The sleepy woman with anxiety.

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Discussion Question

CASE STUDY: #3

Case 3: Volume 1, Case #5: The sleepy woman with anxiety.

In the weekly discussions and the assignments, I look forward to reading what you have learned from the course resources and your personal experiences.  In your weekly discussions and assignments, please be detailed in your description of the medications, including uses, potential adverse effects, monitoring and potential drug interactions.  I ask that your assignments be clearly written, with proper sentence and paragraph structure.  Please review your work prior to submission to assure that there are no spelling or grammar deficiencies.  The discussions and assignments should include all of the elements listed in the assignment.

The use of citations, directly from the resources, should be minimal.  You should be putting the information, that you gather, into your own words when you are completing the discussions and assignments.  Please visit the Walden Writing Center if you need assistance.

Case 1: Volume 2, Case #16: The woman who liked late-night TV

Case 2: Volume 2, Case #11: The figment of a man who looked upon the lady

Case 3: Volume 1, Case #5: The sleepy woman with anxiety

· Review this week’s Learning Resources and reflect on the insights they provide.

· Go to the Stahl Online website and examine the case study you were assigned.

· Take the pretest for the case study.

· Review the patient intake documentation, psychiatric history, patient file, medication history, etc. As you progress through each section, formulate a list of questions that you might ask the patient if he or she were in your office.

· Based on the patient’s case history, consider other people in his or her life that you would need to speak to or get feedback from (i.e., family members, teachers, nursing home aides, etc.).

· Consider whether any additional physical exams or diagnostic testing may be necessary for the patient.

· Develop a differential diagnoses for the patient. Refer to the DSM-5 in this week’s Learning Resources for guidance.

· Review the patient’s past and current medications. Refer to Stahl’s Prescriber’s Guide and consider medications you might select for this patient.

· Review the posttest for the case study.

Post a response to the following:

· Provide the case number in the subject line of the Discussion.

· List three questions you might ask the patient if he or she were in your office. Provide a rationale for why you might ask these questions.

· Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.

· Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used.

· List three differential diagnoses for the patient. Identify the one that you think is most likely and explain why.

· List two pharmacologic agents and their dosing that would be appropriate for the patient’s sleep/wake therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.

· If your assigned case includes “check points” (i.e., follow-up data at week 4, 8, 12, etc.), indicate any therapeutic changes that you might make based on the data provided.

· Explain “lessons learned” from this case study, including how you might apply this case to your own practice when providing care to patients with similar clinical presentations.