Depression And Depression In Celexa

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Depression can be defined as a state of low mood and aversion to activity that can affect a person’s thought, behavior, feelings and physical well-being, meanwhile, anxiety is a normal reaction to stressor that helps us deal with a difficult situation by prompting us to cope with it (Kaikini, Dhande, Patil, & Kadam, 2013). If anxiety becomes excessive, it may fall under the classification of an anxiety disorder. According to WHO, anxiety and depression will be the second largest cause of disability worldwide by 2020 (Kaikini et al., 2013).

During medical history interview with the patient, I will inquire how long has her symptoms been going on. If it had been two weeks or more, her symptoms would be classified under Major Depressive Episode
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If this thought process continues, her risk of suicide increases. Although at present, the patient denies any suicidal thoughts, her safety level needs to be established. Frequent re-evaluation of the patient will be done and re-assessing suicidal tendencies and follow the organization’s suicide protocol if warranted.

For pharmacological intervention, I will start the patient on a Celexa (Citalopram), a Serotonin-selective reuptake inhibitors (SSRI) to treat both the patient’s depression and anxiety (Woo & Wynne, 2012, p. 261). I will start her on a low dose at 20mg daily and re-evaluate the effectiveness weekly. The dose can be titrated weekly at 20mg increments up to a maximum of 60mg daily. I will emphasize to the patient the importance of adhering to the treatment regimen and not to abruptly stop taking the medications, unless adverse reactions occur and to notify the healthcare provider
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It is based on the premise that patients who are depressed exhibit the “cognitive triad” of depression, which includes a negative view of themselves, the world, and the future (Halverson, 2015). CBT for depression typically includes behavioral strategies, as well as cognitive restructuring for the purpose of changing negative automatic thoughts and addressing maladaptive schemas. Evidence has supported the efficacy of the use of CBT and prevention of relapse.

As the patient’s primary care provider, I will try to manage the patient’s depression and anxiety in the primary care setting. If I felt like I exhausted all my options in treating the patient and no improvement has taken place, I will refer the patient to a psychiatrist to better manage the patient. Other circumstances where I will consult the psychiatrist if the patient exhibits more severe symptoms and a more intense level of care is needed such as patient’s with suicidal ideation, psychosis, mania, or severe decline in physical health.

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