Helen is a 45-year-old African American female who separated two months ago from her husband of 25 years after he had an extramarital affair. In addition to running the household and managing 18-year-old fraternal twins, she works part-time at a local dry cleaning business. Helen started experiencing increased anxiety, lack of ability to fall asleep, and daytime tiredness over the last three months. The symptoms have progressed over the last four weeks to increasing sadness, inappropriate guilt, poor appetite, and decreased energy levels. Helen is struggling to maintain her usual activities and is starting to feel that “life is not worth living,” but she has not had any suicide ideation per se. Helen has no personal or family history of psychiatric illness. She uses alcohol once or twice a month but not to excess. Helen’s medical history is significant for lower-extremity neuropathy of unknown origin. Questions: Remember to answer these questions from your textbooks and clinical guidelines.
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