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 she 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 .
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.
TYPES OF ADHD P6
1. COMBINED TYPE
2. IMPULSIVE/HYPERACTIVITY TYPE
3. INATTENTION AND DISTRACTABLE TYPE

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:- Sarah Thompson
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 m entally.
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 fallin g asleep and frequently wake up during
the night.
Questionnaire for Parents:
How would you describe Sarah's overall mood and demeanor over the past six
months?
Answer: Sarah has seemed consistently sad and withdrawn.
Have you noticed any significant change s in Sarah'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 Sarah 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 Sarah 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
Sarah's emotional state?
Answer: There haven't been any significant recent events or stressors in her life.

Questionnaire for Colleagues:

How would you describe Sarah's work performance and enthusiasm compared to
the past six months?
Answer: Sarah's work performance has declined, and she seems less enthusiastic
about projects.
Have you observed any changes in Sarah' 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 Sarah seeking support or discussing her challenges with colleagues?
Answer: Sarah has not been open about her challenges or sought support from
colleagues.
Have you noticed any changes in Sarah's physical appearance, such as weight loss
or changes in grooming habits?
Answer: Yes, there has been noticeable weight loss, and her grooming habits s eem
less consistent.
How is Sarah 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.

OBSERVATIONS

 Sarah 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.
 Sarah mentioned experiencing constant fatigue, both physically and mentally. Daily
tasks and work responsibilities felt overwhelming.
 Sarah confirmed a significant decrease in appetite, leading to unintentional weight
loss
 Sarah reported difficulties falling asleep and frequent awakenings during the night.
 Sarah shared challenges with concentration and decision-making, noting that even
simple tasks felt difficult to manage.
 Sarah acknowledged experiencing feelings of worthlessness and guilt..
 Sarah reported fleeting thoughts of death but denied any specific plans for suicide.
She indicated a lack of intent to act on these thoughts.

Psychology test -> Self - Concept Questionnaire