psychopharmacology case studey week 3.
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
· 5’10â€
· 190 lbs.
Please use the case study template to complete the case and answer the questions listed below:
1. 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?
2. What would be the expected future course of illness for this patient?
3. If the patient develops another depressive episode, how would you treat it?
4. 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.)
5. Provide and reference a recent research article (Published over the last 3 years) on the medication treatment of Mood Disorders
Assignment File(s)
download [Word Doc]
Rubric
NU670 Unit 3 Assignment – Case Study Rubric
NU670 Unit 3 Assignment – Case Study Rubric
Criteria
Ratings
Pts
This criterion is linked to a Learning OutcomeContent of Paper
30 pts
Exemplary – Exceeds Expectations
The writer demonstrates a well-articulated understanding of the subject matter in a clear, complex, and informative manner. The paper content and theories are well developed and linked to the paper requirements and practical experience. The paper includes relevant material that fulfills all objectives of the paper. Follows the assignment instructions around expectations for scholarly references. Uses scholarly resources that were not provided in the course materials. All instruction requirements noted.
26 pts
Advanced – Meets Expectations
The writer demonstrates an understanding of the subject matter, and components of the paper are accurately represented with explanations and application of knowledge to include evidence-based practice, ethics, theory, and/or role. Course materials and scholarly resources support required concepts. The paper includes relevant material that fulfills all objectives of the paper. Follows the assignment instructions around expectations for scholarly references. All instruction requirements noted.
23 pts
Intermediate – Needs Improvement
The writer demonstrates a moderate understanding of the subject matter as evidenced by components of the paper being summarized with minimal application to evidence-based practice, theory, or role-development. Course content is present but missing depth and or development. Does not follow the assignment instructions around expectations for scholarly references. Only uses scholarly resources that were provided in the course materials. Most instruction requirements are noted.
20 pts
Novice – Inadequate
Absent application to evidence-based practice, theory, or role development. Use of course content is superficial. Demonstrates incomplete understanding of content and/or inadequate preparation. Content of paper is inaccurately portrayed or missing. Does not follow the assignment instructions around expectations for scholarly references. Does not use scholarly resources. Missing some instruction requirements.
0 pts
Not Proficient
Did not complete assignment.
30 pts
This criterion is linked to a Learning OutcomeAnalysis and Synthesis of Paper Content and Meaning
30 pts
Exemplary – Exceeds Expectations
Through critical analysis, the submitted paper provides an accurate, clear, concise, and complete presentation of the required content. Information from scholarly resources is synthesized, providing new information or insight related to the context of the assignment by providing both supportive and alternative information or viewpoints. All instruction requirements noted.
26 pts
Advanced – Meets Expectations
Paper is complete, providing evidence of further synthesis of course content via scholarly resources. Information is synthesized to help fulfill paper requirements. The content supports at least one viewpoint. All instruction requirements noted.
23 pts
Intermediate – Needs Improvement
Paper lacks clarification or new information. Scholarly reference supports the content without adding any new information or insight. The paper’s content may be confusing or unclear, and the summary may be incomplete. Most instruction requirements are noted.
20 pts
Novice – Inadequate
Submission is primarily a summation of the assignment without further synthesis of course content or analysis of the scenario. Demonstrates incomplete understanding of content and/or inadequate preparation. Missing some instruction requirements. Submits assignment late.
0 pts
Not Proficient
Did not complete assignment.
30 pts
This criterion is linked to a Learning OutcomeApplication of Knowledge
30 pts
Exemplary – Exceeds Expectations
The summary of the paper provides information validated via scholarly resources that offer a multidisciplinary approach. The student’s application in practice is accurate and plausible, and additional scholarly resource(s) supporting the application is provided. All questions posed within the assignment are answered in a well-developed manner with citations for validation. All instruction requirements noted.
26 pts
Advanced – Meets Expectations
A summary of the paper’s content, findings, and knowledge gained from the assignment is presented. Student indicates how the information will be used within their professional practice. All instruction requirements noted.
23 pts
Intermediate – Needs Improvement
Objective criteria are not clearly used, allowing for a more superficial application of content between the assignment and the broader course content. Student’s indication of how they will apply this new knowledge to their clinical practice is vague. Most instruction requirements are noted.
20 pts
Novice – Inadequate
The application of knowledge is significantly lacking. Student’s indication of how they will apply this new knowledge to their clinical practice is not practical or feasible. Demonstrates incomplete understanding of content and/or inadequate preparation. Application of knowledge is incorrect and/or student fails to explain how the information will be used within their personal practice. Missing several instruction requirements. Submits assignment late.
0 pts
Not Proficient
Did not complete assignment.
30 pts
This criterion is linked to a Learning OutcomeOrganization
5 pts
Exemplary – Exceeds Expectations
Well-organized content with a clear and complex purpose statement and content argument. Writing is concise with a logical flow of ideas.
4 pts
Advanced – Meets Expectations
Organized content with an informative purpose statement and supportive content and summary statement. Argument content is developed with minimal issues in content flow.
3 pts
Intermediate – Needs Improvement
Poor organization, and flow of ideas distract from content. Narrative is difficult to follow and frequently causes reader to reread work. Purpose statement is noted.
2 pts
Novice – Inadequate
Illogical flow of ideas. Missing significant content. Prose rambles. Purpose statement is unclear or missing. Demonstrates incomplete understanding of content and/or inadequate preparation. No purpose statement. Submits assignment late.
0 pts
Not Proficient
Did not complete assignment.
5 pts
This criterion is linked to a Learning OutcomeAPA, Grammar, and Spelling
5 pts
Exemplary – Exceeds Expectations
Correct APA formatting with no errors. The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately). Writing is concise, in active voice, and avoids awkward transitions and overuse of conjunctions. There are no spelling, punctuation, or word-usage errors.
4 pts
Advanced – Meets Expectations
Correct and consistent APA formatting of references and cites all references used. No more than two unique APA errors. The writer demonstrates correct usage of formal English language in sentence construction. Variation in sentence structure and word usage promotes readability. There are minimal to no grammar, punctuation, or word-usage errors.
3 pts
Intermediate – Needs Improvement
Three to four unique APA formatting errors. The writer occasionally uses awkward sentence construction or overuses/inappropriately uses complex sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar. Some words, transitional phrases, and conjunctions are overused. Multiple grammar, punctuation, or word usage errors.
2 pts
Novice – Inadequate
Five or more unique formatting errors or no attempt to format in APA. The writer demonstrates limited understanding of formal written language use; writing is colloquial (conforms to spoken language). The writer struggles with limited vocabulary and has difficulty conveying meaning such that only the broadest, most general messages are presented. Grammar and punctuation are consistently incorrect. Spelling errors are numerous. Submits assignment late.
0 pts
Not Proficient
Did not complete assignment.
5 pts
Total Points: 100
