Treatment Resistance Depression Case #1: The man whose antidepressant stopped working The patient in the scenario has had a reoccurrence of major depression episodes five times. Most often, after he stops taking an antidepressant, he will have a reoccurrence of the depression symptoms, which sometimes will go for mouths. His occurrence of episode 3 started his resistance when he stops take Wellbutrin (bupropion) which was given to help with sexual dysfunction. As a result, the patient could not maintain the Sertraline (Zoloft) and discontinue it within a year. This is very certain that patient is going through treatment resistance depression (TRD ) due to disconnect of some neurotransmitters. According to Moukaddam & Shah (2016) is a situation …show more content…
The wife will need to tell me the life situation of the patient and some of the challenges patient has at this time. Patient has two kids, a son who depressed and a daughter who also has mild depression. I will like to know from the children if they have recently visited their dad and have noticed changes recently. Making the kids to identify changes will be a teaching forum for them to help with a treatment plan. Physical exam and diagnostic tests During the patient visit, I will ask some health questions to make sure patient does not have some underlying health concerns. I will get set of vital signs, lab work that includes BMP and CBC. An vital blood test will be to check the thyroid to make sure is function well (MayoClinic 2018). As I continued with the visit, I will evaluate the appearance of the patient if he looks unkempt, the mood of communication, anxiety or clam, flat affect and eye-to-eye contact. This will give an understanding of patient’s inner feeling to his verbal responsive. Three different diagnosed Personality disorder Anxiety Disorder Bipolar
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The patient has a twin brother 15 years and completed the electronic screening by himself. The results were negative for suicide ideation (C-SSRS), positive for mild depression (CAD-MDD, CAT-DI: 55.6), positive mild for anxiety (CAT-ANX: 43.1), positive elevated for mania/hypo mania (CAT-M/HM: 52.4), positive for tobacco and illegal drugs in the past year (NIDA assist). He is on psychiatric treatment at McIntosh Trail and taking medication. We encourage to continuing his treatment at McIntosh Trail Counseling services. Eunice Malavé de León,
• Relapse highest in first 2 months after discontinuation of therapy. • If the patient has more than two major depressive disorder episodes, there is a change of 80% relapse in the first year without treatment. • It is critical to consider maintenance therapy as with any chronic illness. 13.
The patient is a 18 year old female who presented to the ED with suicidal thoughts with a plan to cut her throat. The patient reports homicidal ideations towards her mother. The patient denies symptoms of psychosis. The patient reports depressive symptoms as: isolation, tearfulness, irritability, anhedonia, worthlessness, and insomnia. The patient reports recent stressors as family relationships, school, and her relationship with her current boyfriend.
Assignment 3: Psychotropic Drug Overview: Antidepressant (7 points = annotated outline) Directions: For this assignment, you will select a psychotropic medication from the classifications of antidepressants or mood stabilizers. Choose a medication likely to be prescribed to clients with whom you are interested in working and/or a medication you would like to know more about. Create an annotated outline/infographic that includes the following: a) The use of the medication in the management of mental health –including DSM-5 code and diagnosis; b) Common side effects and any contraindications; c) Describe the pharmacokinetics of the medication using the acronym ADME to describe the process.
Dr. Ricardo Nuila states that one of his patients had terminal illness (Berlinger, N., & Raghavan, R., 2013). The patient was given medication till the patients was considered stable (Berlinger, N., & Raghavan, R. 2013). Then again the patient did
Depression is one of the most widely diagnosed mental health issue. The National Institute of Mental Health(NIH) define depression as persistent symptoms of depressive moods that last 2 years and interfere with day to day activities. Throughout the years, medical authorities and researchers have questioned whether or not the withdrawal from antidepressants causes dependence. This is an important issue for several reasons. Firstly, antidepressants are commonly used throughout the world.
Talk about what went well in the scenario. I perform vitals sings and communicated effectively with Mr. Ahmed. I educated the patient in areas such as dehydration, fall risks, intake and ouptup measurements. In addition, I administer oral and intravenous medication to ensure proper drug
I picked scenario one, just graduated from college and is beginning a job in a new city. The two things that I would do in order to begin my search is, first thing I would do is ask my co-workers, what medical physician they go to and recommends. The reason is, due to the fact that they will be able to give an honest and non-bias opinion. The second thing I would do is contact my insurance company and ask them what physician in my area accepts my insurance and pay them a visit because it will help me in budgeting wisely.
She must understand the doctor's instructions and the patient's concerns. Her communications skills focus on both giving and receiving information as well as creating an environment of confidence. Some consequences of ineffective communication can be chaos, confusion, disorder, fear, conflict, inefficient systems, and wasted resources (Vertino, 2014). An ineffective communication can lead to errors in patient’s misdiagnosis and even medication on admission, during hospital stay, and after discharge, and whether these errors were potentially harmful.
Major depressive disorder occurred when the depression is serious and continue for two or more weeks. Those who suffer from this disorder might always feel sad, think negatively and loss of interest on everything. In serious cases, they might feel like want to commit in suicide. The treatments that could cure the psychological disorders can divided into Psychotherapy, Biomedical Therapy and Changing the Social Situation. However, combination therapy will be more effective in treatment.
plan your session around wrapping up topics that where discussed and talk about all the ways in which the client will maintain what they had learned. Second praise the client for all of the hard work that they have done all of the positive changes they had made. Show them the difference on Becks Depression Inventory for youth (BDI-Y) or Beck Depression Inventory II (BDI-II) showing hard facts can help, and praise emphasis all of the change. Third “checking in with the client regularly about questions or concerns about ending treatment helps maintain the therapeutic relationship and offset negative emotions about treatment that could result in negative outcomes, such as feeling abandoned. If the patient seems particularly concerned about ending