Montgomery- Asberg Depression Rating Scale (MADRS) decreased from 51 to 38 (25% reduction)

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My decision: I chose to begin Effexor XR 37.5 mg orally daily.

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RESOURCES

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SUBJECTIVE

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Client reports that there is no change in depressive symptoms at all. Now choose what to do.

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MENTAL STATUS EXAM

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Outcome: RESULTS OF DECISION POINT TWO

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Client reports an improvement in depressive symptoms

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PSYCHOPHARMACOLOGIC APPROACHES TO TREATMENT OF PSYCHOPATHOLOGY

Assessing and Treating Adult and Geriatric Clients With Mood Disorders
Advances in genetics and epigenetics have changed the traditional understanding of mood disorders, resulting in new evidence-based practices. In your role as a psychiatric mental health nurse practitioner, it is essential for you to continually educate yourself on new findings and best practices in the field. For this Assignment, you consider best practices for assessing and treating adult and geriatric clients presenting with mood disorders.

Required Media (follow the link or just read the case study and the decisions below)
Laureate Education. (2016g). Case study: An elderly Hispanic man with major depressive disorder [Interactive media file]. Baltimore, MD: Author.
Note: This case study will serve as the foundation for this week’s Assignment.

Case Study: Hispanic Male w/Major Depressive Disorder (MDD)
BACKGROUND INFORMATION
The client is a 32-year-old Hispanic American male who came to the United States when he was in high school with his father. His mother died back in Mexico when he was in school. He presents today to the PMHNPs office for an initial appointment for complaints of depression. The client was referred by his PCP after “routine”” medical work-up to rule out an organic basis for his depression. He has no other health issues with the exception of some occasional back pain and “”stiff”” shoulders which he attributes to his current work as a laborer in a warehouse.

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? Why did you select this decision? Support your response with evidence and references to the Learning Resources.

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