Two discussions post to reply

References at least one high-level scholarly reference per post within the last 5 years in APA format.

Plagiarism free.

Turnitin receipt.

Depression [F32.9] is a mental health mood disorder distinguished by feelings of persistent intensified sadness, fatigue, lack of pleasure in various activities/interest, and unfulfillment (Chand & Arif, 2023). It has the potential to affect an individual’s cognitive thought processes, behavior, emotions, and overall physical condition. According to Chand and Arif (2023), it is worth acknowledging that the experience of depression can vary among individuals, and not all symptoms may manifest for every patient. Given the 28-year old patient’s presenting signs and symptoms of fatigue, increased sleep, and weight gain with additional history of unmanaged depression since 17 years old, an acute episode of depression is likely the root of the problem. In addition, the female gender is more susceptible to depression. According to Chand & Arif (2023), females experience higher rates of depression than males in early adolescence. Recognizing that depression is a complex mood disorder, a thorough evaluation that considers physical, psychological, and social aspects becomes crucial for an accurate diagnosis. While there are no definitive laboratory test available that can diagnose depression, blood tests such as thyroid function aid in identifying underlying medical conditions that can contribute to depressive symptoms, such as thyroid disorders (TSH, T4) as well as testing for vitamin and electrolyte levels since imbalances contribute to disruption of mood and overall health (Chand & Arif, 2023). Other than depression, another differential diagnosis to consider for this patient includes hypothyroidism [E03.9], which occurs when the thyroid gland does not make enough thyroid hormones to meet the body’s needs (Patil et al., 2023). Common symptoms of hypothyroidism include fatigue, depression, weight gain, joint muscle pain, dry skin, and cold intolerance. It’s important to check the patient’s thyroid hormones to rule out possible hypothyroidism.

When treating for depression, it usually consists of blending strategies customized to match the individual’s preferences, needs, requirements, and the intensity of their symptoms. According to Chand and Arif (2023), solely using medication (such as first-line medications SSRI’s–SSRIs offer the benefit of ease of dosing and minimal toxicity in cases of overdose) and psychotherapy (such as cognitive-behavioral therapy or interpersonal therapy) relieves depressive symptoms. Blending therapies and whilst consistently adhering to prescribed medication has also shown notably increased rates of improvement in depressive symptoms, elevated quality of life, and improved adherence to treatment. There’s also evidence for cognitive-behavioral therapy’s (CBT) capacity to prevent relapses (Chand & Arif, 2023).

1. Major Depressive Disorder (MDD): unipolar depression, also known as Major Depressive

Disorder (MDD), is characterized as a syndrome with a constellation of clinical manifestations.

These symptoms comprise a persistent depressed mood, hypersomnia (excessive daytime

sleepiness or prolonged nocturnal sleep), profound fatigue, and notable weight gain (amounting

to at least 5% of body weight within a one-month period) (Lyness, 2022). Notably, according to

an algorithm outlined in, unipolar major depression emerges as a plausible

etiological candidate to account for the patient’s prevailing clinical presentation. This diagnosis

is particularly compelling, given the patient’s protracted history of depression spanning over a

duration of more than two years (Lyness, 2022).

2. Hypothyroidism: according to Ross (2022), the clinical manifestations of hypothyroidism are

highly variable, depending upon the age at onset and the duration and severity of thyroid

hormone deficiency. Common symptoms include fatigue, cold intolerance, weight gain,

constipation, dry skin, myalgia, and menstrual irregularities (Ross, 2022). Physical exam

findings may include goiter, bradycardia, diastolic hypertension, and delayed deep tendon

reflexes (Ross, 2022).

3. Polycystic Ovary Syndrome (PCOS): PCOS is a complex endocrine disorder that can

contribute to fatigue, depression, and weight gain through hormonal imbalances affecting mood

and energy levels (Barbieri & Ehrmann, 2022). Many women with PCOS have insulin resistance

which can promote weight gain and fatigue. The relationship between PCOS and the patient’s

symptoms can be complex and multifactorial. Diagnosis is dependent on Rotterdam criteria and

confirmed only when other conditions that mimic PCOS are excluded (Barbieri & Ehrmann,



When patients exhibit depressive symptoms without concurrent general medical symptoms or

observable physical abnormalities, there is insufficient evidence to support the routine use of

laboratory screening tests (Lyness, 2022). However, in this scenario, it is important to have a

comprehensive blood count, serum chemistry panel, urinalysis, TSH, HCG (pregnancy), and

urine toxicology to rule out other causes for fatigue, weight gain, and hypersomnia (Lyness,


Treatment Plan for MDD

1. Counseling/Psychotherapy: this is a highly effective treatment for MDD. It provides a safe and supportive environment for individuals to express their thoughts and emotions through open and non-judgmental conversations with trained therapists. This can aid patients in identifying and understanding their thoughts and emotions which is the first step towards managing them (Lyness, 2022).

2. Antidepressant Medication: SSRIs are typical first-line agents used for major depression. However, an atypical agent like Bupropion is less likely to cause unwanted side effects for this patient like drowsiness and weight gain (Rush, 2022).

3. Lifestyle Modifications: exercise and physical activity help release endorphins which are natural chemicals in the brain that act as mood lifters. They promote feelings of happiness and play a crucial role in mood regulation. Regular exercise can improve the quality of sleep which overall leads to mood improvement.

4. PHQ-9: this depression screening tool can be implemented to assess for severity of depressive symptoms prior to and during treatment.



Get 20% Discount on This Paper
Pages (550 words)
Approximate price: -

Try it now!

Get 20% Discount on This Paper

We'll send you the first draft for approval by at
Total price:

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Services

Quality Essay Help has stood as the world’s leading custom essay writing services providers. Once you enter all the details in the order form under the place order button, the rest is up to us.


Essay Writing Services

At Quality Essay Help, we prioritize on all aspects that bring about a good grade such as impeccable grammar, proper structure, zero-plagiarism and conformance to guidelines. Our experienced team of writers will help you completed your essays and other assignments.


Admission and Business Papers

Be assured that you’ll definitely get accepted to the Master’s level program at any university once you enter all the details in the order form. We won’t leave you here; we will also help you secure a good position in your aspired workplace by creating an outstanding resume or portfolio once you place an order.


Editing and Proofreading

Our skilled editing and writing team will help you restructure you paper, paraphrase, correct grammar and replace plagiarized sections on your paper just on time. The service is geared toward eliminating any mistakes and rather enhancing better quality.


Technical papers

We have writers in almost all fields including the most technical fields. You don’t have to worry about the complexity of your paper. Simply enter as much details as possible in the place order section.