*What additional questions would you want to know to help clarify diagnoses and also to direct treatment? I would want to know a little more about the relationship the patient was in. How long had they been together? If it were a newer relationship, that feeling of being “bored” may not be as significant. I would want to ask about past relationships that the patient has had feelings of being “bored” in other relationships? Or was this bored feeling more of a sudden onset? I would also want to know if the patient has had any other periods of reclusiveness from friends and family? Has the patient had any prior issues at work like he had recently? Does his family have a history of mental illness? And I would want to know more information about his hallucination experiences, and if he was inder the influences of any substances during these “weird experiences”?
*List all of the diagnoses that you believe this patient to have and a rationale for these diagnoses. According to the patients symptoms of anhedonia, insomnia, decreasing appetite, and decreased energy level I would diagnose this patient with depression. The hallucinations could be a …show more content…
I would want to ask if the doctor was aware of the patients use and marijuana and alcohol. Those factors can contribute to the absorption of the medication prescribed and may be the reason why the patient’s symptoms did not decrease. “In general, more than 1.5 ounces of alcohol (or the equivalent: one beer or one glass of wine) per day, may directly contribute to psychiatric symptoms, may interfere with proper metabolism of psychotropic medications, or both” (Preston, Kindle Locations 1566-1567). I would also want to ask their opinion on the hallucinations and maybe look into the citalopram prescribed and if they knew the patients inconsistency in taking the
*List all of the diagnoses that you believe this patient to have and a rationale for these diagnoses. According to the patients symptoms of anhedonia, insomnia, decreasing appetite, and decreased energy level I would diagnose this patient with depression. The hallucinations could be a …show more content…
I would want to ask if the doctor was aware of the patients use and marijuana and alcohol. Those factors can contribute to the absorption of the medication prescribed and may be the reason why the patient’s symptoms did not decrease. “In general, more than 1.5 ounces of alcohol (or the equivalent: one beer or one glass of wine) per day, may directly contribute to psychiatric symptoms, may interfere with proper metabolism of psychotropic medications, or both” (Preston, Kindle Locations 1566-1567). I would also want to ask their opinion on the hallucinations and maybe look into the citalopram prescribed and if they knew the patients inconsistency in taking the