Antidepressant Treatment Adjustment
カートのアイテムが多すぎます
カートに追加できませんでした。
ウィッシュリストに追加できませんでした。
ほしい物リストの削除に失敗しました。
ポッドキャストのフォローに失敗しました
ポッドキャストのフォロー解除に失敗しました
Antidepressant Treatment Adjustment
-
ナレーター：
-
著者：
The PMHNP is evaluating a 27-year-old patient referred from the primary care provider for evaluation and treatment of a failure to respond to first line antidepressant pharmacotherapy. According to the referral the patient was diagnosed with major depressive disorder, recurrent, and started on a trial of escitalopram titrated up to 20 mg daily with no improvement. In fact, the patient tells you that he actually felt worse, with increasing irritability and agitation. Today the patient admits to depressed mood, anhedonia, hopelessness, irritability, chronic difficulty sleeping with nocturnal awakening, and occasional passive suicidal ideation. The patient reports that he has been struggling with depressed mood off and on since high school, and that he drinks at least a 6-pack of beer most days because it makes him feel better.
The NP recognizes that the priority of care today is which of the following?
A. Changing his antidepressant
B. Ruling out bipolar disorder
C. Managing the alcohol use disorder
D. Involving a therapist in the plan of care