44-Year-Old Woman: Anxiety, Depression, & Self-Medication - Essay Sample

Introduction

The case presented is that of a 44-year-old woman sleepy woman with anxiety. The patient suffers from anxiety as well as depression since age 15. However, her attempts to self-medicate through excessive consumption of alcohol, an overdose on Alprazolam, suicidal cases, and change in lifestyle such as failure to conceive as well as divorce as well as recurrences of episodes of depression are the primary contributing factors to the ailment. However, the patient medical history and information are unclear but with various psychotropic prescriptions that resulted in poor outcomes (Stahl, 2014). The discussion's central purpose is to establish the question to pose to the patient's husband, family, and friends for the condition assessment of influencing agents on pharmacokinetic as well as pharmacodynamic procedures. Additionally, it is meant to conduct a diagnostic evaluation of the client and provide the probable diagnostics in addition to delivering therapeutic recommendations for the patient.

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I agree with the fact that it is essential to pose questions to the husband since, in this case, he is mentioned to be supportive of the patient. The patient lives with her husband, and this is the first person who realizes the change in the mood. He is also the primary content person in case of anything; hence is essential to gain all the information from him, including the patient's current medication, sleeping routines, and any changes noticed after the last prescription (Scerri et al., 2019). However, it is vital to note that, in some cases, Narcolepsy hereditary, and This Is the reason why it is essential to talk to the family members to gain more insight into the family medical history.

Given the medical history of the patient, it is probable that the patient might be suffering from a major depressive disorder. However, it is essential to understand the trigger of the depression and what makes it more recurrent, assessing the therapeutic event that the patient suffered at age 15 can help give more insight on the proper therapeutic method to employ to help the patients. Administration of ECT, however, is beneficial in the treatment of depression. It causes controversy for me since the patient stands a significant chance of suffering from permanent memory loss and confusion as a side effect of ECT treatments. It also requires that the patient be correctly diagnosed, or it can result in further worsening of the patient's health.

It is also true that the patient could be suffering from substance-induced sleep disorder based on all the kid of medications that the patient is put on, and the side effects all these kinds of medicine may be contributing to worsening of the ailment (Gastel, 2018). In this case, it is crucial to check on the drug to drug interaction or prescription to nutrient interaction since this might have overlooked hence worsening the patient's condition.

From this discussion, it is evident that the patient possesses different symptoms that can be mistaken, and it appears that this has been the case, hence the best way to make sure that the patient is helped. Her condition significantly improved is to assessing everything. Countercheck, all the clinicians report and understand the medicine to medicine to nutrient interaction.

Reference

Andrade, C., Arumugham, S. S., & Thirthalli, J. (2016). Adverse Effects of Electroconvulsive Therapy. Psychiatric Clinics of North America, 39(3), 513-530. doi: 10.1016/j.psc.2016.04.004

Gastel, A. V. (2018). Drug-Induced Insomnia and Excessive Sleepiness. Sleep Medicine Clinics, 13(2), 147-159. doi: 10.1016/j.jsmc.2018.02.001

Scerri, J., Saliba, T., Saliba, G., Scerri, C. A., & Camilleri, L. (2019). Illness perceptions, depression and anxiety in informal carers of persons with depression: a cross-sectional survey. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 28(2), 451-460. https://doi-org.ezp.waldenulibrary.org/10.1007/s11136-018-2009-y

Stahl, S. M. (2013). Stahl's essential psychopharmacology: Neuroscientific basis and practical. Retrieved from https://stahlonline-cambridge-org.ezp.waldenulibrary.org/