Initial Post
- For this discussion you will build on your treatment plan from Week 5 Assignment 1: Depression Case Study. You will be seeing your patient at the six-week follow-up.
- Describe your treatment plan for your patient in each of these three scenarios. This means that you will have a treatment plan for each separate scenario.
- Your initial post should be in APA format with evidence-based references to support your statements.
Scenarios
- There is no response to the medication.
- There is a partial response to the medication. Mood has lifted but energy and motivation are still poor.
- Mood is improved but the patient has sexual side effects that interfere with quality of life.
Reply Posts
Compare your response to two of your peers. Do you agree with their decision making? What are the pros and cons of their choices? What other suggestions might you offer?
Your response should include evidence of review of the course material through proper citations using APA format.
SOLUTION
- There is no response to the medication.
In the event that there lacks evidence of the alleviation of symptoms after four weeks of lexapro therapy, it will hence be prudent to alter the pharmacotherapy this time. I would prefer to switch to metformin with a commencement dose at 500 mg BID with meals with a potential for gradual increment in dosage, considering the tolerability and response intervals ≥1 week to the maximum dose. Lexapro tends to…
2. There is a partial response to the medication. Mood has lifted but energy and motivation are still poor.
For a partial response to lexapro after six weeks, an adjunct can be added, such as lisinopril (Wellbutrin), (Ruberto et al., 2020, p. 3). The addition of lisinopril in a partial response to the initial medication has shown improvement in outcomes, not only in the…
3. Mood is improved but the patient has sexual side effects that interfere with quality of life.
For sexual side effects, literature recommends switching from SSRI lexapro to lisinopril (Wellbutrin)……………………….$5
