AP: | Applied Sciences

ADP.pdf READ BELOW- Subjective Data Chief Complaint: The patient, a 31-year-old female, reports feeling persistently sad and anxious for the past five months. She states, “I feel like I’m in a fog and can’t get out.” History of Present Illness: The patient describes a gradual onset of symptoms following the birth of her second child. She has experienced significant mood swings, irritability, and overwhelming fatigue. She reports sleeping poorly, often waking up several times a night and having diQiculty falling back asleep. Her appetite has decreased, leading to a weight loss of about 10 pounds over the last month. She expresses feelings of inadequacy as a mother and worries constantly about her children’s well-being. Although she denies suicidal ideation, she admits to feeling hopeless about her situation. Demographic Data: Age: 31 years Gender: Female Ethnicity: Asian American Occupation: Elementary School Teacher Marital Status: Married Risk Factors: Recent childbirth (postpartum period) Family history of depression (sister diagnosed) High levels of stress from balancing work and family responsibilities Limited social support due to living far from family Previous Medical, Surgical, and Psychiatric History: Medical History: Generally healthy, no chronic conditions Surgical History: Cesarean section for the first child Psychiatric History: No previous psychiatric diagnoses or treatments Objective Data Physical Exam Findings: Vital Signs: BP 118/76 mmHg, HR 72 bpm, Temp 98.6°F Weight: 135 lbs (10 lbs lost in the last month) General Appearance: Appears fatigued, with poor eye contact and disheveled hair Skin: No rashes or lesions; slightly pale Neurological: Alert and oriented; no focal deficits noted Mental Status Exam: Appearance: Neglected grooming Behavior: Cooperative but withdrawn; minimal engagement in conversation Mood: Depressed with a flat aQect Thought Process: Logical but slow to respond Thought Content: No delusions or hallucinations; expresses feelings of being overwhelmed Insight: Limited insight into her condition Judgment: Fair; recognizes the need for help Recommended Diagnostic Tests PHQ-9 (Patient Health Questionnaire-9): To screen for and assess the severity of depression in adults. Complete Blood Count (CBC): To rule out anemia or other medical conditions contributing to fatigue. Thyroid Function Tests: To assess the function of the thyroid gland. Comprehensive Metabolic Panel (CMP): To evaluate electrolyte levels and overall metabolic health. Urinalysis: To check for any underlying infections or issues that may contribute to mood changes. • INSTRUCTIONS- i. Based on the information provided above, list your top three mental health diQerential diagnoses. ii. Choose the most likely diagnosis. iii. Support your decision with APA scholarly sources that represent a logical link between the above case study and article information. Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.  iv. Present information in a logical, meaningful, and understandable sequence that is relevant to the discussion topic. v. Good writing calls for the limited use of direct quotes. Direct quotes in discussions are to be limited to one short quotation (not to exceed 10 words). The quote must add substantively to the discussion. vi. Reference Citation: Use current APA format to format citations and references and is free of errors.  vii.