Social/Family History
Single with a long employment history performing clerical work at a manufacturing facility
No dependants, lives alone
Commercial health coverage through his employer
Despite a severe course, disease and comorbidities have always been relatively well managed until recently, when multiple surgeries were necessary
As a result, patient demonstrating significant indicators of depressive illness
Patient reports having taken over-the-counter St. John’s wort upon the suggestion of a friend who noticed the patient had “seemed to be feeling down”