DSM-IV-TR Casebook Diagnosis of "Busted Nerves" | Follow-Up
A 49-year-old housewife, Norma Jean Luby, was
seen in a central Appalachian clinic on referral from her primary
care physician for evaluation of depression. She was a pale, neatly
and plainly dressed woman, with hair combed straight back and no
makeup. Her eyes were filled with tears during most of the interview,
although she did not weep openly. She spoke slowly and so softly that
at times she was inaudible. She appeared timid, abject, dependent,
helpless, and hopeless, claiming she had been ill all of her life,
and summed up her situation by stating, "My nerves are busted.
I can't do anything."