Patient ID: PH4-21
GAD Level: 21
Soh Level: 23
Additional Notes: Developed suicidal intent/plan.
The patient has expressed significant concerns regarding his emotional well-being and cognitive functioning. Specifically, he reports awakening multiple times during the night, suffering from a persistent low mood, and experiencing stress primarily related to his work environment. The individual cites small incidents that have compounded his dissatisfaction but emphasizes that the primary source of his distress stems from work-related pressures, including overwhelming responsibilities and insufficient resources to complete tasks.
The patient reveals that his mental health struggles, particularly depression, have adversely affected his capacity for concentration and memory. He has noted an increase in forgetfulness, particularly regarding professional obligations, such as responding to emails and completing reports to the quality that he holds himself accountable for.
The patient has articulated his childhood experiences, characterized by a strong work ethic instilled by family values. This backdrop reflects his current emotional struggles, particularly the pressure he feels to meet expectations at work despite dwindling motivation to engage in previously enjoyed activities such as exercising or socializing.
The patient reports various coping strategies, including avoiding difficult conversations with his manager and challenges regarding perceived performance issues. Notably, he has acknowledged the temptation to seek solace in substances such as medication, drugs, or alcohol.
The patient has familial responsibilities, including his wife and two children aged 12 and 10. Although he indicates financial stability, he admits to feeling underappreciated in his long-term role at Royal Mail, where he has dedicated 17 years.
He has undergone treatment with Citalopram over the past four weeks and is currently under evaluation for elevated cholesterol and liver function levels. The patient has previously experienced suicidal thoughts, with a history of paracetamol overdose at the age of 17/18, but he affirms that his family remains a strong protective factor against acting on such thoughts.
During consultation, the patient presents as low in mood and stressed about workplace responsibilities. He acknowledges feelings of apathy and lacks motivation to engage in activities at home or to maintain personal health routines. He elaborates on the pressures associated with his job and the accompanying sense of overwhelm that renders him unable to engage in motivating or fulfilled activities.
Moving forward, the patient has set several goals for therapy:
The follow-up session is scheduled for January 9th at 11:00 AM.
The patient’s circumstances reveal a complex interplay between professional stress and personal history, necessitating a multifaceted approach to therapy, particularly through cognitive behavioral therapy and support mechanisms. Emphasizing coping strategies and support systems will be essential in addressing the patient’s current difficulties and fostering resilience.