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P. M's Antidepressants: A Case Study

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agree the social stigma of mental illness is a limiting factor for patients suffering from various degrees of mental disturbance to seek out assistance. Self recognition of decline along with a strong support system is needed for patients with mental illness. Patients prescribed antidepressant medication must first undergo a through medical and psychiatric evaluation to determine the severity of symptoms. Antidepressants regardless of there classification should be carefully prescribed and monitored for effect. P.M 's antidepressant should be prescribed based on her severity of symptoms, interactions with other medications that she may be taking, with the possible side effects of medication being considered (Mayoclinic). It is important for
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Charles Barber’s article, “The Medicated Americans: Antidepressants Prescriptions on the Rise,” focuses on the views of “depression” and “Depression” that are caused by antidepressants like Prozac, Paxil, and Norpramin. Barber talks about how people do not understand the differences of depression which causes misdiagnoses and misunderstanding of the two. One meaning of “Depression” is how it is used to do describe a serious medical condition and the other meaning a broad terming meaning feeling down, bummed out, or anything along those lines. A study conducted by the New England Research Institution showed that 43 percent of people who have been prescribed antidepressants did not have any diagnosis of depression or any mental health conditions.

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Limitations recognised throughout the SDM process were related to risk of further deterioration in the Consumer’s mental state. As the Consumer was slowly taken off his medications, in a safe clinical manner, his presentation deteriorated. The Consumer’s sleep pattern worsened due to the elevation in his mood, there was a noted increase in impulsivity and poor boundaries with others on the inpatient unit, leading to the Consumer becoming vulnerable. There was a prominent increase in erratic and aggressive towards others, leading to the assault of a staff member on the inpatient unit and subsequently required the use of restrictive interventions. The decline in mental state resulted in the Consumer’s father, case manager and treating team coming together for a family meeting with the Consumer present in which the previous medications the Consumer had been previously prescribed were recommenced in an attempt to re-stabilise his presentation, unfortunately this was a substituted decision made by the consumer’s father and treating tream.

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For me this is important because

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1. Improve patient education on depression by providing clear information on what is depression, the causes of depression, the consequences if without treatment, and the benefits and importance of continuing antidepressants. This is carried out to all newly diagnosed patients by the treating

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Of the top five conditions driving overall health cost, depression is number one. There are financial benefits of integrated care (Korff , Katon, Unützer, Wells , Wagner (2001). The platform for this model is important to be in clinics where patients visit the most and supervised with a collaborative team of patient educators, social workers, nurses, physicians, and consultant psychiatrist (Hunter, Goodie, Oordit, & Dobmeye, (2009). The team should be available to the patient for a first encounter the same day to identify the patient’s needs. Each appointment is concise except the evaluation by the Social Worker.

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It seems that any physician with a prescription pad is handing out antidepressants like candy. Acne getting you down? Ask your dermatologist for some Prozac. Bunion on your big toe? Some Zoloft should take care of that.

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Stigma surrounding the patients using mental health servicesurrounding the patients using = = =mental services Panova G, Zisovska E, Joveva E, Serafimov A, Karakolevska Ilova M FACULTY OF MEDICAL SCIENCES UNIVERSITY OF GOCE DELCHEV, SHTIP, MACEDONIA Stigma is used as a synonym for designation of individuals or group with some characteristic differ from other population. This means that any disease by itself can carry stigma. But the greatest stigmatization is still associated with mental illness.

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