Post a response to the following:

• Provide the case number in the subject line of the Discussion thread.
• List three questions you might ask the patient if he or she were in your office. Provide a rationale for why you might ask these questions.
• Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.
• Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used.
• List three differential diagnoses for the patient. Identify the one that you think is most likely and explain why.
• List two pharmacologic agents and their dosing that would be appropriate for the patient’s antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.
• For the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on the client’s ethnicity. Discuss why the contraindication/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals of other ethnicities?
• If your assigned case includes “check points” (i.e., follow-up data at week 4, 8, 12, etc.), indicate any therapeutic changes that you might make based on the data provided.
• Explain “lessons learned” from this case study, including how you might apply this case to your own practice when providing care to patients with similar clinical presentations

Solution:

The Case: The man whose antidepressants stopped working

Three Questions for the Patient

The three concerning questions following a thorough review of the presented case are based on the patient’s psychiatric health history. They are as follows:

Question 1: Was the medication discontinuation after a depression episode self-or a physician initiated? This question will enlighten me on the compliance of the patient to medication prescription and whether he stopped the medication when the symptoms alleviated.

Question 2: What were the events that occur before each episode of depression? This question will equip me with an understanding regarding the triggers and risk factors that lead to occurrence of episodes of depression.

Question 3: There happens to be a family history of alcohol abuse and depression, in this regards, is there anyone in the family who has received treatment? This question will create an understanding about the patient and family’s perception of psychiatric treatment. Due to the fact that the patient and the patient’s family do not believe in psychotherapy for religious reasons, the patient may lack knowledge about the available treatment options for him…..Please click the icon below to purchase full solution at $10