Case Study DocumentOn April 8, 2016, a 42-year-old woman went to see her therapist because she had a lot on her plate and was feeling quite overwhelmed. It was there, in the therapist's office, that she declared "I don't want to live anymore" and that she was "overwhelmed with sadness." Although she didn't have a suicide plan in place, her therapist thought it would be a good idea for her to get help. She subsequently voluntarily went to the psychiatric emergency room of the Contra Costa Regional Medical Center, where she was admitted for major depressive disorder and suicidal ideation. Patient History The patient's history indicates that she has a background of depression, anxiety, and cerebral palsy. In the patient's medical record, it causes serious symptoms that affect how you feel, think, and manage daily activities, such as sleeping, eating, or working. There are several types of depression that occur under unique circumstances that include persistent depressive disorder, perinatal depression, psychotic depression, and seasonal affective disorder. Persistent depressive disorder is a depressive mood that lasts at least two years. Perinatal depression is what a woman may experience while pregnant or after giving birth. It is more serious than “baby blues” and makes things very difficult for the mother and, ultimately, the baby. Psychotic depression is depression secondary to a psychotic disorder such as schizophrenia. Seasonal affective disorder is depression caused during the winter months and recurs every year. It was not noted what type of depression the patient suffered from, but from observation and review of her medical records it appears that the patient suffered from persistent depressive disorder and perinatal depression. I believe she has a persistent depressive disorder because it was mentioned in her medical records that she had been in the system on and off since 2008. For her it is something that comes and goes. Her doctor also increased her dosage of Zoloft because of her increased risk of postpartum depression with major depressive disorder usually being treated with medication and psychotherapy, also known as talk therapy. Webmd.com also states that if medications are ineffective and symptoms are severe, electroconvulsive therapy (ECT) or shock therapy may be prescribed. Before the patient came to PES, her prescribed home medications were quetiapine (Seroquel) 25 mg twice daily, which is a mood stabilizer, and sertraline (Zoloft), an antidepressant 150 mg daily. During her stay at PES they kept her on the same medications but planned to taper off the Zoloft. They had her on a q15 security check due to her suicidal thoughts and the social worker was also available. I believe the best intervention for people suffering from depression is 1. Recognize feelings of depression and anxiety. 2. Review coping mechanisms so that they are better equipped to better deal with the stressors of daily life and 3. Identify what the patient can and cannot do about the current situation. When you realize that some things are out of your control, you can manage depression and how it affects you. On the last day I saw the patient, she called home frequently telling her aunt that she missed her baby and was ready to go home. The aunt told her that she needed to stay at PES to recover so she could go home and not to worry because she had everything under control, and the patient agreed. Although the patient has many risk factors and personal issues that add to her depression, this is the case