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Original Question

Nia Omari is a 35-year-old female that presents to the clinic with complaints of reduced libido, weight gain and insomnia for 3 months after starting Zoloft 6 months ago. Nia currently takes Zoloft 50 mg PO once daily. Assess the applicable clinical practice guideline (CPG) for your assigned client. What treatment is recommended by the CPG for your client’s situation? According to the CPG, SSRI’s and SNRI’s are the most used medication classes to treat GAD and are the first line therapy. The CPG mentions Lexapro, Cymbalta, venlafaxine and pregabalin as the most effective and best tolerated medications. According to the CPG, adding additional medications to antidepressants does not improve client outcomes. Discuss your personal professional assessment of the client’s situation provided in the scenario. What pharmacological treatment is necessary and why? With the client experiencing decreased libido, weight gain and insomnia, Zoloft should be discontinued. I feel that the patient should be started on Lexapro 10mg once daily. SSRIs are considered the first line treatment of GAD, and the patient should tolerate this medication well. The patient’s quality of life is being affected by the symptoms she is facing while taking Zoloft. Treating her anxiety disorder will ensure that she is able to function daily in her life. Reflect on additional questions you have about your assigned client that may influence treatment. What else do you want to know? What follow-up assessments, la

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