Doctor's Consultation with Alison Wells

Introduction

• Dr. Taylor, a GP, is conducting a consultation with Alison Wells.
• Alison was encouraged by her sister to visit due to ongoing issues.

Concerns and Symptoms

• Mood:

  • Feeling "fed up" and "miserable"
  • Describes a sensation of "swimming in treacle"
  • Tearfulness over trivial matters (e.g., dropping sugar)

• Energy and Activities:

  • Reduced energy levels, particularly concerning activities with children.
  • Used to be active (e.g., swimming with kids) but now spends time on the sofa.
  • Struggling to manage work at the supermarket due to exhaustion.

• Sleep Patterns:

  • Difficulty falling asleep, taking hours to drift off.
  • Wakes up around 4 AM and struggles to fall back asleep.
  • Feels exhausted and unrested upon waking.

• Appetite and Weight:

  • Decreased appetite over the past few months.
  • Has lost weight but is unsure of the exact amount.

• Concentration and Memory:

  • Difficulty concentrating, even on favorite TV shows.
  • Forgetting routine tasks related to children.

• Enjoyment and Interest:

  • No longer enjoys activities or going out with friends.
  • Feels a lack of motivation and purpose.

Personal and Family Life

• Children:

  • Has two children, aged 11 and 9, who are becoming self-sufficient.
  • Feels she's not fulfilling her role as a mother.

• Self-care:

  • Lacks motivation for personal hygiene and appearance maintenance.

• Relationship with Partner (Dave):

  • Noticing a strain in the relationship due to her low mood.
  • Dave's contact (texts, calls) has reduced.

Mental Health and Past Experiences

• Past Mental Health Episode:

  • Experienced similar feelings four years ago when her husband left.
  • Attempted an overdose with paracetamol but received no medical treatment after.
  • Felt embarrassed and realized it was a mistake.

• Current Suicidal Thoughts:

  • Has had thoughts at night while alone but made no plans.
  • Strong denial of any intent to harm her children.

Support System

• Support Network:

  • Sister is supportive, encourages her to seek help.
  • Has a few friends and sometimes Dave, though she doubts his continued support.

• Safety Net:

  • Acknowledges the importance of seeking help if she feels unable to keep herself safe.

Doctor's Assessment and Next Steps

• Dr. Taylor believes Alison is exhibiting symptoms of depression.
• Explains that depression affects mood, energy, appetite, sleep, and concentration.
• Open discussion about treatment options and support.
• Alison agrees to consider treatment options to improve her condition.