Put your knowledge and skills to the test with the case of Ms. R, a 50 year old woman who was brought to the hospital by police after her sister reported that she was "very depressed" and wanted to take an overdose of medications to end her life because her newborn baby died 1 week before from SIDS.
Ms. R had provided her adult son and sister with a sonogram picture of her baby, as well as an obituary for the child, however both pictures were identified as having been forged and of other children obtained on the internet. In addition, Ms. R had a negative BHCG test, and medical records demonstrate no recent pregnancy but rather a history of hysterectomy 10 years earlier.
With regards to her psychiatric symptoms and history, Ms. R describes many symptoms of depression including low mood, anhedonia, guilt, decreased energy, poor sleep and concentration and suicidal ideation. She also reports a history in the past of manic episodes, as well as a previous suicide attempt, and a history of physical abuse.
What is your diagnosis for this patient? What treatment would you recommend?
"No evidence of pregnancy, but she is suicidal and depressed after 'my baby died'" by Pierce A, Turner A, Gilbo N, Ginory A, Korah T, and Tandon R. (Current Psychiatry)
Ms. R had provided her adult son and sister with a sonogram picture of her baby, as well as an obituary for the child, however both pictures were identified as having been forged and of other children obtained on the internet. In addition, Ms. R had a negative BHCG test, and medical records demonstrate no recent pregnancy but rather a history of hysterectomy 10 years earlier.
With regards to her psychiatric symptoms and history, Ms. R describes many symptoms of depression including low mood, anhedonia, guilt, decreased energy, poor sleep and concentration and suicidal ideation. She also reports a history in the past of manic episodes, as well as a previous suicide attempt, and a history of physical abuse.
What is your diagnosis for this patient? What treatment would you recommend?
"No evidence of pregnancy, but she is suicidal and depressed after 'my baby died'" by Pierce A, Turner A, Gilbo N, Ginory A, Korah T, and Tandon R. (Current Psychiatry)
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