Kristin is a 26-year-old client who presents to the outpatient clinic
with complaints of "not liking myself." She states she frequently
feels angry without provocation and cries often. She has lost 10 lbs.
in the past month and states she has no appetite. Kristin reports
nightly sleep difficulty, both falling and staying asleep. Her mind just
can't seem to relax enough so she can sleep. She has tried
melatonin and the Calm app mindfulness techniques; they help
some nights but not always. She endorses having difficulty focusing
for long periods, and she has missed several days of work within the
past month due to her symptoms. No hallucinations or delusions are
voiced. She states "The only thing that makes me feel better is
shopping online. I love getting packages every day." She is not
experiencing financial issues from online shopping, but she has
depleted her savings account. She reports that when she is not sad,
she loves crafting and sometimes has days where she can craft "all
day and all night." The crafting can last for 3-4 days in a row. She
denies thoughts of self-harm or suicide.
Past Psychiatric History
• self-reported "panic attacks" including shortness of breath and
nausea; no formal psychiatric diagnosis, no treatment
Past Medical History
• no medical or surgical history
• no known
allergies Social
history
• no alcohol use
• vapes nicotine daily
• no illicit drug use
• single, not in a relationship currently, prefers male partners.
• lives with two roommates
• educational level: bachelor's degree
• employment: employed full time as a technical writer,
works from home
• hobbies: crochet and
papercrafts Family history
• mother: alive, 55, no medical history, psychiatric history of
depression
• father: alive, 57, history of type 2 DM, no psychiatric history
• siblings: only
child Medications
with complaints of "not liking myself." She states she frequently
feels angry without provocation and cries often. She has lost 10 lbs.
in the past month and states she has no appetite. Kristin reports
nightly sleep difficulty, both falling and staying asleep. Her mind just
can't seem to relax enough so she can sleep. She has tried
melatonin and the Calm app mindfulness techniques; they help
some nights but not always. She endorses having difficulty focusing
for long periods, and she has missed several days of work within the
past month due to her symptoms. No hallucinations or delusions are
voiced. She states "The only thing that makes me feel better is
shopping online. I love getting packages every day." She is not
experiencing financial issues from online shopping, but she has
depleted her savings account. She reports that when she is not sad,
she loves crafting and sometimes has days where she can craft "all
day and all night." The crafting can last for 3-4 days in a row. She
denies thoughts of self-harm or suicide.
Past Psychiatric History
• self-reported "panic attacks" including shortness of breath and
nausea; no formal psychiatric diagnosis, no treatment
Past Medical History
• no medical or surgical history
• no known
allergies Social
history
• no alcohol use
• vapes nicotine daily
• no illicit drug use
• single, not in a relationship currently, prefers male partners.
• lives with two roommates
• educational level: bachelor's degree
• employment: employed full time as a technical writer,
works from home
• hobbies: crochet and
papercrafts Family history
• mother: alive, 55, no medical history, psychiatric history of
depression
• father: alive, 57, history of type 2 DM, no psychiatric history
• siblings: only
child Medications
