Sally is a 56 y/o female who presents to your office complaining of depression. She has been hospitalized for depression and suicidal thoughts on 3 occasions, once in her 20’s, once after the birth of her daughter when she was 31, and again about 5 years ago. She is tearful in the appointment stating she doesn’t want to go back to the hospital, but she just knows she is heading down a dark path. She is currently prescribed Zoloft 100mg 2 pills daily for depression and Xanax 0.5mg BID PRN for anxiety. She reports having tried Cymbalta (made things worse), Prozac (helped for a while and stopped), Lexapro (no response), Pristiq (caused agitation).

Answer the following questions regarding your assigned case study.

  1. Are there any lab tests you would like to have or would order? Explain why?
    1. What is your pharmacologic plan for treatment?
    1. What ideas do you have for non-pharmacological interventions in this patient?
    1. What interprofessional consultations or referrals would you make for this patient?
    1. Explain what might not go as planned with your first pharmacologic plan and present a secondary pharmacological plan for treatment?
    1. Provide a scripture or devotional that you could provide to the struggling client.
    1. Find or create a visual representation of the neurobiology of your patient’s diagnosis.
  2. Use APA Style formatting throughout the paper, citations/references should be included

Stahl’s essential psychopharmacology 5th: Neuroscientific basis and practical applications

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