To prepare for this Assignment:

  • Select an adult or older adult client with a depressive disorder you have seen in your practicum.

In 3–4 pages, write a treatment plan for your client in which you do the following:

  • Describe the HPI and clinical impression for the client.
  • Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)
  • Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.
  • Identify medical management needs, including primary care needs, specific to this client.
  • Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.
  • Recommend a plan for follow-up intensity and frequency and collaboration with other providers.


Assignment 1: “Captain of the Ship” Project – Depressive Disorder


Assignment 1: “Captain of the Ship” Project – Depressive Disorder

Some adults are likely to suffer from depression since there is a possibility that they will be battling chronic disorders, loneliness due to the demise of their spouses, impairment in their physical abilities, and change of roles (Sadock, Sadock, & Ruiz, 2014). Mental impairment is likely to affect the moods of the elderly, their discourse and their ability to remember. Nevertheless, depression can evoke part of the manifestations that are observed with dementia but with no close association with depression (Sadock et al., 2014). This paper aims at reflecting on a client that presented at the care facility and create an impression and plan for the client that will enhance the achievement of treatment objectives.

HPI and Clinical Impression

The client, in this case, is a female 67 years old. She visited the care facility following her primary care provider expressing the possibility of depression in her about 5 months ago. The client’s primary care provider recommended 10mg Lexapro orally every day and 25mg Xanax orally two times a day as required for sleep and nervousness. The client expresses that Lexapro was effective for about 4 weeks but of late it is not helping as before. The client reveals sadness feelings, crying episodes, loss of enthusiasm in daily chores, challenges in maintaining the cleanliness of the body and the surrounding, and ideation of dying. The patient likewise expressed that she has suffered from depression for a long time and had tried committing suicide by overdosing medication at the age of 16. She expressed that she is not of the opinion of to harm herself at the moment and she would like to live for her family and spouse. Her depression contributing factors incorporate her spouse’s health deterioration since he is battling stage 4 cancer. The patient’s spouse is presently a full-time worker and able to care for himself. Nevertheless, the client is worried regarding the measures she will take when he will need more support. The client reveals a reduced capability to sleep. However, she says she gets adequate sleep with her current 25mg Xanax dosage every night together with 10mg melatonin orally nightly. The patient had tried Ambien and Be



Assignment 1: “Captain of the Ship” Project – Depressive Disorder

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Assignment 1: “Captain of the Ship” Project – Depressive Disorder


Depression is a mood condition that affects approximately 30% of individuals globally at some stage of their lifestyle. The disorder occurs in people irrespective of their age, class, and daily activities; thus defined as the most disease affecting individuals psychologically (World Health Organization, 2017). Generally, different patients display distinct symptoms associated with the disease. However, the most perceived symptoms include sleeping issues, low mood, and chronic back pain, feelings of guilt, low energy, lack hopes, anger, and appetite or weight changes (American Psychiatric Association, 2015). Therefore, this paper reflecting on the determination of principle and management of depression by describing a treatment program for a patient who is critical suffering from the disease.

History of Present Illness and Clinical Impression for the Client

Jane is a 32-year-old Caucasian who works in one of the retail industries in the city. The client came to the clinic after encountering signs and symptoms associated with depression. The patient stated that she always had sad feelings, trouble sleeping at night, low appetite, overeating, and feeling helplessness. Jane admitted that she had disturbed sleep associated with taking several hours before falling asleep, and some night she lacked sleep or take 2-3 hours while sleeping. Significantly, the worries she encountered reflected on thoughts of not being a good woman and not giving the best care to her daughter (American Psychiatric Association, 2015). The daughter complained of being neglected by her mother and threatened to move away from the family. More so, the husband associated her busy schedule at work with ineffective care perceived by the daughter. The assessment confirmed that the patient was suffering from depression. Therefore, she acknowledges the idea of attending therapies as a mechanism to limit the condition.

Recommend Psychopharmacologic Treatments

In the period of evaluation, the patient dismissed being on medication or using drugs. She denied encountering any effects of drugs such as irritation, hallucination, and attempt to commit suicide from previous medicines. Janes also cited the absence of allergic responses to any medicine she had in the past, and this was essential in defined effective psychopharmacological treatments. However, the nature of the therapy depends on the level of depression