Tara, an intake nurse and coworker of

Tara, an intake nurse and coworker of yours, tells you about Mr. S, a 52-year-old patient with a history of psychiatric disorders that have largely been mitigated with medication and therapy. He came in wanting antibiotics for a cold he’s had for a couple weeks. Mr. S told Tara, “Everything was going so well, but recently I’ve just been feeling so weak and depressed, and now I have this cold that I haven’t been able to shake for almost 3 weeks. I’m falling apart. If I could get over the cold, I might have a whole different outlook on things.” Tara asked whether he’d experienced any stressful event recently. He replied, “No, things have been going really well for at least 6 months since my therapist got my medications right, and I even kept going to therapy regularly after getting more stable. I haven’t been for the last 3 months, but that’s only because my schedule has been full with really good things. I was promoted into a position that I didn’t get a few years ago, and that was just 3 weeks after getting married. I’d been extremely happy until this stupid cold. I love my job; I love my wife; I have no reason to complain. But I just feel awful.” Tara tells you that she suspects that his cold is either interacting with his medications or that he’s probably suffering from lack of sleep because of the terrible cough keeping him up. She agrees with Mr. S that getting over the cold would probably “work wonders for his psyche.” She told Mr. S that once he is over the cold, he should resume his therapy sessions, which seemed to be beneficial. Do you agree with Tara’s assessment? Why or why not? Tara is a little annoyed when you disagree with her assessment. “My friend, Donna, is the biggest inspiration in my life. She graduated college by 20 and went right for her MBA at the same time she was setting up her own photography business. She planned her entire wedding with zero help from her husband, and after the wedding she crashed with a serious cold for her entire honeymoon. It was no fun, but as soon as she got better it was back to life, back to work, and she wasn’t all depressed about it.” Why might Donna’s situation be different from that of Mr. S?

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