

The fatigue and possible infirmities of strength and balance may be.There appears to be no suicidal or safety concerns clinically.Has good insight into her illness and wants to get better.Suffers from daily crying spells and seems very tired.This caused interpersonal disconnectedness, loneliness, and onset of MDD.Gradual onset of geriatric, first-episode MDD symptoms likely as a result of hearing loss and mobility loss.She has a fax machine at home and states that she and her therapist often fax notes back and forth, which she finds helpful as receiving them brightens her mood – Perhaps this is “supportive facsimile therapy”.

Recently, has gone to a few sessions of outpatient supportive psychotherapy, but her hearing loss makes this modality almost impossible – Hearing aids have failed to help – May be a candidate for cochlear implants.Reports AUD throughout her extended family.Participates in activities at a local elders’ center.Her mobility has declined somewhat, which limits her going out.Having and maintaining friendships has been easy and successful over.Denied any academic issues, learning disability, or ADHD symptoms.Graduated high school, was married, and raised her children.She has a supportive son who accompanies her to all appointments and.There is no evidence of cognitive decline or memory problems.◦ Takes frequent naps during the day as a result ◦ She admits to snoring frequently Not for commercial use or unauthorized distribution.
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