Question

Inbox (B) -nyambu... Google Docsgie Briefly explain the importance of interaction between genes and environment, the role of endophenotypes, and the stress-diathesis model of psychiatric illness. 1. Michacl is a 22-ycar-old college senior whose GPA has declined with this semester's grades. Michael plans to apply to medical school and thinks that the lower GPA may prevent his acceptance to medical school. For the last 2 weeks, Michael has skipped most classes because he has insomnia and fatigue. Michael is now very depressed and has been thinking of suicide. He took a loaded gun from his father's gun cabinet and then wrote a suicide note to his family. At the last moment, he telephoned 911 and told thenm of his suicide plan. The police came, took the gun away, and then took Michael to the city hospital to be admitted for ps ychiatric treatment. In the admission interview with the psychiatric nurse. Michael said that his pastor thought that only weak-willed people experienced depression and that it was a punishment for personal sins and the sins of one's ancestors. Michacl told the nurse that he must be weak-willed and will never be able to accomplish anything. The psychiatric nurse explained that multiple factors are the cause of depression. The nurse told Michael that one theory holds that an imbalance of neurotransmitters, or chemical messengers of the brain, occurs in depression. Neurotransmitters influence the individual's emotions, thoughts, and subsequent behavior. Recent research implies that neurobiology, heredity, as well as psychological and environmental factors may be involved in the devclopment and progression of depression Learning Objectives: 5.6) a. Will Michacl think that the psychiatrie nurse's explanation for the cause of depression is more correct than that of his pastor? b. Michael asks the nurse why he has to have psychotherapy. He stâtes thai he only needs to take a couple of pills to get better How should the nurse respondl to Michael's question and comment? c. Develop an assessmenit goetion fhr each st he tilovine esible saus Michael's development of depression Genctics Environntent 8 53 PM 3/19/2019 ^

Answer 1

a.Medical explanations are always difficult to understand for a lay man people and illiterate one.Michael wishing to study for GPA should be able to understand science and the logic behind an explanation. He may not be able to accept things at he first visit explanation bybthe nurse.As he is more psychologically influenced by thewords of his pastor.To break those thoughts and understanding the nurse's explanation will be little difficult but can certainly accept the nurses statement is correct and that is the cause of his depression.

b.Psychotherapy is a process of treating a mental illness with counselling or through talk by a medical professional (counsellor,psychiatrist).The nurse should explain that a medication or pills cannot be taken without an advice from the physician. Taking two pills without medical orders will be always dangerous.

c.Genetic:

• Is there a family history of depression (if so who ,parents,grandparents, sibbling)
• How do you cope yourself in difficult situations.

Environment :

• How are you treated in your home (gives a brief knowledge on emotional support received from family)
• Asking about the friends gives an idea of his peer group and the trigger for depression
• Asking about financial background can roughly provide knowledge on his previlage to go for higher studies