After enquiring her about her symptoms and feelings, her complete profile is as follows:
Marla is a 42-year-old Hispanic female who comes to the mental health clinic complaining of trouble sleeping, feeling “jumpy all of the time,” and an inability to concentrate. These symptoms are causing problems for her at work, where she is an accountant. She says that her symptoms started three weeks back when she became very sad as her company lost an important contract.
She stopped talking to anyone and cried most of the time when she was alone. Then after a week she noticed that she could not concentrate on her work. She had racing thoughts in her mind and she kept on thinking about different files she reviewed in the past week. She felt that she has excessive energy and started reviewing ten files simultaneously but could not complete even a single one of them. Her friends also pointed out that she was talking excessively and disturbing them all the time.
According to Marla, she feels on top of the world currently and feels good about the energy she has. These days she has been out of the work most of the time and has been shopping excessively. She had similar episode a year back when she spent all her savings on the new car and house and went bankrupt. Those symptoms resolved in a week and she did not consult any doctor for that. Since then she occasionally has low mood and feelings of guilt and hopelessness and has never completely recovered. She has lost interest in her daily activities and does not enjoy life anymore. She has no hobbies and spends most of her free time thinking about her wrong deeds and gloomy future. This has also affected her personal relationships with her family and friends as she no longer spends time with them.
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