| Sumario: | The beginning of the depression assessment begins with Nathan acknowledging that he’s tired of the way he’s feeling. Nathan looks sad, speaks slowly, and presents with a flat affect. It is difficult for him to describe the way he feels, but he says it is a sort of emptiness. At work, Nathan has had trouble focusing and lost a promotion. These periods of feeling empty typically occur during the summer and dissipate over the winter during the holidays. Between the periods when he feels low, Nathan finds it is easier to have fun and get lost in activities he enjoys. During the low periods, he is typically putting on a face for his girlfriend and friends, forcing himself to participate. Over the last few months during this current period of feeling empty and sad, Nathan says there is nothing that brings him pleasure or alleviates a sense of worthlessness.
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