Client: Candace S – Age:19 years old – Diagnosis:Major Depressive Disorder, Recurrent, Moderate (DSM

Client: Candace S – Age:19 years old – Diagnosis:Major Depressive Disorder, Recurrent, Moderate (DSM-5 Code: 296.32) – Symptoms: – Depressed mood most of the day – Significant weight loss and loss of appetite – Insomnia – Fatigue and loss of energy – Feelings of worthlessness – Difficulty concentrating – Best Treatment Modality: Cognitive Behavioral Therapy (CBT) – Medical Challenges:None – Psychological and Medical Medications: Sertraline (Zoloft) – Treatment Plan: – Weekly CBT sessions – Medication management and monitoring – Lifestyle changes including regular physical activity and a balanced diet – Summary of Symptomatic Behavior and Presenting Problem: – The client reports persistent feelings of sadness, loss of interest in previously enjoyable activities, and difficulty getting out of bed. There are also concerns about academic performance at college.

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