Appendix 2: Case Studies
APPENDIX 2: Case Studies
“Real” people have depression, dysthymia, and bipolar disorders. To illustrate what these conditions look like, the next section presents a series of case studies. These case studies can be used by care managers to practice use of the CMAG tools with each other. It takes practice to be able to develop the skills necessary. Use these case studies and sidebar functions as guides.
THE CARE MANAGEMENT PROCESS
Assess Plan Support Intervene Keep Safe Facilitate Collaborate Empower Educate Evaluate
Case Study 1
Susan is a 45-year-old mother of three who very recently lost her oldest son suddenly and unexpectedly. Up until this point, her life had not been overly complicated. She enjoyed raising her children and working as a professional. She looked forward to observing her grown children’s successes. She was hopeful that now that her children were no longer in need of her constant attention, she and her husband could begin to travel and enjoy more leisure time.
The death of her son came suddenly and without warning. He experienced a challenging situation and took his own life. There was no history of depression or other indicators that may have warned family and friends. The suicide appeared to a reactionary act without any forethought or contemplation.
Dealing with the loss of a child is a most devastating and life-altering event for a parent. Surviving the suicide of a loved one often leaves family and friends devastated, guilt-ridden, and perhaps even angry. Devastation and guilt seemed to be the emotions Susan could not manage to get past. She functioned at a very high level throughout the first few months after her son’s death. She returned to work within two weeks and managed to fulfill all personal and professional responsibilities. She did experience some loss of appetite and insomnia. Her friends tried to encourage her to contact her PCP for a sleep medication, but she stated she would use over-the-counter Benadryl and reported it to be effective.
She continued to function, but friends and family noticed a severe saddened affect and thought her return to high function was not “normal.” She rarely expressed any feelings of grief openly, but instead had bouts of sobbing when alone. Her friends expressed concern that she was not dealing with her grief adequately and encouraged her to seek counseling. Susan’s husband and other children were not active in these conversations, each seeking to cope in his/her own manner. Susan