The High-Level Depression Patient - Case Study

Psychological Approach

Cognitive-Based Therapy

The best psychological therapy for Mrs. Marshall is cognitive based therapy. According to Seligman (2004) cognitive based therapy outlines that any depression-related ailments arise as a result of facing recurrent faulty cognitions while following the process of problematic response pattern. Thus, the CBT therapy helped Bin, his girlfriend and children to enhance their thinking and behavior thus helped in alleviating the problems. CBT will help Mrs. Marshall to enhance her thinking and behavior with the people that she associates with in conjunction with alleviating problems.

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CBT proves that the incapability to live normally makes an individual feel like lesser people. The stigma associated with depression lack of associative skills. Mood imbalances require various ways psychological therapies like Cognitive Behavioral therapy. Amid psychological therapy, the patients are required to attend physical fitness centers to engage their mind on relaxing in conjunction with body muscles. Zoloft and paroxetine hydrochloride manage panic disorders, social anxiety, post-traumatic disorders and obsessive-compulsive disorders (American Psychiatric Association, 2013).

Biological Approach

Neurological Influence

Depression is psychological maladjustment that is typically caused by outrageous subjection to nervousness and unfruitful life. The level of depression of Mrs. Marshall is high thus it is an inconvenience that if not oversaw can prompt extreme mental difficulty along these lines causing demise. As a practitioner, the best prescription for Mrs. Marshall us Zoloft which is a group of Selective Serotonin reuptake inhibitors.

Considering the presence of antidepressants in the case of Mrs. Marshall, phenelzine is the best recommendation for use in case other drugs administered show any failure to alleviate Mrs. Marshall's problems. Stahl (2014) asserts that Effexor XL is a viable drug that can be used as an antidepressant. However, the drug portrays various side effects concerning the duration of the ailment and the possible patient's lifestyle. On the other hand, Zoloft is said to be one of the best treatments for the condition that Mrs. Marshall is going through (Flint & Rifat, 2013). For that matter, Mrs. Marshall needs to be administered with Zoloft tablets since they function well with Mrs. Marshall's lifestyle and the duration that she has survived with the depression problem.

Sociocultural Approach

Mrs marshal lance is 30 years' old who came to the office today reporting daily headache feeling irritability and sadness. She said difficulty in concentration and difficulty in getting out of bed in the morning. She lives a very stressful life because of the constant worry about her family pet work and her job.

Interpersonal theory of depression outlines that depression tends to propose that most individuals suffer from depression symptoms due to repetitive lack of proper interpersonal relationships with loved ones. Lovability and the worth of an individual make them be subjected to harsh conditions that make them develop anxiety.

1 Treatment

Mrs. Marshall needs to begin taking Zoloft 50 mg which should be taken orally daily. The justification for administering the Zoloft 50 mg tablets is because the drug offers an effective treatment for severe depression that affects adults. Additionally, the patient was diagnosed with high-level depression and scored 51. Considering the presence of antidepressants in the case of Mrs. Marshall, phenelzine is the best recommendation for use in case other drugs administered show any failure to alleviate Mrs. Marshall's problems. Stahl (2014) found out that Effexor XL is the most suitable drug that can be used to acts as an antidepressant if the patient has a complex lifestyle. Since it shows several side effects, Effexor XL is considered to be the cause of the side effects especially when the ailment has prolonged before being managed. Marshall is passing through (Flint & Rifat, 2013). For that matter, Mrs. Marshall needs to be administered with Zoloft tablets since they function well with Mrs. Marshall's lifestyle and the duration that she has survived with the depression problem.

2 Treatment

According to studies, it has been demonstrated that paroxetine tends to block the first absorption of serotonin from the human platelets (Liu et al., 2015). Additionally, it was found out that paroxetine depicts a highly selective and potent inhibitor of neuronal reuptake of serotonin but has very weak or minimal effects on dopamine and norepinephrine reuptake. Additionally, it was discovered that paroxetine depicts little affinity for alpha 2, muscarinic, alpha 1, histamine H1 receptors which is an antagonist of muscarinic alpha one adrenergic receptors which is associated with an anticholinergic sedative. It was discovered that Mrs. Marshall showed some cardiovascular problems and started becoming allergic to some psychotropic drugs as a result of the side effects of paroxetine.

The patient must adhere to taking maximum serotonin tablets. Additionally, the central nervous system portrays to be affected much with alcoholic drugs and most of opioid analgesics and antihistamines (Flint & Rifat, 2013). The foods that Mrs. Marshall should avoid when taking SSRIs are broad beans soy products and snow pea pods.

Mrs. Marshall needs to begin taking Zoloft 50 mg which should be taken orally daily. The justification for administering the Zoloft 50 mg tablets is because the drug offers an effective treatment for severe depression that affects adults. Considering the presence of antidepressants in the case of Mrs. Marshall, phenelzine is the best recommendation for use in case other drugs administered show any failure to alleviate Mrs. Marshall's problems. Causes of depression are connected to various factors like biological, genetic, psychological and environmental factors. On the other hand, life events like bereavement tend to cause mood changes which are usually connected to unique depression features. Lack of joy is the major symptom of depression. Lack of joy tends to alter an individual's interest in performing roles.

3 Treatment

Psychotherapy Actions

Cognitive behavioral therapy is the most appropriate psychotherapy approach for Mrs. Marshall. Mrs marshal lance is 30 years' old who came to the office today reporting daily headache feeling irritability and sadness. She said difficulty in concentration and difficulty in getting out of bed in the morning. Such a complication requires a precise cognitive based therapy to enable the patient to attain normal health. Additionally, Mrs. Marshall lives a very stressful life because of the constant worry about her family pet work, and her job hence CBT will enable her to realize her worth irrespective of the social life challenges that she faces. The diagnosis of Mrs. Marshall outlined that her lab is within normal range TSH 04-4 Calcium 8.5-10.2 HGB glucose level (Flint & Rifat, 2013). The symptoms portray that Mrs. Marshall is depressed thus she needs some prescriptions to regain good health. Depression is psychological maladjustment that is typically caused by outrageous subjection to nervousness and unfruitful life. Cognitive-based therapy should also involve helping the patient to realize the effects of concentrating on the unfruitful life that she experiences. Helping Mrs. Marshall will enable her to adopt a better life that will free her from issues that depress her.

4 Treatment

The patient should adopt the CBT approach outlined by the therapist. Secondly, she needs to take Paroxetine hydrochloride complete absorption which should take place after the administration of the tablets to the patient. It contains a degradable polymeric matrix that is designed to enhance the dissolution rate in a period not exceeding five hours (Flint, 2012). For that matter, Mrs. Marshall is required to be given Paroxetine tablets and PAXIL CR since it depicts a quick absorption.

Since dosage matters, it is essential for Mrs. Marshall to continue taking this medication as prescribed even if she feels well or better. Continuity of the dosage should continue unless a physician asks the patient to stop taking the medication. The main reason for maintaining the dosage as prescribed by the doctor is to prevent further effects due to an abrupt stop in taking the prescribed drugs. Another challenge that may be experienced are symptoms such as a headache and mood swings (Flint & Rifat, 2013). For the case of as with the SSRIs, sudden discontinuation may end up resulting in diverse withdrawal symptoms. Mrs. Marshall should be informed that it usually takes one to two months before attaining good health.

Conclusion

In summation, treatment of depression is enhanced by the use of various choices of antidepressants, an analysis of dynamic drug analysis concerning the patient's reaction should be made to avoid instances of going against ethical and humanitarian principles. Just like the case of Mrs. Marshall, a proper determination of stimulant solution should be found to suit the required reaction profile as a framework to reduce danger in medication collaboration. The best results of depression therapy are enhanced after a close analysis of the outcome of treatment to check the pharmacokinetics of the drugs and consider adjusting the administered dosage instead of changing the medication. The kind of antidepressants administered to a patient should be after a thorough analysis of the patient's medical history, allergies and plasma response to the anti-depressants. The best approach to treat depression is through establishing a community that upholds the tenets of national institutes of mental health organizations. It is also important to urge the population at risk to allude to the stipulated helplines that can enable the vulnerable people to get timely psychotherapy help.

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC

Flint, A. J., & Rifat, S. L. (2013). The effect of sequential antidepressant treatment on geriatric depression. Journal of affective disorders, 36(3), 95-105.

Liu, B., Anderson, G., Mittmann, N., To, T., Axcell, T., & Shear, N. (2015). Use of selective serotonin-reuptake inhibitors or tricyclic antidepressants and risk of hip fractures in elderly people. The Lancet, 351(9112), 1303-1307.

Stahl, S. M. (2014). The prescriber's guide (5th ed.). New York, NY: Cambridge University Press.