Topic – Discussion – Case Study
Respond to the following in a minimum of 550 words:
Read this case:
Patient MS is a single female who comes in to see you complaining about being tired, easily fatigued, and having trouble concentrating. She is 34 years old and works as a secretary for a law firm. She tells you she is having trouble falling asleep at night, and wakes up too early, and thinks this explains what is happening. She is worried that it takes her longer to do things at work. During the Mental Status Exam, you find she is slightly disheveled, quiet, and slow to answer your questions. She slumps in the chair and looks sad. She describes her mood as fine but spontaneously starts crying, telling you she doesn’t know what is wrong with her, but she no longer enjoys going out with friends. She states she had never felt this way before; in fact, two years ago, she felt the best she had ever felt in her life. She didn’t need much sleep and was so productive at work that she received a raise. She states that at that time, she was never tired like she is now and had multiple boyfriends. She claims this lasted about three months. She currently denies any delusions or hallucinations but admits that she is much more negative about things and isn’t interested in dating. She denies suicidality. She states that the sleep problem started about a month ago and seems to be worse over time.
Refer to your course textbooks, especially Stahl’s Essential Psychopharmacology: Prescriber’s Guide.
Using the items below, write about how you would present your diagnosis and treatment plan to your supervisor before informing your patient.
Identify the target symptoms that may be responsive to proper treatment and the time course of response.
Identify facts that are important in choosing a medication to prescribe.
Suggest a diagnosis and possible medication treatment plan.
Explain any additional information needed that is important in deciding on treatment.
SCHOOL READING CHAPTERS AND REFERENCE- BELOW
Stahl, S. M. (2021). <i>Stahl’s essential psychopharmacology</i> (5th ed.). Cambridge University Press.
Read Ch. 6, “Mood Disorders and the Neurotransmitter Networks Norepinephrine and y-Aminobutyric Acid (GABA).
Read Ch. 7, ‘Treatments for Mood Disorders: So-Called “Antidepressants” and “Mood Stabilizers.
Psychiatric-Mental Health Nurse Practitioner, Ch. 9
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