As a , you will likely encounter patients who suffer from various mental health disorders. Not surprisingly, ensuring that your
patients have the appropriate psychopharmacologic treatments will be essential for their overall health and well-being. The psychopharmacologic treatments
you might recommend for patients may have potential impacts on other and, therefore, require additional consideration for positive
patient outcomes. For this Assignment, you will review and apply your understanding of psychopharmacologic treatments for patients with multiple mental
Answer based on this CASE STUDY
This week, we examine a who presents to the office with a chief complaint of insomnia.
Patient is a 31-year-old male. He states that his insomnia has gotten progressively worse over the past 6 months. Per the patient, he has never been a great
sleeper but is now having difficulty both falling asleep and staying asleep at night. The problem began approximately 6 months ago after the sudden loss of
his fianc. The patient states this is affecting his ability to perform his job, which is a forklift operator at a local chemical company. The patient states he has
used diphenhydramine in the past to sleep but does not like the way it makes him feel the morning after. He states he has fallen asleep on the job due to lack
of sleep from the night before. The patient’s medical record from his previous physician states that he has a history of opiate abuse, which began after he
broke his ankle in a skiing accident and was prescribed hydrocodone/apap (acetaminophen) for acute pain management. The patient has not received a
prescriiption for an opiate analgesic in 4 years. The patient states recently he has been using alcohol to help him fall asleep, approximately four beers prior to
MENTAL STATUS EXAM
The patient is alert and oriented to person, place, time, event. He makes good eye contact and is dressed appropriately for time of year. He denies
auditory/visual hallucinations. Judgement, insight, and reality contact are all intact. Patient denies suicidal/homicidal ideation, and is future oriented.
DECISION POINT: I will prescribe Trazodone 50 mg, initially, then I will reduce to 25 mg daily at bedtime to reduce side effect of unpleasant side effect of an
erection lasting approximately 15 minutes after waking. If patient is responding well, re-assess in 4 weeks.
Address the following Short Answer prompts for your Assignment. Be sure to include references to the Learning Resources for this week.
1. In 3 or 4 sentences, explain the for a patient who presents with MDD and a history of alcohol abuse. Which drugs are
contraindicated, if any, and why? Be specific. What is the timeframe that the patient should see resolution of symptoms?
2. List 4 predictors of late onset generalized anxiety disorder.
3. List 4 potential neurobiology causes of psychotic major depression.
4. An episode of major depression is defined as a period of time lasting at least 2 weeks. List at least 5 symptoms required for the episode to occur. Be
5. List 3 classes of drugs, with a corresponding example for each class, that precipitate insomnia. Be specific.
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