Add5107: week 4 discussion 1: christina: a case study

ADD5107: Week 4 Discussion 1: Christina: A Case Study

Christina is a 25-year-old Mexican American woman who has been working as an

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elementary school teacher since she graduated from college three years ago. Although

she does well at her job, she has been feeling low ever since she left college. When she

took this teaching position, she had to relocate to a city over four hours away from her

family and the house she grew up in. Even though she has made some new friends,

Christina still feels disconnected and lonely. She is also concerned about her mother,

who has been diagnosed with a serious health condition.

For the past month, Christina has felt much worse. She reports feeling very sad and

tired most of the time and is having difficulty concentrating at work. She says that she

does not have enough energy to accomplish the things she would like to do. She admits

to overeating and drinking every evening to “unwind” after school, and she is concerned

that she is sleeping too much on the weekends. She also has very low self-esteem

despite being well-liked at her school and receiving good performance evaluations.

Christina describes her life as “heading nowhere” and says that lately she has felt

extremely hopeless. She wonders if she will ever feel as happy as she did when she

was in college. She does not have a history of ever feeling worse than this and is in

good health otherwise.

Discussion Instructions

Based on the information presented, address the following questions in your discussion


1. What depressive disorder diagnosis would you consider giving to Christina?
Describe the process you used for making this decision.

2. Knowing that substance use disorders can mimic and coexist with other
disorders and that depressive disorders frequently co-occur with other
disorders (including anxiety disorders, substance-related disorders, and
eating disorders), what other information would you gather, or what other
assessment instruments might you use, to help you make an accurate
diagnosis for Christina?

3. What social, cultural, and systemic factors would be important for you to
consider when assessing and diagnosing Christina? How is the separation
from her mother, family, and home impacting her? What multigenerational
issues might be affecting Christina at this time?

Note: Please see attached
Note: 1 reference required
Note: Minimum of 300 words.