Jenny is a 52-year-old married woman referred to your AMHS unit by her GP [Dr Cook]. She is a…

Identifying Information
Jenny is a 52-year-old married woman referred to your AMHS unit by her GP [Dr
Cook]. She is a practising Catholic and has worked as a teacher’s aide for 18 years at
various schools in the State School System. Jenny lives with her husband, Maurice, in
their own home. They have a 28yo daughter, Charlotte who is recently married.
Presenting Complaint
Jenny describes a 20 year history of recurrent depression with moderate – severe
episodes every 2-3 years. These are difficult to manage as they seem to have no clear
catalyst most of the time. Jenny states, “My husband is tired of me crying all the time,
and so am I. I have no energy and sleep all the time and I can’t see things ever getting
better”. Jenny has also started to become quite preoccupied with her throat, stomach
and bowels and states “they are not working properly”.
Details of the Present Problem
Jenny states that over the past 7 months, she has experienced gradually increasing
dysphoria, anhedonia, feelings of guilt and worthlessness, intense crying, social
isolation, and inadequate work performance. More recently [last 1 month] her
thinking has become fixated upon her throat, stomach and bowel function. She has
expressed the belief that they have stopped functioning and she is worried that their
contents are leaking into her abdominal cavity.
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Dual Diagnosis and Community Work Semester One: 2019 Assignment 2 Case Study2 Case Study: The Consumer with Psychotic Depression (Jenny) Preliminary Information Identifying Information Jenny is a 52-year-old married woman referred to your AMHS unit by her GP [Dr Cook]. She is a practising Catholic and has worked as a teacher’s aide for 18 years at various schools in the State School System. Jenny lives with her husband, Maurice, in their own home. They have a 28yo daughter, Charlotte who is recently married. Presenting Complaint Jenny describes a 20 year history of recurrent depression with moderate – severe episodes every 2-3 years. These are difficult to manage as they seem to have no clear catalyst most of the time. Jenny states, “My husband is tired of me crying all the time, and so am I. I have no energy and sleep all the time and I can’t see things ever getting better”. Jenny has also started to become quite preoccupied with her throat, stomach and bowels and states “they are not working properly”. Details of the Present Problem Jenny states that over the past 7 months, she has experienced gradually increasing dysphoria, anhedonia, feelings of guilt and worthlessness, intense crying, social isolation, and inadequate work performance. More recently [last 1 month] her thinking has become fixated upon her throat, stomach and bowel function. She has expressed the belief that they have stopped functioning and she is worried that their contents are leaking into her abdominal cavity. Jenny sleeps 10 to 15 hours per night. Over the last month she has found it difficult to get to sleep as she states “I can’t turn my thoughts off”. Once asleep she has no difficulty staying asleep. Her appetite has diminished during the past month, with a reported weight loss of 16 kilograms, though this is in part due to her reluctance to eat due to her fears about her throat, stomach and bowel. She eats erratically, usually snacks,…