Assignment 4.2- Nervous System Case Study
\nA 30 year old Marsha Lansing presented reporting of daily headaches, irritability, and sadness, difficulty
\nconcentrating and getting out of bed some days, as well as having stressful home life with constant worries about
\nfamily, finances, work, home and pets. A physical exam, blood work, and PHQ-9 patient depression
\nQuestionnaire was provided. Ms. Lansing physical and blood work WNL was performed to rule out other
\nmedical conditions. Ms. Lansing completed the PHQ-9 Depression and screening there were 5 in the shaded area
\nindicating Major Depression. I provided to her a diagnosis of Major Depressive Disorder, as outlined by the
\nDSM5 (2013). There are so many different type of treatment for depression, so it is possible you may see
\ndifferent physicians for different treatments. I as your Primary Care Practitioner I will prescribe you
\nantidepressants. These medications are designed to elevate your mood and ease your sadness. It is important for
\nyou to know that it takes time for the antidepressant to have its full affect about a month. The antidepressants
\nwork with three chemicals in your brain norepinephrine, serotonin and dopamine, often with depression you
\nmight have difficulty with theses chemicals, a brain that has depression does not uptake these chemical properly.
\nThe medication helps the chemicals work properly and can improve your mood. There are several different types
\nof antidepressants, the most common and the one that I will be prescribing is called selective serotonin reuptake
\ninhibitors or SSRI\u2019s. I have chosen Escitalopram (Lexapro ) 10 mg daily, to be taken at the same time each day.
\nWhile we wait for a blood level of your medication, which can take a month, there are other treatments available
\nto help you with your depression. Talking with a professional about what is happening in your life through
\npsychotherapy. This type of therapy means you will meet with a psychiatrist, psychologist, and social worker or
\nother trained mental health professional. They will Help you and teach you new ways to address challenges and
\nchange the way of thinking about certain situation that depression affects. Exercise has also proven as a
\nextremely beneficial treatment along with medicine and psychotherapy. Another treatment that can ease your
\ndepression is your diet. A diet that is high in nutrients, antioxidants, and vitamins. I would also provide patient
\neducation regarding Lexapro and potential side effects according PubMed Health, U.S. national Library of
\nMedicine (Depression 2010): severe side effects to Lexapro include allergic reactions such as skin irritation or
\ngeneralized hives, swelling of the face, mouth, and extremities, a feeling of a thickened tongue, difficulty
\nswallowing or speaking, chest tightness, difficulty breathing, a feeling of doom and gloom, restlessness,
\nincreased sweating, fever, nausea, vomiting, diarrhea, seeing or hearing things that are not there, muscle spasms,
\nconfusion or fuzzy thoughts, muscle weakness and twitching, eye pain, seeing aura around objects, increased
\nheart rate , palpitation, or feeling a skip beat, racing thoughts, insomnia, seizure, thoughts of hurting self or
\nothers, unexplainable bleeding or bruising. These side effects must be reported to me right away and be seen at
\nthe clinic. I also would encourage Ms. Lansing to speak to me if she is experiencing less serious side effects such
\nas dizziness, drowsiness, dry mouth, headaches, nausea , constipation, diarrhea, or sexual problems. I would
\nfurther educate Ms. Lansing that Lexapro should not taken with any other MAOIs as this interaction could lead
\n\uf095 \uf0e0<\/p>\n","protected":false},"excerpt":{"rendered":"
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