Twenty-three year old Janicewas having a hard time getting out of bed everyday.She would often lie in her darkened room long past noon, disregarding the chores, her own grooming, and she rarely spent anytime with her five year old son Rory.Rory's care was put almost entirely into the hands of Janice's mother, Dorothea, who had taken both of them in after Janice's husband had left them.Janice, when she was out of the confines of her room, was constantly snapping at her mother and son, and her lack of appetite had caused the already petite girl to lose fifteen pounds in under a month.Dorothea became increasingly concerned with her daughter's restlessness and apathy, as well as some of the other problems with self-esteem and inability to concentrate.She sought out help at her church, and the pastor told Dorothea that he'd be sending a social worker to her home to interview Janice.
It took no more than a few moments of talking with Janice, that the social worker could see definite symptoms of depression.She referred Janice to a psychologist who confirmed the assumption with a diagnosis of Single Episode Depression.
The Diagnostic and Statistical Manual, Fourth Edition (DSM-IV), characterizes depression as a mood disorder, and defines it as:
"A. Five (or more) of the following symptoms which have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is either (1) depressed mood, or (2) loss of interest or pleasure.
(1) Depressed mood most of the day, nearly every, as indicated by either subjective report (e.g., feels sad or empty) or observation made by others (e.g., appears tearful).In children or adolescents, can be irritable mood.
(2) Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day (as indicated by either subjective account or observation made by others)…

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