History Female Patient Question & Answer Guide (With Explanation)

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to history female patient and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves history female patient. A strong answer should include explanation, application, and examples.

Original Question

6. History A female patient is a diagnosed depression patient who needs to restart on medications. Her major symptoms are lack of interest in her usual activities and some anxiety associated with her workplace stress, but she denies issues of sleep disturbance and overeating. These were issues when she was diagnosed as depressed 2 years ago. She received a selective serotonin reuptake inhibitor (SSRI) medication, Paxil, at that time. She is reluctant to take them again because she had an onset syndrome that she had not been warned about. She admits she did not do very well on it because the MD took a slow and watchful approach to altering her medications. She also had a “rough time” when she decided to stop taking it after 2 years. She read an article that said timelines for depression medication therapy have changed and she has some questions about this. a. Her first question is whether she will have “onset” syndrome for her new SSRI prescription of citalopram and, if so, how long would it last? How might the symptoms be different than those she experienced with the Paxil? b. She needs clarification on what the term self-limiting means. c. The patient then asks about the internet article about the newer approach behind aggressively moving dosage levels higher at a rapid pace (unlike the slow and cautious approach she had previously). What do the research studies show related to pushing dose levels at a fast pace schedule? How quickly should you increase the dose intervals? d. She wants to know how long she is expected to stay on the higher dose prior to thinking about tapering them off. What type of taper is recommended and how frequent should the follow up appointments be? What should the provider if the symptoms start to return as the dosage is tapered and how long should they remain on this dosage? e. She, however, is a patient who has a return to a depressive state after one failed taper. How long should the next regimen last? If remission is not achieved within 2 to 3 months of restarting therapy, what should occur? When should you refer the patient to a mental health specialist during the therapy?

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