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.
- Are there any lab tests you would like to have or would order? Explain why?
- What is your pharmacologic plan for treatment?
- What ideas do you have for non-pharmacological interventions in this patient?
- What interprofessional consultations or referrals would you make for this patient?
- Explain what might not go as planned with your first pharmacologic plan and present a secondary pharmacological plan for treatment?
- Provide a scripture or devotional that you could provide to the struggling client.
- Find or create a visual representation of the neurobiology of your patient’s diagnosis.
- Use APA Style formatting throughout the paper, citations/references should be included
Stahl’s essential psychopharmacology 5th: Neuroscientific basis and practical applications
