NR-603 Advanced Clinical Diagnosis & Practice Across the Lifespan Practicum WEEK 6

HPI: C.P presents to the clinic today with complaints of “fatigue and feeling down” for the past one month. She reports that although she has a highly stressful and demanding job as a sales executive in a multinational company, she has always been able to keep up with the demands of the job. She prides herself as a high achiever and can sometimes be critical when unable to meet some of the high standards she set for herself. She states, “lately I have not been as highly achieving as I used to be on the job” She reports feelings of worthlessness and shame due to this. C.P reports that not only has she been feeling unusually tired, but she has not been able to find joy or enjoy any activity. She states, “I don’t feel like doing anything or going anywhere”. She is unable to concentrate at work and her coworkers have told her that she is often withdrawn and irritable. She has called in sick a few times lately which is unlike her. She reports that on those days she is home, she stays in bed all day watching television, eating, and sleeping. She reports that she has gained 3 to 4 lbs. in the past one month. Denies any history of medical or psychiatric disorder. Denies previous treatment or thoughts of suicide.HPI: C.P presents to the clinic today with complaints of “fatigue and feeling down” for the past one month. She reports that although she has a highly stressful and demanding job as a sales executive in a multinational company, she has always been able to keep up with the demands of the job. She prides herself as a high achiever and can sometimes be critical when unable to meet some of the high standards she set for herself. She states, “lately I have not been as highly achieving as I used to be on the job” She reports feelings of worthlessness and shame due to this. C.P reports that not only has she been feeling unusually tired, but she has not been able to find joy or enjoy any activity. She states, “I don’t feel like doing anything or going anywhere”. She is unable to concentrate at work and her coworkers have told her that she is often withdrawn and irritable. She has called in sick a few times lately which is unlike her. She reports that on those days she is home, she stays in bed all day watching television, eating, and sleeping. She reports that she has gained 3 to 4 lbs. in the past one month. Denies any history of medical or psychiatric disorder. Denies previous treatment or thoughts of suicide.