ACKNOWLEDGEMENT P1

I would start by expressing my profound gratitude to those who supported, me with their guidance, monitoring and
constant support throughout the course of time .I would also take this opportunity to express my special thanks of
gratitude to my subject teacher Ms.Jyoti for her cordial support and guidance which helped me in completing the
project in given time frame. I would also like to extend my gratitude to our Principal, Mr. Asha Goyal for providing
me with all the facilities that were required. Lastly, I would thank my family and friends who helped me in
finalizing this project .
CERTIFICATE P2
This is to certify that Harsh Vardhan Hooda , roll no 08 of of class XII-Pearl of LITTLE ANGELS SCHOOL,
SONIPAT has completed the case profile under my supervision he has taken proper case and shown utmost
sincerely in the completion of the project. I certify that this project in up to my expectations and as per the
guidelines issued CBSE.
WHAT IS CASE STUDY ? P3
It emphasizes on the given in-depth study of a particular case. The case can be an individual with distinguishable
characteristics or a small group of individual having some commonality among them, institutions and specific
events. The selected cases are unique thus rich is information. It applies a number of methods for collecting
information like interview, observation and psychological tests It helps us to understand feelings, fantasies , hopes,
fears, traumatic events, parietal. Upbringing that helps to understand a person's mind and behaviour. It provides a
narrative or detailed description of events that takes place in a person's Mind .
TYPES OF CASE STUDIES
1. Descriptive Case Study Collective Case Study
2. Illustrative Case Study Critical Instance Case Study
3. Program Implementation Case Study Cumulative Case Study
Explanatory Case Study Instrumental Case Study
4. Intrinsic Case Study Exploratory Case Study

WHAT IS CASE PROFILE ? P3

Case profile is a simples version of a case study . It provides an insight to a person's mind and behaviour with the
help of it we can try to understand, fantasies, hope, fears and traumatic events or anything, that helps in
understanding of a person's bestaviour and mind. Case profile is a detailed expression of a person's behaviour and
mind, personal history, family history, family arrangement and personal personality traits.

TOPIC
MDD(Major Depressive Disorder) P4
WHAT IS MDD ? P5
Major depressive disorder (MDD), also known as clinical depression, is a mental
disorder[9] characterized by at least two weeks of pervasive low mood, low self-esteem, and loss of
interest or pleasure in normally enjoyable activities. Introduced by a group of US clinicians in the mid-
1970s,[10] the term was adopted by the American Psychiatric Association for this symptom
cluster under mood disorders in the 1980 version of the Diagnostic and Statistical Manual of Mental
Disorders (DSM-III), and has become widely used since.
SIGNS AND SYMPTOMS P7

 Feelings of sadness, tearfulness, emptiness or hopelessness

 Angry outbursts, irritability or frustration, even over small matters
 Loss of interest or pleasure in most or all normal activities, such as sex, hobbies or sports
 Sleep disturbances, including insomnia or sleeping too much
 Tiredness and lack of energy, so even small tasks take extra effort
 Reduced appetite and weight loss or increased cravings for food and weight gain
 Anxiety, agitation or restlessness
 Slowed thinking, speaking or body movements
 Feelings of worthlessness or guilt, fixating on past failures or self-blame
 Trouble thinking, concentrating, making decisions and remembering things
 CAUSES OF MDD P8
It's not known exactly what causes depression. As with many mental disorders, a variety of factors may
be involved, such as:

 Biological differences. People with depression appear to have physical changes in their brains.
The significance of these changes is still uncertain, but may eventually help pinpoint causes.
 Brain chemistry. Neurotransmitters are naturally occurring brain chemicals that likely play a role in
depression. Recent research indicates that changes in the function and effect of these
neurotransmitters and how they interact with neurocircuits involved in maintaining mood stability may
play a significant role in depression and its treatment.
 Hormones. Changes in the body's balance of hormones may be involved in causing or triggering
depression. Hormone changes can result with pregnancy and during the weeks or months after
delivery (postpartum) and from thyroid problems, menopause or a number of other conditions.
 Inherited traits. Depression is more common in people whose blood relatives also have this
condition. Researchers are trying to find genes that may be involved in causing depression

HOW TO DIAGNOSE P9

It is diagnosed when an individual has a persistently low or depressed mood, anhedonia or decreased interest in
pleasurable activities, feelings of guilt or worthlessness, lack of energy, poor concentration, appetite changes,
psychomotor retardation or agitation, sleep disturbances, or suicidal thoughts. Per the Diagnostic and Statistical
Manual of Mental Disorders, 5th Edition (DSM-5), an individual must have five of the above-mentioned symptoms,
of which one must be a depressed mood or anhedonia causing social or occupational impairment, to be diagnosed
with MDD
TREATMENT P10
Major depressive disorder can be managed with various treatment modalities, including pharmacological,
psychotherapeutic, interventional, and lifestyle modification. The initial treatment of MDD includes medications
or/and psychotherapy. Combination treatment, including both medications and psychotherapy, has been found to
be more effective than either of these treatments alone. Electroconvulsive therapy is found to be more efficacious
than any other form of treatment for severe major depression.
CASE PROFILE P11
DEMOGRAPHIC INFORMATION P12
NAME:- Ria Thakur
AGE:- 28
GENDER:- FEMALE
 Occupation: Graphic Designer
 Presenting Problem: Persistent feelings of sadness, low energy, and loss of interest in previously enjoyed
activities.
PATIENT STAYS WITH PARENTS ? :- YES
HAVE SIBLINGS ? :- NO
DAE OF ONSET :- NOT KNOWN
SELF QUESTIONARE-> P13
How would you describe your overall mood in the past six months?
Answer: I have felt consistently sad and down most of the time.
2. Have you noticed any significant changes in your interest or pleasure in activities that you
used to enjoy?
Answer: Yes, I've lost interest in activities that once brought me joy.
3. How has your energy level been recently?
Answer: I've been feeling constantly tired, both physically and mentally.
4. Have you experienced any changes in your appetite or weight?
Answer: Yes, I've had a significant decrease in appetite, leading to unintentional weight loss.
5. How would you describe your sleep patterns?
Answer: I've been struggling with falling asleep and frequently wake up during the night.
 Questionnaire for Parents:
How would you describe Ria's overall mood and demeanor over the past six months?
Answer: Ria has seemed consistently sad and withdrawn.
Have you noticed any significant changes in Ria's behavior, such as loss of interest in activities,
social withdrawal, or changes in sleep patterns?
Answer: Yes, she has lost interest in activities she used to enjoy, and her sleep patterns have
become irregular.
How is Ria managing her daily responsibilities at work and home?
Answer: She has been struggling at work, and it seems challenging for her to handle routine
tasks.
Has Ria mentioned any physical symptoms like changes in appetite or unexplained fatigue?
Answer: Yes, she has experienced a significant decrease in appetite and constant fatigue.
Have there been any recent life events or stressors that might be contributing to Ria's
emotional state?
Answer: There haven't been any significant recent events or stressors in her life.

Questionnaire for Colleagues:

How would you describe Ria's work performance and enthusiasm compared to the past six
months?
Answer: Ria's work performance has declined, and she seems less enthusiastic about projects.
Have you observed any changes in Ria's social interactions or willingness to engage with
colleagues?
Answer: She has become more socially withdrawn and less inclined to participate in team
activities.
Is Ria seeking support or discussing her challenges with colleagues?
Answer: Ria has not been open about her challenges or sought support from colleagues.
Have you noticed any changes in Ria's physical appearance, such as weight loss or changes in
grooming habits?
Answer: Yes, there has been noticeable weight loss, and her grooming habits seem less
consistent.
How is Ria handling stress or pressure at work?
Answer: It appears that she is struggling to cope with stress, and even minor pressures seem to affect her
more than usual.

Conclusions->
 Ria reported a noticeable decline in interest and pleasure in activities she used to enjoy. She provided
examples of specific hobbies and social activities that no longer brought her joy.
 Ria mentioned experiencing constant fatigue, both physically and mentally. Daily tasks and work
responsibilities felt overwhelming.
 Ria confirmed a significant decrease in appetite, leading to unintentional weight loss
 Ria reported difficulties falling asleep and frequent awakenings during the night.
 Ria shared challenges with concentration and decision-making, noting that even simple tasks felt
difficult to manage.
 Ria acknowledged experiencing feelings of worthlessness and guilt..
 Ria reported fleeting thoughts of death but denied any specific plans for suicide. She indicated a lack
of intent to act on these thoughts.
Introspective report
1. Loss of Interest and Pleasure:
 The report highlights a significant loss of interest in activities that were once a source of joy. This
is a classic symptom of depression and contributes to a diminished quality of life.
2. Physical and Mental Fatigue:
 Ria describes experiencing constant fatigue, both physically and mentally, which is consistent with
the fatigue and loss of energy commonly associated with depressive disorders.
3. Changes in Appetite and Sleep Patterns:
 Ria reports a decrease in appetite leading to unintentional weight loss, as well as disruptions in
her sleep patterns. Changes in appetite and sleep are common physiological manifestations of
depression.
4. Cognitive Struggles:
 Cognitive challenges such as difficulty making decisions and concentrating are highlighted. These
cognitive impairments are in line with the cognitive symptoms often observed in depressive
disorders.
5. Social Withdrawal:
 Ria communicates a withdrawal from social interactions, indicating a sense of isolation. Social
withdrawal is a common behavioral manifestation of depression.
In summary, Ria's introspective report provides a nuanced and descriptive account of her experiences with
MDD. It sheds light on the emotional, cognitive, and behavioral aspects of her condition, emphasizing the
multifaceted impact that depression has on her daily life. This information is valuable for mental health
professionals in tailoring an effective treatment plan and providing the necessary support for Ria's well-
being.

Analysis of content
1. Reluctance to Seek Support:
 Sarah expresses hesitancy in seeking support from others, possibly due to concerns about
burdening them or being misunderstood. This reluctance to seek support may impact her coping
strategies and overall well-being.
2. Impact on Work Performance:
 Sarah notes a decline in her work performance, finding routine tasks challenging. The impact on
occupational functioning is a significant aspect that warrants attention and intervention in the
treatment plan.
3. Reflective Self-Awareness:
 The introspective report demonstrates a level of self-awareness as Sarah reflects on her own
thoughts and experiences. This self-awareness is a valuable starting point for therapeutic
exploration and intervention.
4. Potential for Cognitive-Behavioral Therapy (CBT):
 Given the identified cognitive and behavioral aspects, Cognitive-Behavioral Therapy (CBT) may be
a suitable therapeutic approach. Addressing negative thought patterns and implementing
behavioral strategies could be beneficial.
5. Need for Comprehensive Assessment:
 While the content analysis provides valuable insights, a comprehensive clinical assessment is
necessary to confirm the diagnosis, explore the root causes, and tailor an individualized treatment
plan for Sarah's specific needs.

This content analysis offers an initial understanding of key themes in Sarah Thompson's case, pointing
toward symptoms consistent with major depressive disorder. The next steps would involve further
exploration, assessment, and collaboration with Sarah to develop a comprehensive treatment plan.
Psychology test -> Self - Concept Questionnaire