Depression,Depression,Depression,Depression

Please see attached files:

  1. Case study questions and depression video transcript( I also copied the YouTube video link to the transcript at the beginning of the  of the page if you prefer to watch it. Thanks

 

Mary is a 50-year-old female who presents to the PMHNP with chief complaint of “feeling down”.  She has been taking citalopram 30mg daily for the past two years from her PCP but feels she has not gotten any better.  She endorses depressed mood and anhedonia  .  She denies thoughts of harming herself or anyone else, but does endorse low self-esteem and is particularly focused on her recent weight gain. 

What treatment recommendations would you have for Mary?  

Sylvia is a 60-year-old female who presents to the PMHNP with chief complaint of “feeling down”.  She has been taking citalopram 40mg daily for the past two years from her PCP but feels she has not gotten any better.  She endorses depressed mood and anhedonia.  She has trouble falling asleep, has been overeating, and has gained about 15 lbs in the past year.  She worked as a waitress for over 40 years but left her job about three years ago after her husband had a stroke because she needed to care for him.  She shares that he has had a full recovery and no longer needs her assistance, but that she never returned to work and barely leaves the house.  She denies thoughts of harming herself or anyone else, but does endorse low self-esteem and is particularly focused on her recent weight gain. 

What treatment recommendations would you have for Sylvia?  

In terms of medication, what would your plan be?  Be specific in terms of any changes you might make.

Name one medication that you would avoid using in Sylvia and why.

For this assignment, you will write a 5-7 page paper (body) on how the brain is impacted by depression?

Requirements for Paper and Presentation:

  1. Review the literature 
  2. Select at least four sources (you can select more): three must be journal articles
  3. For this assignment, I would also encourage you to review videos on YouTube and/or tedtalks
  4. Your presentation should include an overview of the literature regarding your topic, why this information is important to social work, and a reference page. Your creativity is welcomed. 
  5. You will also need to connect your findings to the social, psychological, and biological impact of individuals who have experienced these topics.

You must provide a handout to the class that would be useful in practice.

Possible paper and presentation organization

I. Intro

II. What has research found about this:

a. How does depression affect people biologically

b. How does depression affect people psychologically

c. How does depression affect people socially

III. Why is this important to social work

a. if this a problem what is the treatment?

IV Conclusion