Symptoms
What are three symptoms of a depressive episode that Lyle presents?
1. Depressed mood (Reports feelings of “emptiness and sadness”)
2. Diminished pleasure (Has no interest in going to class or completing homework)
3. Hypersomnia (Sleeps around 14 hours per day)
4. Fatigue (Is generally tired throughout the day)
5. Difficulty concentrating
6. Passive suicidal ideation (“I wish I wouldn’t wake up”)
What is Lyle’s substance history?
Reportedly has a few drinks regularly on weekends in social situations.
Was Lyle’s most recent “up” period severe enough to classify as a manic episode?
No.
When did Lyle’s current symptoms begin?
Around two weeks ago.
What are two symptoms of a hypomanic episode that Lyle presents?
1. Inflated self-esteem (“Amazing; like I can do anything.”; Talking over others about his play)
2. Decreased need for sleep (Did not feel the need to sleep and had increased energy)
3. More talkative than usual and/or distractibility (Kept talking over others about his play)
What is Lyle’s medical history?
Has well-controlled asthma and took antidepressants 2 years ago for a few months.
What made Lyle’s first “up” period so severe?
Endangering himself and others by climbing a 350ft bridge that resulted in arrest and/or a hospital visit due to sleep deprivation.
How long did Lyle’s last “up” phase last?
Around ten days.
What differentiates Lyle’s first ever “up” compared to his usual “ups”?
Lyle’s first up was severe enough to warrant arrest, hospitalization, and endangerment to himself and others.
What is Lyle’s family history?
Father described as erratic and committed suicide two years ago.
What severity rating should be applied to his current depressive episode? Why?
Moderate, as Lyle's symptoms are manageable, non-life threatening, yet still cause impairment (Incomplete homework, skipping class, passive suicidality with no intent)
How long has Lyle been experiencing symptoms?
Two years.