Sertraline

This is a 57-year-old female with 8/01/06 date of injury, due to a slip and fall. Diagnosis: chronic pain syndrome primary OA-L ankle and foot, MDD, Single Episode and Generalized Anxiety disorder. 12/08/15 progress note by Mehtani documented that the claimant had been seeing Dr. Desai for a period of time. She has been on a complex medication regimen. The provider is trying to cut down the use of Klonopin and Ambien. The patient was told this was her last prescription. In the meantime, he…

In Faulkner’s “A Rose for Emily,” it is evident that Emily Grierson has several mental disorders; some of these disorders include: major/clinical depression and posttraumatic stress disorder (PTSD). Her depression derives from her father passing away, and subsequently her lover passes away and she becomes traumatized and affected by these events. She suffers from depression and PTSD because of the situations she goes through. Emily’s first disorder is major/clinical depression. When one…

OBSERVATIONS: The client presented with normal grooming and hygiene. The client presented in a euthymic mood aeb calm demeanor. The client read the handout about how mindfulness is the ability to take control of your mind instead of having your mind controls you. The client shared her own experiences with mindfulness stating "I used to use it before, but I cannot do it now because every time I try to focus in present, I find myself thinking about the past and the negative thoughts especially the…

The anxiety diagnosis I believe Chandra exemplifies is Generalized Anxiety Disorder (GAD). According to the textbook, GAD is “characterized by excessive anxiety and worry about a number of events or activities.” In the chart above I lay out the diagnostic criteria of Generalized Anxiety Disorder as per the DSM. The disorder must be associated with one or more of the six symptoms listed in the left side of the chart, including: 1.) Restlessness, feeling keyed up or on edge, 2.) being easily…

As a soon to be mother I never knew what Postpartum depression was, until one day when I was writing my first research paper in college on the existing issue. It was like a light bulb went off in my head, and I thought to myself oh my gosh, maybe that's what I experienced in the first few months off my child’s life. Things were not easy and it was a like a dark cloud hovered over my life. I never got any sleep, even when I could sleep I didn’t. I was restless all the time and I began to be very…

The crippling effects of depression lead many people to take drastic measures in order to find some type of relief. The most common way for people who suffer from depression is to seek out and find doctors who readily prescribe antidepressants. However, studies suggest that antidepressants are only moderately effective, especially during the first six to eight weeks of use. Some in the psychiatric field believe that antidepressants only have a moderate to low ability to fight off depression.…

Is the use of Prozac a psychiatric issue or a deeper existential problem? The above analyzed authors (except obviously Elliott) take it as a psychiatric phenomenon. They all take for granted the following presupposition: whenever one gets alienated from ones true self, feels inauthentic, not satisfied with herself or her life or she wants to fulfill herself or have a better life, she ought to change this condition. The question then becomes whether Prozac or psychofarmaceuticals in general are…

SSRI stands for selective serotonin reuptake inhibitor. It is a drug prescribed to treat depression, anxiety disorders, panic attacks and personality disorders by manipulating particular neurotransmitting systems regulating such as serotonin, a brain chemical which regulates mood as well as appetite and mood. Serotonin is naturally produced in the body and kept at a certain level, but SSRIs can increase at level by blocking (inhibiting) the reabsorption (reuptake) of serotonin. Once considered a…

This week’s discussion question is about GF, a 41-year old woman who arrives for her first visit at the clinic. She reports that she has been feeling sad and depressed, with crying spells, trouble sleeping, increased appetite, impaired concentration, and fatigue. She has experienced depression in the past but was able to overcome the symptoms without medication. On physical examination, she appears to be poorly groomed and with minimal facial expressions. She is slow to respond to questions.…

discuss with the patient about the treatment options, expected outcomes (of treatment/not taking treatment/ adverse side effect), duration of treatment and prognosis. Offer Selective Serotonin Receptor inhibitor (SSRI) as first line treatment. Sertraline, per oral, 50mg daily, titrate according to response, maximum 200mg per day. If able to tolerate an SSRI and response well, continue with treatment at least…