MDD with seasonal pattern (F33.9)
Criteria
Clinical Notes
Subjective
CC: “Mom says I get moody this time of year, every year.”
HPI: M.B. is a 20-year-old Caucasian female who presented to the
clinic for evaluation since her mother has been complaining that she
always gets moody during winter time. She reported that recently,
she has been feeling down, fatigued during daytime, oversleeping
during her classes, and gaining 10 pounds weight. She reported that
she has been having difficulties in school where she feels that even
though she understands the material, the classes are not interesting
anymore. She reported that she has a difficult time completing her
school projects, and even running late on two assignments. M.B.
stated that has a difficult time concentrating, being unable to
remember what she has read 5 seconds earlier. Patient stated that
she made a lot of friends when she first started college, in August,
and greatly enjoyed their company but lately she finds them a bit
annoying and dull, and their time spent together decreased
drastically. M.B. reported that she is a summer girl, loves the
sunny ,crips days, enjoys the beach and convertibles, but does not
like this season (winter) because “it’s dark. And gray. And
miserable”. She reported that during the winter the city seems
changed, getting worse and worse, and everything is now grey and
miserable.
Past Psychiatric History:
•
General statement: Reported that she has never been under
treatment
•
Current Caregivers: Parents
•
Hospitalization history: Denies
•
Medication history: None
•
Psychotherapy/Previous Pychiatric Diagnosis: M.B. has
never been diagnosed with any psychiatric disorders or been
using psychotherapy.
Include chief
complaint, subjective
information from the
patient, names and
relations of others
present in the
interview, and basic
demographic
information of the
patient. HPI, Past
Medical and
Psychiatric History,
Social History.
Substance Current use: Reports ocassional alcohol use when going
out with friends but denies cigarette smoking, or other illicit drugs.
Family Pyschiatric history: Patient reported that her mother has an
anxiety disorder, and her paternal grandmother had depression.
Reports no other history and denies any history of suicide in the
family.
Social history: M.B. was born in Alameda County, California, and
raised by both parents. She has one one younger sister who lives
