CSL-618 Session 4 Case Study: Your client is Allen
Your client is Allen, a 27 year-old investment advisor with a large insurance firm. Four months ago, Allen was diagnosed with major depression and anxiety disorder NOS. He also has essential hypertension that he controls through exercise, diet and a low dose of a beta-blocker. Neither the hypertension nor beta-blocker is believed to contribute to his anxiety or depression. His anxiety is correlated with obsessions about his job. His work is stressful, as it is commission only. The commissions can be substantial when he is successful but there are no guarantees. Colloquially he manifests mixed anxiety and depression. He was started on paroxetine 20 mg. once a day. After 2 months he was experiencing relief from his symptoms but is becoming quite bothered and embarrassed by impotence and delayed ejaculation. He wonders if he should consult again with the psychiatrist and if there is anything that can be done for this. He hesitates to go back to the psychiatrist because of the co-pay and he is not sure if his problem can be solved.
In one page respond to the four questions asked below. Draw from clinical experience and expertise, published research, and course texts, to answer these questions. Come to a consensus on how to best treat the client.
Paper must be in APA 7th edition It would be best to utilize headers as you address each question, being sure to apply APA 7th edition these headers. Intext citations and a reference page, also in APA formatting, are appropriate as well. Be sure to reference the case rubric below for further guidance.
1. What would you tell Allen about his current problem?
2. Describe at least two medication strategies a psychiatrist may try with Allen to correct the problem.
3. In addressing this problem with Allen, what medications may require at least temporary monitoring of his blood pressure?
4. Of the options listed in #2, pick one and note what you would tell Allen about the side effects likely in that option.
|Development and Evidence||Points Range:10.74 (26.85%) – 12 (30.00%) Responses to case study are supported with relevant and fully developed (reader gains insight) personal examples, textual sources and scholarly academic sources. AND Supporting evidence is accurately cited. AND Synthesis of the sources shows original thought Additional academic sources used beyond the course text(s).|
|Critical Thinking||Points Range:10.74 (26.85%) – 12 (30.00%) Alternative perspectives/positions on the case study are identified and rebutted. AND Group’s final perspective on the case study fully addresses case study questions and demonstrates drawing on course content and relevant academic research.|
|Language||Points Range:7.16 (17.90%) – 8 (20.00%) Strong, effective academic word choice; variety in sentence structure; active voice is primarily used.|
|Conventions and Mechanics||Points Range:7.16 (17.90%) – 8 (20.00%) Case study response contains few format or style errors (less than 2 unique errors per page). Response is clear and easy to read.|