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NRNP 6635 Week 3: Mood Disorders

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NRNP 6645 : Psychotherapy with Multiple Modalities Week 3: Mood Disorders Subjective: CC: “When I have my period, I’m on my back all day just crying” HPI: AM is a 32-year-old female who pre... sents to the clinic for psychiatric evaluation due to intense emotions during her menstrual cycle. She states that during her menstrual cycle she gets “intense cramps”, Severe breast pain/tenderness, bloating, dizziness, headaches, and back pain. She also endorses having difficulty controlling impulses to eat. Her symptoms have lasted since she was “ten or eleven” years old. The symptoms occur every month with her menstrual cycle and starts about a week before it starts and then stops once her flow starts. After her flow starts, she states that she is fine for the next couple of weeks and says she is very productive at work, laughs jokes and has fun with her kids. She has seen a psychiatrist previously after her divorce. She states that they did not officially diagnose her with clinical depression, and she was not prescribed medications. However, she did learn coping skills due to having increased anxiety. The anxiety dissipated after she stopped seeing her ex-husband. Her coping skills include keeping a journal to document her feelings. Journaling has helped learn that she loses track of herself and describes it as becoming a different person. Journaling has helped her to remember what she is like during2 these episodes and that the symptoms won’t last forever, and it will get better. She also takes ibuprofen to help with the pain, but this doesn’t help much. Otherwise, she curls up on the couch and waits for the symptoms to dissipate. She has tried over the counter treatments and homeopathic remedies like B6 vitamins and wo [Show More]

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