I believe this patient is suffering from bipolar disorder as well as manic depressive disorder. I believe the patients social and cultural factors contributed to the onset of the depression. Because she is a single female living on welfare and lives in economically challenged area I believe that this is what caused the onset of this disease.
I would treat this disorder by using antidepressant medication maybe lithium since lithium is a mood stabilizing drug. I believe this would allow her to think clearer be able to relate in social settings and maybe be able to keep a job that could keep her interest. I would also treat with cognitive