i need a response to this assignment zero plagiarism 3 referen

i need a response to this assignment zero plagiarism 3 references Therapy with Older Adults The primary diagnosis for this client is major depressive disorder (MDD). It is a DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th Ed.) diagnosis assigned to individuals who feel down and have lost interest in activities they previously enjoyed. This depressed feeling must occur daily for at least 2 weeks for a diagnosis to be given. Those who suffer from depression experience persistent feelings of sadness and hopelessness and lose interest in activities they once enjoyed. Aside from the emotional problems caused by depression, individuals can also present with a physical symptom such as chronic pain or digestive issues. DSM-V Coding for MDD MDD diagnosed as having either single or recurrent episodes. The severity level, such as mild, moderate, severe and with psychotic features, is also specified to note the unique aspects of the course of the disorder. The coding for single episode include 296.21 (F32.0) Mild 296.22 (F32.0) Moderate, 296.23 (F32.2) Severe, 296.24 (F32.0) In Partial Remission, 296.26  In full Remission, 296.20 (F32.9) Unspecified. The coding for recurrent episode include 296.31 (F33.0) Mild, 296.32 (F33.1) Moderate, 296.33 (F33.2) Severe, 296.34 (F33.3) With Psychotic Features, 296.35 (F33.41) In Partial Remission, 296.36 (F33.42) In Full Remission, 296.30 (F33.9) Unspecified (American Psychiatric Association, 2013). The rationale for the Diagnosis The DSM-5 outlines the following criterion to make a diagnosis of depression. The individual must be experiencing five or more symptoms during the same 2-week period, and at least one of the symptoms should be either (1) depressed mood or (2) loss of interest or pleasure (American Psychiatric Association, 2013). Some of these symptoms include feelings of sadness and hopelessness, loss of interest or pleasure in activities, Loss of weight or weight gain, difficulties sleeping or excessive sleepiness, noticeable restlessness or slowness, lack of energy, troubles concentrating and indecisiveness, feeling of worthless and excessive guilt, continued thoughts of wanting to die (Wheeler, 2014). The presence of anxiety in patients may affect prognosis, treatment options, and the patient’s response to clinicians  Based on the symptoms presented in the case study, the client met the criteria for DSM-5 in several ways. First, the client reported that he experienced symptoms of depression and anxiety for few months including sleeping problems, feeling tired all the time, moving in slow motion, and stopped attending the volunteer job at the nursing home. Some of the risk factors associated with the depression reported by the client include the loose of his father who he mentions as the primary source of support and his diagnoses for prostate cancer this year (American Psychiatric Association, 2013). Besides, conditions such as hypertension and hyperlipidemia are associated with some level of depression. Depression is also considered as an inherited condition, and since mother had the condition, there is a possibility he has the condition too (Wheeler, 2014). Diagnosis Test Diagnostic tests and physical exam are the two primary methods used to confirm the diagnosis of clinical depression. The main goal of a physical exam is usually to rule out other medical cause for depression (Bilello, 2016). When performing the physical exam, the clinician may focus primarily on the neurological and endocrine system and try to identify any major health concerns that may be contributing to symptoms of depression. For instance, hypothyroidism caused by an underactive thyroid gland is the most common medical condition associated with depressive symptoms. Lab test such as blood tests is also used to check for a medical condition that may cause depressive symptoms such as thyroid, anemia, or possibly other hormones. Differential diagnosis Bipolar disorders- These mood disorders include mood swings that range from highs (mania) to lows (depression). It’s sometimes difficult to distinguish between bipolar disorder and depression Cyclothymic disorder- Cyclothymic disorder involves highs and lows that are milder than those of bipolar disorder. Persistent depressive disorder- sometimes called dysthymia, this is a less severe but more chronic form of depression. While it’s usually not disabling, the persistent depressive disorder can prevent you from functioning normally in your daily routine and from living life to its fullest (Portaccio, 2016). Treatment Strategies for MDD A wide range of effective treatments is available for major depressive disorder. Medication alone and brief psychotherapy (e.g., Cognitive-behavioral therapy, interpersonal therapy) alone can relieve depressive symptoms. There is also empirical support for the ability of brief psychotherapy (CBT) to prevent relapse. A study comparing the outcome rates of 7 different psychotherapies found that there was no difference in the success rate of the different psychotherapies. However, the dropout rate for cognitive-behaviour therapy was significantly higher than with the other therapies (Dold & Kasper, 2017). Pharmacology interventions include antidepressant prescriptions such as selective serotonin reuptake inhibitors (SSRIs) and serotonin/norepinephrine reuptake inhibitors (SNRIs) (Polatin, Bevers & Gatchel, 2017). SSRIs have the advantage of the ease of dosing and low toxicity in overdose. SSRIs are greatly preferred over the other classes of antidepressants for the treatment of children and adolescents, and they are also the first-line medications for late-onset depression. SNRIs, which include venlafaxine (Effexor), desvenlafaxine (Pristiq), duloxetine (Cymbalta), and levomilnacipran (Fetzima) can be used as first-line agents, particularly in patients with significant fatigue or pain syndromes associated with the episode of depression (Polatin, Bevers & Gatchel, 2017) Usually, 2–12 weeks at a therapeutic dose, with assumed adherence to the regimen, are needed for a clinical response to become evident. The choice of medication should be guided by anticipated safety and tolerability, which aid in compliance; physician familiarity, which aids in patient education and anticipation of adverse effects; and history of previous treatments. Positive psychotherapy (PPI) has shown to be effective in enhancing well being and decreasing depression (Dold & Kasper, 2017) Positive psychotherapy interventions include identifying and using one’s strengths, engaging in enjoyable activities, replaying positive experiences, and socializing based on a meta-analysis of positive psychotherapy suggest that incorporating positive psychotherapy interventions into psychotherapy with depressed clients increases the effectiveness of therapy(Papadimitropoulou et al. (2017). Psychotherapy is often conducted on an outpatient basis with weekly, 60-minute sessions. Although there is wide variation in practice, psychotherapy tends to be time-limited (e.g., 16 sessions) Exercise can be an important aspect of treating depression. Studies have shown that aerobic exercise is effective in treating depression.  Farah et al. (2016) found exercise to be as effective as antidepressant medication in treating mild to moderate depression.  Also, the authors found the positive effects of medicine occur more quickly than exercise, but the positive effects of exercise are longer lasting. People may notice that they are more quiet than usual, smile less, and are more irritable. Relationships are strained when people are easily annoyed, are less talkative and intimacy avoided. Sometimes people with depression complain about physical pain, have a low frustration tolerance and have angry outbursts (DSM-5). Clinical Note We all feel sad and unhappy at times. Sadness is a normal response to a loss or other upsetting events. Depression, however, is a sadness that is long-lasting and when severe, can be debilitating. It leaves people feeling sapped of energy and unable to enjoy once-pleasurable activities. When it is severe people lose all hope, are in so much pain they have thoughts of ending their life and at times take their own life (Dold & Kasper, 2017). People isolate themselves, further depriving them of the positive support that comes from being with others. Sometimes they feel overwhelmed, in a cloud, and may want to stay in bed all day.  Reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. Bilello, J. A. (2016). Seeking an objective diagnosis of depression. Biomarkers in medicine.    Dold, M., & Kasper, S. (2017). Evidence-based pharmacotherapy of treatment-resistant unipolar depression. International journal of psychiatry in clinical practice. Farah, W. H., Alsawas, M., Mainou, M., Alahdab, F., Farah, M. H., Ahmed, A. T., … & Mohammed, K. (2016). Non-pharmacological treatment of depression: a systematic review and evidence map. BMJ Evidence-Based Medicine. Polatin, P., Bevers, K., & Gatchel, R. J. (2017). Pharmacological treatment of depression in geriatric chronic pain patients: a biopsychosocial approach integrating functional restoration. Expert Review of Clinical Pharmacology. Papadimitropoulou, K., Vossen, C., Karabis, A., Donatti, C., & Kubitz, N. (2017). Comparative efficacy and tolerability of pharmacological and somatic interventions in adult patients with treatment-resistant depression: a systematic review and network meta-analysis. Current Medical Research and Opinion. Portaccio, E. (2016). Differential diagnosis, discerning depression from cognition. Acta Neurologica Scandinavica. Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

Adme Essays

Calculate The Price Of Your Paper

{{total || ""}}

Why Choose Us

Top Quality and Well-Researched Papers

An important research paper due imminently? We have your back! Simply request help from an expert whose expertise is verified. We employ Bachelor's, Master's, and Ph.D. graduates with years of expertise in the industry of professional writing. Before they begin writing for us, we verify their credentials and conduct assessments to ensure they can consistently provide the highest quality content. Before submission, your research article will also be examined by the quality control team.

Professional and Experienced Academic Writers

We firmly believe that all of our clients deserve to excel in both their academic careers and, in the future, their professional life, and we are glad to assist them in achieving that goal. We have curated a team of subject-oriented academic writers who have been carefully selected to ensure that we deliver the best quality papers you can expect from a professional writer. Writing essays, completing extensive research, and performing complex calculations are all areas of expertise for every one of our specialists. They have a lot of experience in their industries. They are capable of completing any writing assignment within the allotted time limit. They enjoy what they do and are always striving to better their knowledge and abilities in research and writing. Contact us to hire our academic help services at the drop of a hat.

Free Unlimited Revisions

Our primary goal is to ensure our customers are delighted; therefore, we endeavor to offer an excellent service. Essaywriter4me's revision policy allows customers to receive free changes within ten days of the due date. You can request a free revision of your order if you believe we made a mistake. Log in to your personal account.

Prompt Delivery and 100% Money-Back-Guarantee

Are you having trouble completing your MBA project case studies and assignments? Due to a lack of time, are you unable to research? In need of a company that provides high-quality custom writing services at reasonable prices? Contact Essaywriter4me and get Take the help of a professional assignment help writer. The length, difficulty, and deadline all factor into how much time it takes to prepare and polish an essay. Completing technical assignments sometimes takes longer than expected. On the other hand, our writers and supervisors will do everything in their power to meet your deadlines. We can produce a finished article within four hours without sacrificing quality.

Original & Confidential

We check online first. Second, we examine our database of completed orders to ensure that you always receive original content. Every assignment is written from scratch by Essaywriter4me writers and double-checked with our plagiarism detection software. We never send pre-written essays or papers that include copied content. This originality report is available upon request, providing you full trust in the quality of our writing. We guarantee that all information provided or shared with us will remain confidential since we never share it with a third party. You are not concerned about what will happen to the data. PayPal and the bank protect your funds, so there is no risk of fraud or deception. Students love us due to our stringent confidentiality policies. Whatever occurs here is strictly confidential between you and us.

Customer Support 24/7

We have a team of dedicated customer care representatives eager to help you with the best-suited assignment help services, each of which is tailored to each client's unique needs. You can contact them via email, phone, or live chat if you need help with a particular subject. At Essaywriter4me, you'll have access to an expert 24 hours a day, seven days a week! Our expert writers are also available around the clock, no matter the time of the day or night. Choose between scheduling a tutoring session or getting immediate help when you need it most. We always have experts available to work around your schedule, no matter what time of day!

Try it now!

Calculate the price of your order

We'll send you the first draft for approval by at
Total price:

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Services

No need to work on your paper at night. Sleep tight, we will cover your back. We offer all kinds of writing services.


Essay Writing Services

Hire an assignment writing expert to get a well-written project before the deadline. Request "write my essay" today. Our academic writers have worked in this field for years; they are familiar with the most common formatting standards. These include but are not limited to MLA, APA, Harvard, and Chicago/Turabian formats.

Our writers are chosen from a pool of qualified candidates, with just the top two percent gaining employment with our paper writing service. This implies that every writer you hire will be eager to discuss your needs and construct a flawless paper that leaves you entirely satisfied. Start by placing an order, or contact customer service for additional information about our experts.


Admission and Business Papers

Applying to college or university requires much effort and accountability. Every applicant should persuade the admissions committee with their reasons for pursuing a degree in a particular program. Please familiarize yourself with why an application essay writing service is an excellent choice for you.

Our admission essay writing service will help you effectively present yourself. It is hard to find legit online expert college application essay writers. At our service, we offer high-quality cooperation based on extensive experience and a strict confidentiality policy. The price per page varies depending on the writer's experience and the urgency of the job. Therefore, you can request, "Please write my application essay," and find the best available writer.


Editing and Proofreading

We are an award-winning group of talented editors and reviewers serving over 10 thousand clients in 100 countries. Exclusively for professors, lecturers, post-doctoral researchers, research students, and commercial clients, Essaywriter4me offers professional academic proofreading and English language editing services. Our objective is to address the increasing demand for English-language services among academics and business people worldwide.

We specialize in academic proofreading and English language editing for authors of dissertations, Doctoral dissertations, journal articles, books, journal articles, essays, and other professional documents, such as research projects, in the Social Sciences, the Sciences, and the Humanities.


Revision Support

If you believe your paper needs some modification, you can request a review. Our specialist writers are familiar with all academic formats, including MLA, APA, CSE, and Chicago. We collaborate to improve your writing. If you didn't start your paper the night before, you've come to the proper place. Our academic revision service is available 24/7. Simply place your order now.