Herzing NU 670 Unit 3 Assignment Latest
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Herzing NU 670 Unit 3 Assignment Latest
Unit 3 Assignment Case Study: Mood Disorders
Instructions
Patient
Intake and History
The patient
is a 26-year-old college graduate who is currently euthymic but who has a
history of major depressive episodes
He has
experienced major depressive episodes, mostly untreated, of varying lengths and
severities since he was a teenager
His symptoms
have included insomnia, despondent thoughts, depressed mood, low interest in
activities, poor energy, and impaired cognition
He says his
self-esteem drops and he feels rejection-sensitive and guilt-ridden for no
apparent reason
He has never
had suicidal thoughts
Some of the
depressive episodes have been incapacitating and have interfered with school
and work
He appears
to have good inter-episode recovery and is able to return to class and
work
The patient
also has symptoms of social anxiety
He is often
nervous around new people and acquaintances
He
experiences anticipatory anxiety and will avoid certain social
events
These
symptoms are present regardless of his affective state
He has asked
for a consultation because he has legal issues regarding drinking and driving
that he thinks were likely fueled by his psychiatric symptoms
At the time
of the infraction (several months ago, just before graduating college), he had
been started on a selective serotonin reuptake inhibitor (SSRI) for the
depression and SAD symptoms
Within days
of starting he experienced elevated mood in a sustained fashion over several
days
He lost all
anxiety, fear, and avoidance
He was
unusually talkative; had racing thoughts; was distractible, hyperactive, and
impulsive; and had decreased need for sleep
He exhibited
grandiosity, in which he felt invincible and that the law did not apply to him;
this led him to purposefully antagonize a man in a bar, drive while drinking,
and challenge authority when police were called
The mood
elevation is complicated by the fact that the patient admits to heavy alcohol
use on weekends throughout college
The mood
elevation abated with cessation of the SSRI treatment
He has now
completed college; he has few friends in the immediate area but his
family is very supportive
He wants to
be a news reporter and is planning on applying to graduate school
The patient
has no family history of bipolar disorder; his mother has generalized anxiety
disorder (GAD)
He is not
currently taking any medications
Vitals:
- 98.8
- 160/80
- 76
- 18
- 5’10”
- 190 lbs.
Please use
the case study template to complete the case and answer the questions listed
below:
- Does the patient’s history support a diagnosis of bipolar disorder
even though his symptoms appear to have been triggered by a selective
serotonin reuptake inhibitor?
- What would be the expected future course of illness for this
patient?
- If the patient develops another depressive episode, how would you
treat it?
- What medication would you choose (there could be many correct
answers). What is the MOA of this medication? (Be specific i.3. What
receptor does it work on, etc.)
- Provide and reference a recent research article
(Published over the last 3 years) on the
medication treatment of Mood Disorders
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