He worries about not landing a job and fears having difficulty paying student loans. He fears that his marriage may end in divorce too, even though his girlfriend loves him very much. He experienced domestic conflicts between his parents prior to their divorce. He reported having a difficult childhood, as his parents divorced, and he had to move back and forth between their places. He is worried about his law boards, successfully completing school, wedding planning, and keeping in touch with his parents. He has been in a relationship with his girlfriend since college, and they plan to marry upon his graduation from law school. These symptoms have been persistent over the years but recently have been worsening. He has been having difficulty sleeping at night, is fatigued, and has muscle tension. What would you assess?Ī 27-year-old man, enrolled in law school, presents to his primary care provider's office with increased stress due to his academic workload. When would you follow up with the patient.What are the side effects of the proposed medication therapy?.If or when you you would augment the medication and why.When would you titrate or change medication?.Provide generic name, (Brand name) in parenthesis, class of medication, dosage range of medication, starting dose, and rationale for medication.What is the best choice for medication therapy?.Provide one differential diagnosis with ICD-10 diagnosis code and its rationale for diagnosis.List the DSM-5 criteria in your rationale and cite where you found it within the DSM-5.What is the rational/criteria for diagnosis?.Provide ICD-10 diagnosis code, diagnosis, and specifiers for Major Depressive Disorder.The man states that although he is sure he is experiencing another major depression, he would like to avoid imipramine this time because it produced unacceptable side effects such as dry mouth, dry eyes, and constipation. He denies illicit drug use or any recent traumatic events. During a second episode that occurred 15 years ago, he was treated with imipramine, and once again his symptoms remitted after 4 to 6 weeks. At that time, he was treated with imipramine, up to 150 mg/d, with good results. He was diagnosed with major depression for the first time 20 years ago. A 42-year-old man comes to his outpatient psychiatrist with complaints of a depressed mood, which he states is identical to episodes of depression he has experienced previously.
0 Comments
Leave a Reply. |
Details
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |