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April 8, 2016, a 42-year-old woman went to see her therapist because she had a lot on her plate and was felt quite outdated. It was there, in the therapist's office, that she declared, "I don't want to live anymore" and was "overwhelmed with sadness." Even though she hadn't planned to kill herself, her therapist thought it would be a good idea for her to get help. She then voluntarily went to the psychiatric emergency room at Contra Costa Regional Medical Center where she was admitted for major depressive disorder and suicidal ideation. Patient History The patient's medical history indicates that she suffers from depression, anxiety, and cerebral palsy. In the patient's medical record, it causes serious symptoms that affect the way you feel, think, and manage daily activities, such as sleeping, eating, or working. There are different types of depression that occur in unique circumstances, including persistent depressive disorder, perinatal depression, psychotic depression, and seasonal affective disorder. Persistent depressive disorder is a depressed mood that lasts at least two years. Perinatal depression is what a woman may experience while she is pregnant or after giving birth. It is more serious than the “baby blues” and makes things very difficult for the mother and ultimately for the baby. Psychotic depression is depression secondary to a psychotic disorder such as schizophrenia. Seasonal affective disorder is depression that is brought on during the winter months and returns every year. The type of depression the patient suffered from was not noted, but based on 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 is mentioned in her file that she has been in the system on and off since 2008. For her, it is something that comes and goes. Her doctor also increased her dose of Zoloft due to her increased risk of postpartum depression. Major depressive disorder is usually 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 arrived at the PES, the home medications prescribed to her were Quetiapine (Seroquel) 25 mg twice daily, which is a mood stabilizer, and Sertraline (Zoloft), an antidepressant, 150 mg per day. While at PES, they kept her on the same medications but planned to decrease her dose of Zoloft. They gave him a Q15 security check due to his suicidal thoughts and the social worker was also available. I believe the best intervention for people suffering from depression is to 1. Acknowledge the feelings of depression and anxiety. 2. Review coping mechanisms so that they are better equipped to better handle the stressors of daily life, and 3. Identify what the patient can and cannot do in the current situation. When you realize that some things are out of your control, you can manage depression and how much it affects you. The last day I saw the patient, she was calling home often to tell her aunt that she missed her baby and was ready to come home. Her aunt told her that she had to stay at the PES to recover and be able to go home and not worry because