Depression Essay example -- Health, Depressed Individuals

Certain practical issues need to be considered by the clinician during the assessment of MDD, (Dozois & Dobson, 2009). Depressed individuals tend to express their problems in a detailed behavior when they are aware of what is expected from them during initial phase of assessment. Warning depressed clients about the possible interruptions at the initial phase along with providing them rationale helps to mend the effectiveness of the assessment (Dozois & Dobson, 2009). As depressed individuals tend to commit cognitive bias (Dozois & Beck, 2008), it is necessary to determine the actual impairment by evaluating patients daily routine in terms of different areas of functioning. Each diagnostic criteria needs to be addressed in number of ways (Shea, 1988). Sometimes, the patient see their symptoms in more idiosyncratic way. So, the clinician needs to translate those concerns in to the nosological system (Dozois & Dobson, 2009). Bolland & Keller (2009) emphasize the need to assess the number of previous episodes and their duration because this information is unrivalled the predictor for risk of subsequent relapse (Solomon et al, 2000). Dozois & Dobson (2009) have reported to rely upon information related to previous episode carefully as the client may commit the reporting bias. The reporting bias can be reduced by ensuring that the patient understands the time frame to which he or she refers (Dozois & Dobson, 2009) and providing contextual cues to the patients memory (Shea, 1988). The information related to previous treatments, medical history, patients motivation for limiting, etc. may help in identifying resources for change (Dozois & Dobson, 2009). It is overly helpful to assess clients strengths which will help in formulating... ...owever, if Medical cracks worsens the symptoms of depression, then mood disorder is diagnosed as MDD and medical condition is listed on Axis III of the DSM-IV-TR( APA, 2000a). It is difficult to differentiate between d epression and dementia (Gualtieri and Johnson, 2008), but certain differences can be noted among two (Dozois and Dobson, 2009). For example, new-fangled memory is more effected in depression than remote memory such symptoms are not prominent in dementia (Dozois and Dobson, 2009).Conclusion For the high-fidelity assessment of MDD, the clinician should not rely upon results obtained from one psychometric instrument. Rather, he or she should try to integrate information obtained from multiple sources to get the holistic picture of patient. The clinicians also needs to consider above mentioned practical issues while making assessment related to MDD.