roopashri
Forum Elite
Topics: 16
Posts: 190
|
15-year-old white girl is brought to the health center by her mother for a periodic health evaluation and refill of tetracycline for acne. Upon entering the examination room, the patient's mother asks to speak alone with you. In private, she says, "My daughter has been like a different person for the past 4 months. She used to be on the honor roll and is now failing school. She received detention six times for truancy and for talking back to teachers. She argues with her brother and me over everything. She quit the tennis team and doesn't see any of her friends." The mother can think of no explanation for these changes. When you interview the patient alone, she becomes angry and says, "Mom should mind her own business and stop talking about me behind my back." She denies use of drugs or alcohol. She tells you, "I don't want to go out of the house because my acne makes me feel ugly. Plus, I've put on ten pounds." Today she weighs 54 kg (120 lb); she is 165 cm (5 ft 5 in) tall. Which of the following is the most appropriate advice to the mother?
A Her daughter is just going through a normal adolescent phase
B Her daughter would benefit from a diet program
C Her daughter would benefit from a trial of antidepressant medication
D She should use a behavior-modification program to control her daughter
E No advice is indicated because it would violate patient confidentiality
|
| dharjma
Forum Senior
Topics: 11
Posts: 182
|
A
|
| drk1980
Forum Guru
Topics: 147
Posts: 1,038
|
the girl is displaying some extreme behavior- truancy, detention, failing in subjects, no social activity, excessive arguing......since 4 months. although this might be seen in most adolescents, it could also be signs of depression that maybe triggered by her acne problem.
anyone?
|
| JAS
Forum Junior
Topics: 11
Posts: 33
|
Review of the following character of this period, I would choose A.
- Struggle with sense of identity Feeling awkward or strange about one's self and one's body Focus on self, alternating between high expectations and poor self- concept Interests and clothing style influenced by peer group Moodiness Improved ability to use speech to express one's self Realization that parents are not perfect; identification of their faults Less overt affection shown to parents, with occasional rudeness Complaints that parents interfere with independence Tendency to return to childish behavior, particularly when stressed
|
| msyamp
Forum Fanatic
Topics: 60
Posts: 1,462
|
jas. it is teen depression. i go with antidepressents too
___________________
If you think you can You can! If you think you cant you are right again!!
|
| skyhigh
Forum Guru
Topics: 105
Posts: 561
|
so is the answer A or C
|
| drk1980
Forum Guru
Topics: 147
Posts: 1,038
|
JAS wrote:Review of the following character of this period, I would choose A. - Struggle with sense of identity Feeling awkward or strange about one's self and one's body Focus on self, alternating between high expectations and poor self- concept Interests and clothing style influenced by peer group Moodiness Improved ability to use speech to express one's self Realization that parents are not perfect; identification of their faults Less overt affection shown to parents, with occasional rudeness Complaints that parents interfere with independence Tendency to return to childish behavior, particularly when stressed
What are the Symptoms of Teen Depression?
Often, depressed teens will display a striking change in their thinking and behavior, lose their motivation, or become withdrawn. The following are the major signs of depression in adolescents.
Sadness, anxiety, or a feeling of hopelessness
Loss of interest in food or compulsive overeating that results in rapid weight loss or gain
Staying awake at night and sleeping during the day
Withdrawal from friends
Rebellious behavior, sudden drop in grades, or cutting school
Complaints of pains including headaches, stomachaches, low back pain, or fatigue
Use of alcohol or drugs and promiscuous sexual activity
A preoccupation with death and dying
skyhigh, whts ur answer? ur opinion is valuable too
|
| drk1980
Forum Guru
Topics: 147
Posts: 1,038
|
http://www.clinical-depression.co.uk/Depression_I...
|
| skyhigh
Forum Guru
Topics: 105
Posts: 561
|
if b/w A or C, I'd say A now that I know depression would show much worse symptoms., and would last at least 6 months.
|
| drk1980
Forum Guru
Topics: 147
Posts: 1,038
|
iam sorry! i read up on DSM-IV. the symptoms shd last for atleast 2weeks or more. There shd be a change from previous functioning, the cause of which is not attributable to drug effects or a medical condition.
Among the necessary symptom is either a depressed or irritable mood or a loss of interest or pleasure.
|
|
| |
| | | | | | | | | | |
