Patient Encounter 1 Part 1

PT is a 34-year-old male who was brought into the hospital by friends after telling them that he was considering taking an overdose of pain killers. He lost his job 2 months ago, followed by the loss of his home to foreclosure. In addition, he lost most of his 401-K and children's college fund due to the downturn in the market. On questioning, he is tearful and describes overwhelming feelings of sadness and guilt. He also states that he has not been sleeping or eating and that he has experienced a 6.8 kg (15 lb) weight loss over the last 6 weeks. He states that he drinks three or four beers per night in order to relax and fall asleep

What information is suggestive of MDD?

What medical or psychiatric issues could be contributing to his symptoms? Does he have risk factors for depression?

What additional information do you need to know before creating a treatment plan for this patient?

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