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Category > Science Posted 27 Sep 2017 My Price 8.00

A 41-year-old woman presents to an outpatient mental health clinic

DEPRESSION
A 41-year-old woman presents to an outpatient mental health clinic on referral by her family
physician. She has complaints, signs, and symptoms indicative of a major depressive episode
with melancholic features. She has undergone treatment for alcoholism within the last year. She
is experiencing severe family stressors, namely, her children have moved out of the home. She is
already receiving antidepressant therapy, mirtazapine, prescribed by her family physician,
without improvement, and complains of weight gain as a side effect. Nondrug therapies such as
psychotherapy and a support group should be initiated concurrently with alternate
pharmacotherapy. Feasible drug treatment options for this patient include selective serotonin
reuptake inhibitors (SSRIs), agents with mixed reuptake inhibition pharmacology, and tricyclic
antidepressants (TCAs). Efficacy is determined by evaluating target signs and symptoms;
standardized rating scales may also be used. It is important to question the patient about
adverse effects at each visit and to encourage adherence to the prescribed therapy
Questions to be answered Symptoms; List two pertinent signs and symptoms,
Recommended Drugs: Provide list of recommended drugs as indicated for
this diagnosis,
Drug Categories and Subcategories: Identify the category of each
recommended drug
Rationale: Provide rationale, clinical guidelines, or evidence for the selected
drug of choice
Contraindications and/ or Risks, as appropriate: Identify contraindications and
risks as appropriate
What Patients Must Understand: Identify at least three appropriate teaching
points for the patient and/or family

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SophiaPretty
(5)
Status NEW Posted 27 Sep 2017 12:09 PM My Price 8.00

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