Screening For Depression And Anxiety Case Study

Length: 6 pages Sources: 3 Subject: Nursing Type: Case Study Paper: #74481810 Related Topics: Risk, Treatment, Fda, Symptoms
Excerpt from Case Study :

Week 3 Psychiatric Screening

Depression and anxiety are the most common psychiatric problems affecting patients in primary care. Data from the National Alliance on Mental Illness (NAMI) places the prevalence of depression among American adults at 7.8 percent (representing 19.4 million people), and that of anxiety disorders at 19.1 percent (representing 48 million people) (NAMI, 2021). This weeks assignment focuses on administering relevant screening tools to detect symptoms of depression and anxiety on the presenting client, a 56-year-old Caucasian female. The Beck Depression Inventory (BDI) was selected to screen for symptoms of depression, while the Generalized Anxiety Disorder (GAD-7) scale was selected to screen for anxiety symptoms.

The BDI is a 21-item questionnaire that assesses the intensity of symptoms associated with psychoanalytic aspects of depression including social withdrawal, suicidal ideas, guilt, feelings of failure and sadness (Park et al., 2020). It measures the severity and frequency of depression symptoms experienced in the past 2 weeks on a 4-point scale. It is one of the most widely studied measures for assessing depression, with well-established psychometric properties (Garcia-Batista et al., 2018). The 21 items are scored from 1 to 3, yielding a maximum score of 63 and a minimum score of zero. Scores between 1 and 10 indicate normal ups and downs, scores of 21 to 30 indicate moderate depression, 31-40 indicate severe depression, and over 40 indicate extreme depression. The BDI was selected not just for its high validity and reliability, but also because it can be used both as a screening tool and as a measure of severity of depressive symptoms (Park et al. 2020). As such, the clinician does not have to administer a different tool to measure the effect of prescribed medication on symptoms at the time of review. Further, the BDI allows for self-rating, allowing the client to regularly measure the progression of their symptoms.

KFs BDI Score

Question Content






I feel sad

The client reports feeling sad mostly in the morning, but snaps out of it as the day progresses



Not present

Sense of failure


As I look back on my life, I see a lot of failures

Client feels like a failure for losing her sons custody to her abusive husband and not playing an active role in bringing him up



I do not enjoy things the way I used to

She no longer enjoys yoga and meditation



I feel guilty most of the time

Reports feeling very guilty about divorcing and leaving her son in France

Expectation of punishment


Not present





The client was not scored on 8 items including crying, irritability, indecisiveness, body image change, somatic preoccupation, and loss of libido as there is no specific information that provides answers to these questions. As such, if the client were to avail more information, one would expect the depression score to be even higher.

The GAD-7 scale is a self-administered questionnaire used to check for the presence and severity of anxiety symptoms over the past two weeks (Johnson et al., 2019). It is scored by assigning scores of 0 to 3 to the response categories of not at all, several days nearly every day and more than half the day, and then summing up the scores to obtain the total anxiety score (Johnson et al., 2019). Scores of 5, 10, and 15 are the cutoff points for mild, moderate, and severe anxiety. The GAD-7 was selected for its proven psychometric properties, including specificity of 82 percent and sensitivity of 89 percent of GAD (Johnson et al., 2019). Further, like the BDI, the GAD-7 can be used both as a screening tool and as a measure of severity for anxiety symptoms (Johnson et al., 2019). As such, it provides an invaluable means for not only identifying whether a patient has anxiety, but also assessing the effectiveness of treatment plans (Johnson et al., 2019).

KFs GAD-7 Scores

Feeling anxious, nervous or on edge 3

Not being able to control or stop worrying 2

Worrying too much about different things 0

Trouble relaxing 0

Being so restless that it is hard to sit still - 0

Being easily irritable or annoyed 0

Feeing afraid as if something awful might happen - 0

The client is employed as a full-time consultant and mentions that she cannot stay focused anymore and is unable to complete projects for work. The inability to stay focused was interpreted as a sign of anxiety or nervousness and since she works full-time, the effect is felt nearly every day. However, it is not every day that she is unable to control worrying at least once a week, she takes part in social events, although she finds these activities really exhausting. She has no means to control the worry the rest of the days, which are more than half the days of the week. The client was not scored on the remaining 5 items because there is no information to support such…

Sources Used in Documents:


Bhui, K., Dinos, S., Galant-Miecznikowska, M., Jongh, B., & Stansfeld, S. (2016). Perceptions of Work Stress Causes and Effective Interventions in Employees Working in Public, Private, and Non-Governmental Organizations: A Qualitative Study. BJ Psych Bulletin, 40(6), 318-25.

Cipriani, A., Furukawa, T., Salanti, G., Chaimani, A., Atkinson, L., & Ogawa, Y. (2018).

Comparative Efficacy and Acceptability of 21 Antidepressant Drugs for the AcuteTreatment of Adults with Major Depressive Disorder: A Systematic Review and NetworkMeta-Analysis. The Lancet, 391(10128), 1357-66.

FDA (2016). Zoloft: Highlights of Prescribing Medication. Food and Drug Administration.

Retrieved from, Z., Guerra-Pena, K., Cano-Vindel, A., Herrera-Martinez, S., & Medrano, L. (2018). Validity and Reliability of the Beck Depression Inventory in General and Hospital Population o Dominican Republic. PLos One, doi: 1371/journal.pone.0199750Harmer, C., Duman, R., & Cowen, P. (2017). How do Antidepressants Work? New Perspectives for Refining Future Treatment Approaches. Lancet Psychiatry, 4(5), 409-18.

Johnson, S., Ulneves, P., Oktedalen, T.,& Hofart, A. (2019). Psychometric Properties of the General Anxiety Disorder – 7 Scale in a Heterogeneous Psychiatric Sample. Frontiers in Psychology, 10(1), 1713-25.

NAMI (2021). Mental Health by the Numbers. National Alliance on Mental Illness (NAMI). Retrieved from

Park, K., Jaekal, E., Yoon, S., Lee, S., & Choi, K. (2020). Diagnostic Utility and Psychometric Properties of the Beck Depression Inventory among Korean Adults. Frontiers in Psychology, doi: org/10.3389/fpsyg.2019.02934Tang, R., Wang, J., Yang, L., Ding, X.,…& Chen, Z. (2019). Subclinical Hypothyroidism and Depression: A Systematic Review and Meta-Analysis. Frontiers in Endocrinology, 10(1), doi: 10.3389/fendo.2019.00340

Cite this Document:

"Screening For Depression And Anxiety" (2021, May 06) Retrieved October 16, 2021, from

"Screening For Depression And Anxiety" 06 May 2021. Web.16 October. 2021. <>

"Screening For Depression And Anxiety", 06 May 2021, Accessed.16 October. 2021,

Related Documents
Screening for Depression in Prisoners Using the
Words: 692 Length: 2 Pages Topic: Psychology Paper #: 93936011

Screening for Depression in Prisoners Using the Beck Depression Inventory" by Boothby & Durham examines depression levels of a random sample of 1,494 prisoners admitted into the North Carolina state prison system between September 1995 and February 1997 using the Beck Depression Inventory (BDI) (1999). The article first addresses its potential significance to the criminal justice and psychological fields; it states that incarceration is an event characterized by lack

Depression and Anxiety in People With Inflammatory Bowel Disease
Words: 1925 Length: 6 Pages Topic: Disease Paper #: 93247962

Functional Symptoms and Psychological States: An Electronic Diary Study by Burton, C., Weller, D. And Sharpe, M. This study reported the findings from a time series study that compared day-to-day variation in physical symptoms that are related to Somatoform disorders with levels of anxiety, mood, and the subject's level of concern for their symptoms. The authors acknowledge that according to psychosomatic models of the relationship between vague physical symptoms and psychological

Anxiety Disorder Case Study in
Words: 1164 Length: 4 Pages Topic: Psychology Paper #: 62046445

In Marge's case, we cannot immediately ascertain for certain what biological mechanisms have played a role in her episodic attacks. However, we can deduce that she is vulnerable to the general range of physiological symptoms relating to an anxiety disorder as a result of external triggers which may be socially, domestically or pressure-induced. It is also likely that her increased fear of the recurrence of her anxiety attacks is making

Depression Scores Among College Students the First
Words: 1053 Length: 3 Pages Topic: Psychology Paper #: 97963945

Depression Scores Among College Students The first symptoms of depression tend to occur during college years as college students suffering from this condition do not receive the needed help. While there are various reasons for the failure by these students to receive needed help, one of the most common reasons is the assumption that the condition is part of normal stress of college. According to the National Institute of Mental Health

Depression in the Elderly Many
Words: 3859 Length: 12 Pages Topic: Psychology Paper #: 21665574

Depression in the Elderly Although many of the elderly citizens in the United States in the future will enjoy better health than in years past, many will still suffer from various age-related healthcare and mental health problems as they grow older that may contribute to the development of depressive disorders. In fact, older people in particular have a number of factors working against them that appear to contribute to the incidence

Beck Anxiety Inventory As It Relates to the Substance Abuse Population...
Words: 1622 Length: 5 Pages Topic: Psychology Paper #: 95644886

Beck Anxiety Inventory Test The Beck Anxiety Inventory (BAI) test was created by Dr. Aaron T. Beck and other colleagues, and is a 21-question multiple-choice self-report inventory that is used for measuring the extent and intensity of an individual's anxiety. The items describe anxiety on four different ways: (1) Subjective (e.g., "unable to relax"), (2) neurophysiologic (e.g., "numbness or tingling"), (3) autonomic (e.g., "feeling hot") or (4) panic-related (e.g., "fear of losing control."