MEDICATION PROFILE TEXTBOOK PICTURE TEXTBOOK PICTURE DEFINITION OF DIAGNOSIS Major depressive disorder Persistent sad, dysphoric mood with symptoms severe enough to interfere with an individual's ability to eat, enjoy life, sleep, study, or work May occur in clusters or sporadically (with increasing frequency); may recur after symptomfree period SIGNS AND SYMPTOMS Agitation Anxiety Confusion Constipation Depression Diarrhea Fatigue Insomnia EXPECTED LAB & DIAGNOSTIC RESULTS Toxicology screening suggests a drug-induced depression. Dexamethasone suppression test results may show a failure to suppress cortisol secretion. EXPECTED TREATMENTS Electroconvulsive therapy (ECT) Psychotherapy, such as cognitive-behavioral therapy, interpersonal relationship therapy, supportive psychotherapy, group or family therapy, and psychodynamic psychotherapy Hospitalization for suicidality YOUR PATIENT ASSESSMENT RATIONALE FOR DIFFERENCES No trigger Anxiety Depression Suicidal Ideation for few months PTSD (flash backs) Bored and feels low energy Insomnia No self-mutilating or homicidal ideas There’s not as many physical symptoms since she has already been treated and there might not be as many physical symptoms to start with anyway. There are added suicidal ideations and PTSD because of recent loss of a friend and broke up with boyfriend and sexual abuse by a cousin that’s still seeing her. N/A Did not see any labs results Hospitalization for suicidality Atarax bupropion hydrobromide Group Therapy That’s the medications she had described to us. I did not get to go through her MAR. She was found OD on Tylenol to attempt suicide. She was very exciting about the talk with her doctor because it was her way out of the hospital. She hated the group therapy because “it wasn’t helpful it was just a waste of her time.” She is fine Transcranial magnetic stimulation if unresponsive to one class of antidepressants Vagus nerve stimulation SSRI/SNRI Atypical TCA MAOI St. John’s Wort Aripiprazole References: Lippincott advisor. (2019). Retrieved from http://advisor.lww.com with the medications, but she complains that they made her too drowsy during the day.