- Christina: A Case Study Discussion 1
Christina is a 25-year-old Mexican American woman who has been working as an elementary school teacher since she graduated from college three years ago. Although she does well at her job, she has been feeling low ever since she left college. When she took this teaching position, she had to relocate to a city over four hours away from her family and the house she grew up in. Even though she has made some new friends, Christina still feels disconnected and lonely. She is also concerned about her mother, who has been diagnosed with a serious health condition.
For the past month, Christina has felt much worse. She reports feeling very sad and tired most of the time and is having difficulty concentrating at work. She says that she does not have enough energy to accomplish the things she would like to do. She admits to overeating and drinking every evening to “unwind” after school, and she is concerned that she is sleeping too much on the weekends. She also has very low self-esteem, despite being well-liked at her school and receiving good performance evaluations. Christina describes her life as “heading nowhere” and says that lately she has felt extremely hopeless. She wonders if she will ever feel as happy as she did when she was in college. She does not have a history of ever feeling worse than this and is in good health otherwise.
Discussion Instructions
Based on the information presented, address the following questions in your discussion post:
- What depressive disorder diagnosis would you consider giving to Christina? Describe the process you used for making this decision.
- Knowing that substance use disorders can mimic and co-exist with other disorders and that depressive disorders frequently co-occur with other disorders (including anxiety disorders, substance-related disorders, and eating disorders), what other information would you gather, or what other assessment instruments might you use, to help you make an accurate diagnosis for Christina?
- What social, cultural, and systemic factors would be important for you to consider when assessing and diagnosing Christina? How is the separation from her mother, family, and home impacting her? What multigenerational issues might be affecting Christina at this time?
Response Guidelines
Respond to at least two other learners in a manner that advances the discussion in a meaningful way. Contribute to the conversation by asking questions, respectfully debating positions, or responding freely to the topic at hand.
Resources
Mood Disorders and Addiction discussion 2
Based on your readings for this week, what would you identify as the key elements of mood disorders that affect treatment for addiction? Evaluate the approaches taken in the article by Seeberg et al. (2018) and in the article by van Benthem et al. (2020). Is there a specific approach to co-occurring mood and addiction disorders that particularly appeals to you as an addiction treatment professional? Why?
Response Guidelines
Respond to at least two other learners in a manner that advances the discussion in a meaningful way. Contribute to the conversation by asking questions, respectfully debating positions, or responding freely to the topic at hand.
Resources
- Discussion Participation Scoring Guide.
- Neural and Behavioral Predictors of Treatment Efficacy on Mood Symptoms and Cognition in Mood Disorders.
A Dual Perspective on First‑Session Therapeutic Alliance: Strong Predictor of Youth Mental Health and Addiction Treatment Outcome
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