Sally is a 56 y/o female who presents to your office complaining ofdepression. She has been hospitalized for depression and suicidal thoughts on 3 occasions, once in her 20’s, once after the birth of her daughter when she was 31, and again about 5 years ago. She is tearful in the appointment stating she doesn’t want to go back to the hospital, but she just knows she is heading down a dark path. She is currently prescribed Zoloft 100mg 2 pills daily for depression and Xanax 0.5mg BID PRN for anxiety. She reports having tried Cymbalta (made things worse), Prozac (helped for a while and stopped), Lexapro (no response), Pristiq (caused agitation). -Are there any lab tests you would like to have or would order? Explain why? -What is your pharmacologic plan for treatment? -What ideas do you have for non-pharmacological interventions in this patient? -What interprofessional consultations or referrals would you make for this patient? -Explain what might not go as planned with your first pharmacologic plan and present a secondary pharmacological plan for treatment? Health Science Science NursingPMHN-620: 620
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