Psychopharmacology Case Presentation

good evening

and welcome to my presentation.

My name is

I

and I will be presenting sale

the

loft.

A

psycho of

my

presentation

on sale

the

loft.

I'll be having two case presentations.

Case study number one will be a candidate

that is absolutely

qualified to take this medicine.

Case number two, we be a patient that is having depression,

severe major depression,

just as case number one.

But due to certain certain circumstances,

we

are not going to give.

We give an alternative.

So major depressive disorders, what are the symptoms?

Feeling of hopelessness.

What less depressed mood feeling of intense sadness,

loss of interest and activities that were previously enjoyable.

Thought

of deaths are societal difficulty concentrating, making decisions

and feeling fatigue. Loss of energy

symptoms can vary from person to person,

and duration can be as well, uh, different.

So it is important to seek professional help when someone

that you know or you is having these symptoms.

So what do you know about sale?

Sale?

The brand name for sale

is a

They are, uh this medicine is under the, um,

class of medication known as selective serotonin

reuptake inhibitors.

This medication, um, can be abbreviated to be S S R I s

strain is food and drug administrative approved medication

as a first line of treatment for major depressive disorder,

it can as well be used to treat anxiety disorder and other mood disorders.

So this medication mechanism of action

it works by increasing the level of neuros

metre

um, serotonin in the brain.

Serotonin is a chemical that helps to regulate the mood,

anxiety and other emotional states.

Some side effects

of include nausea, diarrhoea in Sonia, dizziness and

so dramas surge. Dysfunction, drowsiness,

surge dysfunction and drowsiness is the reason why

most people don't want to take this medicine.

Switzerland can also cause serotonin

syndrome when given in

concomitant with other S s R.

This is why we should,

you know, do evaluation to know the, uh,

medication patients are taking to make sure we don't,

um such

an overdose.

This can happen with the symptoms.

When patients start having agitation, restlessness, we also treat the patient.

When you have this symptom, go to the ER. Always the medicine as prescribed.

Do not take a dose

When

you know you find that they didn't take it today.

So tomorrow you're gonna take twice. No, just take your medicine.

As soon as you found out that you did not take it instead of taking a double

some of these symptoms, we go away after some time.

So generally, such

land is known to be well tolerated by many people.

So my case study, Uh, number one is, uh,

Mr A B for the six year old African American single male.

He lost his wife two days ago.

Apparently that could contribute to his, uh, depression.

He he presented the clinic and reported persistent feeling of intense sadness,

hopelessness, loss of interest in activities that were previously enjoyable.

Difficulty concentrating. Significant with loss and suicidal. Jason.

He recently lost his job due to absenteeism. Apparently that country budget to

the feeling of guilt and workless,

he admitted to history of anxiety and anaemia. Um,

he said he has used the nurse in the past six months,

and he had me to drinking alcohol occasionally, But the nice, uh,

cigarette smoking or use of illicit drugs.

Mr. Abe

was seen by a mental health professional who diagnosed him with major

depressive disorder four weeks ago and now refer him to mental,

um, psychiatric mental health nurse practitioner for routine checkup.

Um, it happens that I'm the student.

Um, my preceptor have this person. So I took over this case.

So what do you think this patient should continue with this medication?

Um, because he's the first line of of, uh, treatment for major

depressive disorder.

Uh, patient coming in with the physical symptoms.

And he's very depressed, has flag effects.

Uh, but he you know, he had a poor judgement thinking he's gonna kill himself.

But National alliance and mental illness, um, said that, um,

it is expected for them to have some improvement in the,

uh for within four weeks. Um, that's the L A. Sometimes two weeks to four weeks.

So these patients already have, um, sleep improvement, energy improvements,

good appetite, but still not showing

full recovery of concentration.

So But he hopes that within a few weeks that he's gonna feel better.

This medication is good for him because he's helping him with his anxiety.

And, um, he's been, you know, it's been para related by most people.

Hopefully, Mr Abe would, um, tolerate this medicine.

So, in summary, uh, about this condition of this patient, what do we see?

He's currently

depressive. He has his stress anxiety has taken

six months ago. He has been, um, taking suing

for four weeks and his mood has improved.

Uh, but he's still having difficulty concentrating.

So for, um, psychotic evaluation of this patient like we did, we found out that,

um he has history of anxiety and anaemia.

Um, uh, you know, he he is, um,

social. History

is single. Live alone.

He's financially unstable. He lost his job, but he's cooperative.

His mood is depressed, has flat effects, has poor judgement.

He drinks occasionally. So education was done to tell him,

um, alcohol, uh, cessation.

And, um,

he was not gonna take this medic,

continue taking alcohol when he's taking medication,

because is he gonna make his condition worse?

So the treatment plan for this patient.

So this patient started? Um,

the 50 milligramme

and we increasingly was in gradually increased. He's now on 100 milligramme,

um,

over a period of four weeks. So, um, education was done.

He already know the mechanism of action of this medicine. He already

that he's gonna stop taking, um

um

alcohol.

But, um, he was told in case of side effects,

if he had any severity that he should go to the emergency room.

Cognitive behavioural therapy was exposed to him taking therapy,

and he said to be in compliance to go to

therapy because he was told that therapy will help him together

quickly to get a job and go back to work.

This patient will follow up with the

six months,

Um,

since he's already stabilised and have seen some,

um, much improvement.

But he was asked to call the psychiatric whenever he feels the symptoms is worse than

so expectation. During this encounter

and potential barriers, a comprehensive assessment was done. Education done.

Um

and, uh,

you know, these are the positive signs.

Significant improvement is expected in the next eight weeks so that he

can go back to work or at least found a job.

He will continue checking this 100 milligramme daily.

Then

it's expected that he may be non adherence to medication.

Um, due to loss of sleep or loss of a

or stigmatisation around the mental illness.

This is why we know, you know, be telling him about depression, depression? Come up.

Rather, we tell him like their

will be improved if you take this medicine. Since the love can cause

function. Being a single man,

you know, that will make him not just take the medicine.

But we have to explain to him that you need to stabilise the mood, cultural factors,

stigmatisation, being African American male,

knowing what they went through with the

and, you know, not getting consent for treatment.

All this is in their minds, so we need to educate him on not being judgmental.

So cultural diversity Like I've just mentioned,

we need to address that and it's very important that we make him understand,

probably religious.

Um,

background may also influence him for not being

a good candidate for not taking his medicine,

but all that will be done in education.

So what do I learn from this exercise? In conclusion, Zolo

was the best drug of charge for Mr A B

of, uh, me

depressive disorder.

The S S R will be affected in improving his mood,

releasing anxiety and decreasing physical symptoms.

This medication is expected to be

well

to by Mr A. B and will allow him to return to work from this exercise.

This presenter learned that the proper diagnosis of treatment of, um

uh

mood uh depressive, uh, severe

depressive disorder

for

psychotic evaluations.

I

commonly use medication for the treatment of depression

and, um, may evt Mr A B covering depressive symptoms.

Additionally, cultural factors play significant significant role in, um,

decision making process and adaptation may be

necessary to ensure success for treatment.

So my second case study is on Mr. T is on Mrs. T.

T. K is a 40 year old Hispanic female married for 18 years, has three teenagers.

She's, uh, currently going through divorce from last year.

So she is working two jobs to make to pay his bills to pay her bills.

And, um, um, you know it's presented to the behavioural clinic a report.

The physical symptoms, which include sadness, hopelessness,

loss of interest in activity, fatigue,

difficulty sleeping difficulty because concentrate low energy

and suicidal addition without any plan,

she admits a history of depression.

She reported mental history of epilepsy, a medical history of epilepsy for, and,

uh, she's currently taking Kama

pain. She reported that her mother has issue of bipolar disorder.

She denied drinking alcohol, smoking cigarettes and using illicit drug,

and admits to taking medication.

Kaine currently for first, Um, after we did a full psychotic evaluation,

we concluded and, um, that this patient will be started on antidepressant.

But, uh, looking at, um, even though

is the first, um, line of, um,

treatment for major depressive disorder.

Um, we are not going to give us such

a because

a pain

that has a major interaction that causes neuro

system

that can be back in another

system

has already taken Flo

in the past six months ago.

But she said I stopped that medication because I said, I'm feeling better,

so I'm no longer taking it.

So, um, he has his

depression, uh, family history, depression.

This makes me to feel very suspicious. You know of bipolar disorder and the sacri

land makes bipolar disorder was

in mania effects. So, um,

considering all these two factors, she's not a good candidate to be given sale.

So I will start this session on

So, um,

is a different medication antidepressant for major depressive disorder.

This medication,

um, comes like in, um,

a standard relief sustained relief. It also has another brand

name known as Zyban

that can be used for smoking cessation.

And it's an F d approved, uh, approved medication,

and nine, if you look at this kind of a newer medication, but many people are,

you know,

use it to treat, uh, major depressive disorder, and it's very effective,

and it's also used to treat seasonal effective disorder as well.

So because of this, medicine does not have any with

the country sent with cars

pain. Miss, uh, Mrs

um is a candidate to try this medicine, and hopefully it will work for her.

So we are going to start her on, um,

a standard release medication at a 150 milligramme,

um, um

daily and gradually

increase it to 300 milligrammes within the next week, or maybe four days.

So but first of all, we need to know monitored closely.

Patient. We come to clinic every two weeks because, as we know,

uh, antidepressant and increased suicidal thought. And this medication,

um,

if

a

is is known for that,

um, in adults to increase Sudal thoughts, it has a side effect of a headache,

weight loss, dry mouth, sleepiness

and, um,

all that and again,

um,

the side effects should be monitored because

it's a new medication for this patient.

So we have to teach this patient. He gonna be follow up.

And, um, we do all that then because this patient,

his Hispanic cultural background, may be a barrier with her, You know, uh,

taking this medicine. So we have to involve the family.

Uh, family education should be done.

So

conclusion

what I learned from this medication from this exercise,

I learned that family need to be considered

when taking care of patients, especially new patient, Hispanic background,

and it's always good.

Psychopharmacology Case Presentation

Chapters

Audio TranscriptAuto-generated