NUR 520 The Psychopathology of Mental Health Patients Case Study

 Analyze and apply critical thinking skills in the pharmacokinetics and pharmacodynamics of psychopharmacological agents for patient treatment and health promotion while applying evidence-based research.

Beth is a 23-year-old Asian American graduate student. She is currently in treatment with a psychologist for anxiety. She claims that her cognitive therapy has helped her control her worry and anxiety, but she has noticed that her symptoms have worsened this year with all of the pressures of school. In addition to worry, her mind races at night when she tries to sleep, and she claims it may often take her two to three hours to finally fall asleep. She describes herself as a “type A” person who is rather “anal” about doing well. She worries nonstop about grades but also worries nonstop about her health, money, her parents’ health, and world affairs. She is very insightful about her condition and agrees the worry is excessive and unwanted. She admits that there is really no basis for the worry, as she has a full scholarship, she and her parents are in good health, and she currently has a 3.9 GPA. She claims that she has always been rather tense, but it didn’t get to the point that she sought treatment until her senior year in college. She was worried about getting accepted to grad school and “obsessed” over getting straight A’s. She sought the help of a psychologist at the university counseling service, was placed on Paxil, and began therapy. For the most part, her symptoms disappeared, but she remembers feeling tired during the day.

Answer these questions to create your evidence based treatment plan. At all times, explain your answers.

Summarize the clinical case.

Create a list of the patient’s problems and prioritize them.

Which pharmacological treatment would you prescribe? Include the rationale for this treatment.

Which non-pharmacological treatment would you prescribe?   Include the rationale for this treatment.

Include an assessment of treatment’s appropriateness, cost, effectiveness, safety, and potential for patient adherence

Case study: The Psychopathology of mental health patients Completed Sample

Reinier Galvez Piedra

NUR-520

St Thomas University

Dr. Marie Smith

• Summarize the clinical case.

This is the case of a 45-year-old African woman who began experiencing anxiety, inability to fall asleep, a general sense of daytime tiredness, anorexia, inappropriate guilt, sorrow, and feelings of worthlessness three months’ before her separation from her husband due to an extramarital affair. A lower extremity neuropathy of unknown origin was discovered in the past medical history, and no personal or familial psychiatric issues. Her social history disclosed that she consumes alcoholic beverages on occasion.

Create a list of the patient’s problems and prioritize them

Which pharmacological treatment would you prescribe? Include the rationale for this treatment

We cannot rule out or prescribe any therapeutic intervention or medicine to help the patient. If we proceed without the proper steps/consultation, the patient’s condition will worsen, or we will get the opposite if we expect positive outcomes. For instance, if a patient exhibits the same symptoms as a patient suffering from depression and the physician affirms it without conducting a test or examination, there is a possible medical mistake (Mullainathan & Obermeyer, 2022). Instead of ensuring a safe and good quality of care, we are endangering patients by disregarding hospital rights and procedures. As a result, taking the proper first step for a patient, including seeing a doctor or consultant before doing anything else, is critical to boosting healing.

Which non-pharmacological treatment would you prescribe? Include the rationale for this treatment

Making your mental health a priority is a huge step toward healing, especially if you’re in a bad mood. I’m going over each of your concerns one by one. So, here’s a list of things to do to live a healthy lifestyle:

1. Get enough exercise: Work out for 30 minutes every day to improve your health and release feel-good endorphins, which can help some individuals handle or prevent anxiety and depression (Sharma, 2019).
2. Getting enough sleep: Get at least 5 hours of sleep each night. Sleep deprivation causes your body to shut down and renders you ineffective (Fitness et al., 2020)
3. Maintain a healthy diet: Maintaining a healthy diet will help people manage the ups and downs of their day.
4. Meditation: According to Hopkins, people who participated in an eight-week insight meditation course improved their stress, anxiety, and pain symptoms.
5. Know your boundaries: avoid undue stress as much as possible, such as having parties with people you don’t like. However, some stress may motivate you to enhance and overcome your difficulties. Setting work boundaries, such as not answering emails after a certain time, can help relieve anxiety, but if you don’t, you may be able to refine your skills in some cases, which is a good thing (Graves & Karabayeva, 2020).

Include an assessment of treatment’s appropriateness, cost, effectiveness, safety, and potential for patient adherence

Helen, for example, requires more advice and counseling before determining whether or not she requires some of the required medications. The patient will develop self-control and realize that they can reclaim their life during the assessment process. It’s more of a case-by-case situation. As discussed, patients’ compliance with appropriate treatments is not a problem; however, we as medical providers must first identify the issues and history to take steps to restore the patient’s life, particularly in this case. Helen, unlike her family, does not have a history of mental illness. As a result, we can use natural preventative measures or methods to help her gain self-identity and avoid developing depression (McGrat, 2019).

References

Fitness, S., Fitness, P., Gyms, M., Part, W. B. B., & Weight, L. (2020). Home» 8 Reasons to Run For Depression & Anxiety Management Running. Depression, 0.

Graves, L. M., & Karabayeva, A. (2020). Managing virtual workers—strategies for success. IEEE Engineering Management Review, 48(2), 166-172.

McGrath, R. E. (2019). A brief history of psychopharmacology in the context of psychology and psychiatry. In S. M. Evans & K. M. Carpenter (Eds.), APA handbook of psychopharmacology (pp. 3–16). American Psychological Association. https://doi.org/10.1037/0000133-001

Mullainathan, S., & Obermeyer, Z. (2022). Diagnosing physician error: A machine learning approach to low-value health care. The Quarterly Journal of Economics, 137(2), 679-727.

Sharma, T. (2019). A Study on the Effects of Physical Activity on Mental Health at Various Stages of Life. Think India Journal, 22(13), 1144-1154.

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