disappeared.
The patient's medical history reveals that she suffers from asthma, used eyeglasses, and is
overweight. Her mother reported that she had been previously diagnosed with MDD 3 years
ago and was treated intermittently for 2 years with supportive psychotherapy and anti‐
depressants (fluoxetine and sertraline; no dosage information available). This first episode
was triggered by rejection by a boy for whom she had romantic feelings. Her most recent
episode appeared to be related to her parents' marital problems and to academic and social
difficulties at school.
Chafey, M. I. J., Bernal, G., & Rossello, J. (2009). Clinical Case Study: CBT for Depression
in A Puerto Rican Adolescent. Challenges and Variability in Treatment
 Response. Depression and Anxiety, 26, 98-103. https://doi.org/10.1002/da.20457
This assignment requires a comprehensive SOAP format. So, all information from the
subjective, objective, assessment, and plan must be included. In the plan portion make sure
to include the following:
Pharmacological treatment needs to be specific; give a particular medication with dosing
and frequency
Non-pharmacological treatment-give a specific example like CBT, MBSR, Patient Education
Referral to other providers, Follow-up.
Use the Case Study template to show your assessment collection data as well as the
thought processes for diagnosis and treatment. Support your diagnosis and treatment plan
with a minimum of two references in APA form.