Ariel Marsh iHuman Case Study (17 y/o female with fatigue)

Ariel Marsh 17 years old college student is brought in by her mother with history of being tired all the time for two months, associated with tearful eyes and annoyed tone of voice as a result of pressure from school. She wakes up very tired despite having enough sleep. She reports she cannot focus on school and her grades had dropped to C’s. She has been nervous and anxious about college, she feels school isn’t fun anymore, she gets upset and frustrated, crying everyday and finds her parents irritating and feels everyone is annoying. She reports to have been dumped by her boyfriend and since then she does not want to date anyone. Sometimes she wishes to disappear and not have to deal with anything anymore. She blames herself for anything wrong and feels down from the breakup. She has gained about 25-30 pounds of weight since last year which was unintentional and out of this, she got ugly stretch marks which she dislikes. She has increased appetite and feels hungry all the time.
She denies having difficulty sleeping, fever, hallucination or memory loss.