Case study analysis Depression case study John’s mother is worried about him. Previously an excellent student and an active

sportsman he is not doing well at school. He has missed football practice a few times now. He doesn’t seem to want to go out with

his mates on Saturday night and doesn’t want to talk to any of them on the phone. His girlfriend broke off the relationship with

him a couple of months ago and he has been morose and withdrawn since then. When his mum tried to talk to him about it he snapped

that it was “none of her business” and that he was “over it”. John also had a bad bout of the flu and needed antibiotics to treat a

respiratory infection after the flu. John is in his final year of school and is mother wants him to do well. She thinks he is

studying late at night because she can see that his bedroom light is on and he is on the computer. He finds it difficult to get up

in the morning to go to school and is very irritable when she comes in to get him out of bed to get breakfast and go to school. He

has been skipping breakfast saying he will eat at school when he gets there. His mum doesn’t know what to do. John is 18 so he is

an adult and she feels she can’t force him to go and seek help. She has asked her GP what to do and the GP has said she is happy to

talk with John but that he should make the appointment and come in on his own. Eating disorders case study Mrs Jones is worried

about her daughter Katie. She has asked her GP if it is normal for young women to go on diets and to be obsessed about losing

weight. Her GP reassured her that it was a usual part of growing up – particularly for girls – and that they usually grew out of

it. Mrs Jones is not sure about this advice from her doctor but she thinks perhaps Katie will get over it now that she is working

and not under a lot of stress. Katie assures her that she is all right and that she is eating ok now. But when she thinks about it,

Katie’s mum hasn’t actually seen Katie eat in the last few months. She skips breakfast and tells her mum she gets a cappuccino and

a muffin on the way to work. When she gets home, she tells her mum she has already had a snack before she left work and she had a

large lunch anyway. Mrs Jones is still worried but accepts Katie’s assurances. Then one of Katie’s workmates rings and says that

Katie has fainted at work and could she come in to take her home. Her workmate says she wonders if it is because Kate hadn’t been

eating anything that day. Her workmate says that she also wonders if Kate has a stomach bug or something because Kate has been

throwing up at work lately. Mrs Jones goes into Katie’s work to pick her up and bring her home. Bipolar Disorder case study Julie

and Ben have been married for 12 years. They have a son (10) and daughter (3). Julie is a full time carer to their children and Ben

currently works two jobs. Julie experienced postnatal depression following both of her children’s births. In the last 6 months Ben

has been so pleased to see how his wife is coping and that the depression has lifted and she seems to be enjoying life again. She

has become more social, planning lots of activities, running again in the mornings at 4am and cleaning the house into the early

hours of the morning. In recent weeks however he has noticed that when he returns home from work at 7.30pm before his night job the

children are complaining of being hungry. Ben has started to realise that Julie has not been cooking the kid’s dinner. When Ben

attempts to talk to Julie about the children she changes the subject. Ben has also received a call from the bank who tells him that

their mortgage payments are two months behind. Ben investigates further and notices that their savings account has been completely

depleted. Julie has recently purchased a $100, 000 car. Schizophrenia case study Mark has been an excellent student throughout high

school. He has been captain of the cricket team and very popular amongst his class mates and teachers. Last year things seemed to

fall apart. His grades fell and he didn’t seem to be able to concentrate on study. His mother was concerned and took Mark to the

local GP who couldn’t really see what was wrong. He gave Mark an antidepressant drug and said he would like to see Mark in a couple

of months. The antidepressant didn’t seem to help much. Mark’s mother noticed a few other things. Mark seemed to have some odd

thoughts – he said he could hear things and became upset when she told him she couldn’t hear them. Mark became more withdrawn and

stopped going out with his friends. He spent a lot of time in his room. His mother thought perhaps he was studying but he wouldn’t

talk to her about what his school work was about. Sometimes Mark is quite animated. He talks excitedly about science projects and

says he has some unique ideas but that he can’t talk about them in case someone steals them. Mark has done well in science so his

mother thinks he probably does have some good ideas but is puzzled as to why he won’t talk about his ideas. His mother doesn’t know

what to do or where to go for help. His exams are coming up and she is concerned that he doesn’t seem to be studying or focussing.

Dementia case study Mary’s grandmother Martha who is 70 has been forgetful lately. She didn’t turn up to a lunch that Mary had

organised with two of her old friends. Her friends are concerned that Martha has been forgetting other things. She can remember

events in the past but does not seem to be remembering new events or arrangements that people make with her. Martha’s friend Rose

thinks it may be because Martha can’t hear well and does not want to admit that she can’t hear as well as she used to. Martha’s

friend Elsie thinks it is because Martha is depressed because her son has moved away from the area and she is lonely. Mary is

worried about her grandmother who is living on her own and doesn’t have anyone close by who can keep an eye on her. She lost her

key a few days ago and was found distressed and wandering by a kind woman two streets away. The woman said Martha couldn’t tell

them where she lived so she took her to a local shop where, fortunately, the shop owner knew Martha and was able to tell them where

Martha lived. Martha refuses to have anyone come in to help with the housework or to ensure that she is getting meals. Her friends

are elderly and can’t visit regularly. Mary knows that Martha was a heavy drinker in the past but as far as she knows, Martha

doesn’t drink alcohol now. Martha is on some medication prescribed by her GP but Mary does not know what this is and Martha can’t

tell her what the medications are and why she is taking them. Mary’s family can’t help. Her mother is ill and is being treated for

cancer. Her brothers are living in another town and have young families and demanding jobs. Her grandfather, Martha’s husband,

passed away some months ago and Mary wonders if Martha’s problems started after that. Alcohol case study Brian is worried about his

mate Michael. They have always been drinking mates and usually enjoy going to the pub on Friday night after work. But Michael’s

drinking seems to be getting out of control. He has a drink driving charge pending and will have to go to court next month. His

friend Julie says Michael drinks every night at home – usually a bottle of wine, scotch and vodka. She says he often passes out in

front of the TV. They haven’t had sex for a while because she says “he cant get it up”. They fight a lot – particularly after he

comes home after a night out with his mates. She says he sometimes doesn’t make it to work the next day after a heavy night

drinking. Julie loves him but this is not the Michael she met and loves. She wants to help him but doesn’t know what to do. She is

afraid that if she leaves he will get worse. Michael doesn’t want to talk about the drink driving charge and says he was “just

unlucky to get caught”. He doesn’t think he has a problem and that everyone else “hits the booze just as hard”. He says he drinks

to relax after work.




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