2. Objective
Knowing how to investigation and
diagnosis of depression
Know how to differentiate depression with
other disease
Understanding how to do management
with depression case
5. Result from history taking
A 35 years old man, single, Buddhist, Cambodian who was
a resident of Kanadal Province came to consult at a
mental clinic alone on DD/MM/YYYY. He complained of
poor sleep at night, excessive worry, and hopeless.
6. ➢ The client was a former staff in a company. Around 2
months prior, due to the Covid 19 outbreaking, the
company had a serious financial crisis, so they decided
to eliminate some staffs. The client is one of amount staffs
who was laid off. He was so upset about this while he was
an active staff. He had tried to contact the company
many times to get a justified reason, but he got none.
➢ Since that problem had been happened, he often
reviewed what he had done wrong. The more thinking,
the more being offensive he got. Day by day, he often
blamed himself of making a fault and he was not
capable, that was caused his layoff
7. Moreover, he started to feel hopeless and withdraw
form others, even though his family member, by staying
in his bedroom and not talking as usual. He lost the
pleasure activities like chatting with his friends or going
jogging.
At night, he could not fall asleep almost every night. His
eating desire was decreased and lost around 5kg within 2
months. He got tired easily and could not focus on task.
Before coming to consult with the therapist, he used to take
Diazepam, initially 5mg, then increasing to 10mg, which was
bought from a drug store in his neighborhood. It could not
improve his sleep quality. Around 10 days before the
consultation, he watched a mental platform on a facebook
page, he thought that he might have mental problem. Thus
he decided to seek a consultation.
8. Psychiatric illness: no
Medical illness: no
Alcohol and substance use: he drinks 1-2 can of
beer occasionally. Never got drunk. He never uses
any illicit drug. He drinks a cup of coffee every
morning
10. He was delivered naturally; nothing abnormal.
Good child development
Starting school at 6 years old. Graduating from a
university 6 years ago. Average student with lot of
good friends.
He is a single.
11. MSE
Appearance: good grooming, good personal
hygiene, walk in slowly.
Coherence speech, low voice, speak slowly.
Depressed mood with appropriate affect.
No hallucination nor delusion.
No suicidal thought.
Good memory
A bit of poor concentration
Oriented to time, place, and person
Good insight
