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Depression – Anthony is a 41-year-old male patient who presents for evaluation

Depression – Anthony is a 41-year-old male patient who presents for evaluation

Depression – Anthony is a 41-year-old male patient who presents for evaluation.


Anthony’s wife made the appointment because he wouldn’t seek care on his own. She says that he has been diagnosed with depression in the past and even took medication that seemed to help, but this time he just refused to pursue care. After a comprehensive assessment, the nurse practitioner diagnoses him with major depressive episode with psychotic features. The TAMP recommends that your first treatment will be to prescribe an antidepressant medication known as an SSRI (selective serotonin reuptake inhibitor). These medications increase brain levels of the neurotransmitter serotonin, which seems to be choreographed in these mood disorders. This increases his chances of success with future psychotherapy. Depression

Anthony is a 41-year-old male patient with a history of depression, who presents for evaluation of his worsening mental status. He has experienced worsening symptoms over the past few months that have caused his wife to seek care on his behalf. The PMHNP diagnoses Anthony with major depressive episode with psychotic features, and chooses to start him on Sertraline (Zoloft).

Hi Anthony, I’m Rachel, and I’ll be your PMHNP today. I think it’s best if we start with a medication consultation to share your story and review options for your treatment. Ready to get started? Depression

A 41-year-old male patient presents for evaluation due to increasingly worsening symptoms of depression. He is a lifelong smoker who is struggling to quit, and has virtually no social support system. The patient’s family history shows a familial pattern of major depression, with his mother and older brother also having been diagnosed with this condition. He also has two children in their early teens.

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You’re a good patient, coming in to see me even though you don’t have any problems. I know, it’s uncomfortable and embarrassing; it’s hard being a grownup. But I appreciate you being here, and so will your wife. The good news is that there are many options for treating depression. The one we’ll start with is called Latuda . It has fewer side effects than the drugs you tried before, and has been proven to work better for people like you. Are you interested?

Anthony would benefit from a combination of an antidepressant and an antipsychotic. This is because antidepressants alone will take four to eight weeks to have an effect. Antipsychotics can be helpful in treating depressive symptoms, and also help reduce suicidal thoughts. Because of the risk of severe side effects with antipsychotics and antidepressants, treatment should be monitored closely to ensure the benefits outweigh the risks and side effects. Depression

Anthony, welcome to Texas. We’re so glad that you’ve decided to seek help with your illness. We know it can take a lot of courage to do so, but you’re making a big step in the right direction by realizing that you’re feeling down and out for a reason. The goal of treatment for depression is to help you overcome what’s holding you back from enjoying life and getting back on track, just like anyone else would when they get off a rough patch. This doesn’t mean we expect perfect mental health; however, we hope that treatment meets your needs and resolves your symptoms over time.

Depression is a common mental disorder affecting more than 14 million Americans. One study found that less than half of Americans receiving depression treatment actually meet the DSM-IV criteria for treatment. If left untreated, depression can make the induction phase of schizophrenia much more difficult to bear, affecting an individual’s ability to stay adherent to treatment plans, respond positively to antipsychotic medications, and have good insight into their illness. Follow all medication instructions from your health care provider, and feel free to contact our offices if you have any questions or concerns about your medicine.

All psychotropic medications have side effects and risks. So finding the right medication requires prudence and patience. All medications initially work best when prescribed at low doses. Depression


Anthony is a 41-year-old male patient who presents for evaluation. His wife made the appointment because she is worried about him and he would not seek care on his own. Anthony has become progressively withdrawn over the last few months and is in danger of losing his job because he misses so many days. He has been evaluated by his primary care provider and has no apparent medical conditions. His wife reports that he has been diagnosed with depression in the past, and has even taken medication that seemed to help. This time he just refused to pursue care. After a comprehensive assessment, the PMHNP diagnoses the patient with major depressive episode with psychotic features. Consistent with the Texas Algorithm Medication Project (TAMP), the appropriate choice of initial medication therapy would be:

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