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Challenging case: please use this case: ( A 34-year old African American male presented to the hospital with increasing depression. Patient also has history of ADHD and chronic depression. Patient was recently treated with Paxil, but he still notices his symptoms to continue to get worse to the point where he made a suicide attempt. The patient has tried multiple antidepressant but failed everything. Patient does not recall the trial medication ever helping, instead he made him worse. Patient have period of elevated mood, even get into impulsive behavior, such has partying and having multiple affair that involve multiple sex partner. In conclusion, this patient is very complex individual with treatment resistant depression and possible bipolar 2 spectrum disorders).
With the case above, please answer the following questions: no introduction needed, just the question answer.
1. What made this situation challenging for you/what was the challenge?
2. What role did you have in resolving this challenge?
3. What “evidence” did you/your preceptor bring to the case to help resolve this challenge?
4. What did you learn/what pearls can you share after having been involved with this challenge?
5. How will this (if at all) change your practice?
Challenging case: please use this case: ( A 34-year old African American male presented to the hospital with increasing depression. Patient also has history of ADHD and chronic depression. Patient was recently treated with Paxil, but he still notices his symptoms to continue to get worse to the point where he made a suicide attempt. The patient has tried multiple antidepressant but failed everything. Patient does not recall the trial medication ever helping, instead he made him worse. Patient have period of elevated mood, even get into impulsive behavior, such has partying and having multiple affair that involve multiple sex partner. In conclusion, this patient is very complex individual with treatment resistant depression and possible bipolar 2 spectrum disorders).
With the case above, please answer the following questions: no introduction needed, just the question answer.
1. What made this situation challenging for you/what was the challenge?
2. What role did you have in resolving this challenge?
3. What “evidence” did you/your preceptor bring to the case to help resolve this challenge?
4. What did you learn/what pearls can you share after having been involved with this challenge?
5. How will this (if at all) change your practice?
