NR 602 DDx for PMS Assignment

NR 602 DDx for PMS Assignment

NR 602 DDx for PMS Assignment Sample Response

Hello Agnes,

You provided great and useful information. It appears you asked the most appropriate questions to gather the data. Therefore, I can summarize three differential diagnoses. I suspect premenstrual syndrome (PMS), premenstrual dysphoric disorder (PMDD), or depression.

Premenstrual Syndrome (PMS)

PMS is a combination of physical and emotional symptoms that women may get after ovulation and before the start of their menstrual period. Symptoms vary, and some women may only experience a few of them, such as depressed mood, tension, anxiety, crying spells, mood swings, irritability, anger, appetite changes, insomnia, social withdrawal, poor concentration, change in libido, joint or muscle pain, headache, fatigue,

According to Kleinstäuber et al. (2016), symptoms must be present in the premenstrual phase of two consecutive menstrual cycles, confirmed by a symptom diary, and interfere with functioning in several areas of everyday life.

Premenstrual Dysphoric Disorder (PMDD)

PMDD is a severe form of PMS. It consists of the same signs and symptoms as PMS but in a severe and disabling form. For example, an individual may feel depressed with PMS; but with PMDD, a person may feel extreme sadness that they may feel hopeless or even suicidal. With PMDD, the anxiety a person feels is on a very different level and feels very tense or on edge.

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menstrual cycles over the preceding 12 months (Kleinstäuber et al., 2016).

Depression

Depression is a serious mood disorder that affects how you feel, think, and handle daily activities. To be diagnosed with depression, the symptoms must be present for at least two weeks showcasing sadness, hopelessness, irritability, guilt, loss of interest or pleasure in hobbies and activities, fatigue, no or less motivation,

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This diagnosis is unlikely for the patient as states that symptoms go away on its own after menstruating.

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NR 602 DDx for PMS Assignment References

Arrieta, J., Aguerrebere, M., Raviola, G., Flores, H., Elliott, P., Espinosa, A., … Franke, M. F. (2017). Validity and utility of the patient health questionnaire (PHQ)-2 and PHQ-9 for screening and diagnosis of depression in rural Chiapas, Mexico: A cross-sectional study. Journal of Clinical Psychology, 73(9), 1076–1090. https://doi-org.chamberlainuniversity.idm.oclc.org/10.1002/jclp.22390

Kleinstäuber, M., Schmelzer, K., Ditzen, B., Andersson, G., Hiller, W., & Weise, C. (2016). Psychosocial profile of women with premenstrual syndrome and healthy controls: A comparative study. International Journal of Behavioral Medicine, 23(6), 752–763. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=mdc&AN=27151401&site=eds-live&scope=site

Nikam, S., Chavan, M., & Sharma, P. (2014). Premenstrual syndrome-causes, symptoms, diagnosis and treatment. International Journal of Pharmaceutical, Chemical & Biological Sciences, 4(4), 829–833. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a2h&AN=115891499&site=eds-live&scope=site

Robinson, L., & Ismail, K. (2015). Clinical epidemiology of premenstrual disorder: Informing optimized patient outcomes. International Journal of Women’s Health, 25(7), 811-818

Verma, R. K., Chellappan, D. K., & Pandey, A. K. (2014). Review on treatment of premenstrual syndrome: from conventional to alternative approach. Journal of Basic & Clinical Physiology & Pharmacology, 25(4), 319. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edb&AN=99345291&site=eds-live&scope=site