The purpose of this assignment is (1) to provide you with the opportunity to demonstrate acquired knowledge and skills pertaining to advanced social work practice treating Major Depressive Disorder at different periods across the lifespan, and (2) to provide you with clinical guidelines and material for current and future practice.
You will be provided with clinical cases across the lifespan and will select the appropriate assessments, working diagnosis, and treatment recommendations. You may also select a case that you currently work with at your placement to workshop. The brief assignments will address course material covered in the course (weeks 1-6). Assignment 1 is due at the beginning of class on February 9th, uploaded to canvas. Additional details will be provided and reviewed in class.
You will answer questions about two case vignettes.
Case 1: For the first case vignette, you will select the case about “Ebony” OR “Michael”.
Case 2: For the second case vignette, you will select a case from your field placement. The client will have a form of unipolar depression (e.g., major depressive disorder, persistent dysphoric disorder, or premenstrual dysphoric disorder). Do not select a client who has bipolar disorder or another disorder, because you will be at a disadvantage since we have not covered those conditions yet. Please provide a 3-5 sentence synopsis of your client with demographics.
IF you do not have a client who has a form of unipolar depression, you can use the other case provided – Ebony or Michael.
In sum, you will answer questions about two cases in total.
For each case, please answer the questions in one word or phrase if possible (or short answers where needed). Responses must be typed using double-spaced, 12-point font. These should be submitted to Canvas.
1. Assessment and working diagnosis
a. Name the screening tool(s) will you use to measure symptoms.
b. State your working diagnosis.
2. Differential diagnosis
a. List the key symptoms/criteria that led you to your working diagnosis.
b. List the condition(s) that you are ruling out.
c. State the criteria upon which you are ruling out those conditions.
3. Key concern
a. State the main concern/issue/symptom that you will target first. Consider life threatening symptoms first, etc.
b. Explain why you will target that symptom first.
4. Intervention techniques
a. State the intervention technique that you will use to specifically treat the primary symptom/behavior/cognition that you selected in #3.
b. Name any additional symptoms that you would like to address with this client.
c. What intervention techniques will you use to specifically treat the other symptoms?
5. Lifespan, identity, and contextual considerations
a. Describe developmental, cultural, gender, ethnic, race, etc. aspects that need to be taken into consideration in the diagnosis and treatment of this client.
Rubric
Some Rubric
Resources:
https://youtu.be/Wrryx50WDIQ (Links to an external site.) Dr. Owen Wolkowitz, Department of Psychiatry, UCSF
Nelson, K.S., Lyubomirsky, S. Layous, K, Chancellor, J. (2015). Thinking About Rumination: The Scholarly Contributions and Intellectual Legacy of Susan Nolen-Hoeksema (Links to an external site.). Annual review of clinical psychology. 11 (1) 1-13.
Hill-Jarrett, T. G. (2021). Gendered racism and subjective cognitive complaints among older black women: The role of depression and coping. Clinical Neuropsychologist. 1-24.
Carney, B. (2013, November 24). Sleep therapy is expected to gain a wider role in depression treatment. New York Times. Retrieved December 2, 2013, from http://www.nytimes.com/2013/11/24/health/sleep-therapy-is-expected-to-gain-a-wider-role-in-depression-treatment.html (Links to an external site.)
Carney, B. (2013, November 28). Sleep therapy seen as an aid for depression. New York Times. Retrieved December 2, 2013, from http://www.nytimes.com/2013/11/19/health/treating-insomnia-to-heal-depression.html?_r=0 (Links to an external site.)
Carney, C. E., & Manber, R. (2010). Quiet your mind and get to sleep: Solutions to insomnia for those with depression, anxiety, or chronic pain (pp., 36-46, 47-57, 64-81). California: New Harbinger.
Pigeon, W. R. (2010). Treatment of Adult Insomnia with Cognitive –Behavioral Therapy. Journal of Clinical Psychology, 66(11), 1148-1160.
Class 2: Differential Diagnosis and Assessment (1/26/22)
How does depression manifest and present across the lifespan?
Pediatric (preschool, adolescent), Postpartum, & Geriatric Depression
Assessment Tools
Reading & Video:
Review DSM-V diagnostic criteria for Major Depressive Disorder. Available on Google or a copies with the reserve library.
Preschool Depression article: http://www.nytimes.com/2010/08/29/magazine/29preschool-t.html?pagewanted=all&_r=0 (Links to an external site.)
Sharp, L. K., & Lipsky, M. S. (2002). Screening for depression across the lifespan: A review of measures for use in primary care settings. Am Fam Physician, 66, 1001-8.
Smarr, K. L., & Keefer, A. L. (2011). Measures of depression and depressive symptoms. Arthritis Care & Research, 63(S11), S454-466.
Luby, J. L. (2010). Preschool depression: The importance of identification of depression early in development. Current Directions in Psychological Science, 19(2), 91-95.
Park, M. & Unutzer, J. (2011). Geriatric depression in primary care. Psychiatric Clin North Am, 34(2), 1-19.
Abrams, L. S., & Curran, L. (2007). Not just a middle-class affliction: Crafting a social work research agenda on postpartum depression. Health & Social Work, 32(4), 289-296. (article on Google or on class to files pdf)
Class 3: Evidence-based interventions (2/2/22)
Anhedonia, Reward Circuitry Dysfunction, & Behavioral Activation Therapy (BA)
Cognitive Triad & Cognitive Behavioral Therapy (CBT)
Interpersonal Psychotherapy for Depression (IPT)
Reading & Video:
Martell, C. R., Dimidjian, S., Herman-Dunn, R. (2010). Behavioral activation for
depression: A clinician’s guide (pp. 60-108). New York: Guilford.
Gilson, M. Freeman, A., Yates, M. J., & Freeman, S. M. (2009). Overcoming depression: A cognitive therapy approach (therapist guide 2nd edition, pp. 147-167). New York: Oxford University Press.
Miller, M. D., et al (1998). Using Interpersonal Psychotherapy (IPT) in a combined psychotherapy/medication research protocol with depressed elders: A descriptive report with case vignettes. Journal of Psychotherapy Practice and Research, 7, 47-55.
Verdeli, H. et al., (2003). Adapting group interpersonal psychotherapy for a developing country: Experience in rural Uganda. World Psychiatry, 2:2, 114-120.
Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of
depression (pp. 11-13, 244-271). New York: Guilford.
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeAssessment & working Diagnosis
specifiers? severity? most recent episode?
4 pts
Full Marks
0 pts
No Marks
4 pts
This criterion is linked to a Learning OutcomeDifferential Diagnosis
all criteria met? thorough range of rule outs? criteria?
4 pts
Full Marks
0 pts
No Marks
4 pts
This criterion is linked to a Learning OutcomeKey Concerns
did you give a rationale for triage?
4 pts
Full Marks
0 pts
No Marks
4 pts
This criterion is linked to a Learning OutcomeIntervention Techniques
Did you select the intervention that there is evidence to support targeting this symptom selection? Not just the modality but specific interventions (ie thought record to challenge core belief of worthlessness)
4 pts
Full Marks
0 pts
No Marks
4 pts
This criterion is linked to a Learning OutcomeLifespan, identity, context
what questions do you need to ask that you don’t know about about this person?
4 pts
Full Marks
0 pts
No Marks
4 pts
Total Points: 20
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