Case Study: Patient Intake and History The patient is a 26-year-old college graduate who is currently euthymic but who has a history of major depressive episodes. He has experienced major depressive episodes, mostly untreated, of varying lengths and severities since he was a teenager. His symptoms have included insomnia, despondent thoughts, depressed mood, low interest in activities, poor energy, and impaired cognition. He says his self-esteem drops and he feels rejection-sensitive and guilt-ridden for no apparent reason. He has never had suicidal thoughts. Some of the depressive episodes have been incapacitating and have interfered with school and work. He appears to have good inter-episode recovery and is able to return to class and work. The patient also has symptoms of social anxiety. He is often nervous around new people and acquaintances, and he experiences anticipatory anxiety and will avoid certain social events. These symptoms are present regardless of his affective state. The patient has asked for a consultation because he has legal issues regarding drinking and driving that he thinks were likely fueled by his psychiatric symptoms. At the time of the infraction (several months ago, just before graduating college), he had been started on a selective serotonin reuptake inhibitor. Need Assignment Help?