*** THE INSTRUCTIONS ARE BELOW AND THE POST TO RESPOND TO (IE, PEER RESPONSE IS
*** THE INSTRUCTIONS ARE BELOW AND THE POST TO RESPOND TO (IE, PEER RESPONSE IS BELOW THAT UNDER THE DASHED LINE). PEER RESPONSE MUST BE SUBSTANTIVE. DO NOT JUST RESTATE THE POST YOU ARE RESPONDING TO WITHOUT ANY SUBSTANCE. IN THIS ASSIGNMENT IT IS OPEN-ENDED WITHOUT PROMPTS ******
Discussion Peer/Participation Prompt
Please respond to at least 2 of your peer’s posts with substantive comments using the following steps:
Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.
References and citations should conform to APA standards.
Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.
Plagiarism is never acceptable – give credit when credit is due – cite your sources.
Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.
What diagnosis do you believe may apply to this individual?
1. F33.1 – Major Depressive Disorder (MDD), recurrent, moderate
Consistent fatigue, inability to concentrate, poor sleep, poor appetite, 10 lb weight loss in one month, frequent crying spells, lack of interest in usual activities, symptoms began about three weeks ago and have been getting worse.
2. G44.209 – Tension-type headache, unspecified, not intractable
She describes her headaches as dull, aching, and generalized. Self-treating with ibuprofen.
To diagnose this patient with major depressive disorder, she has to have of at least one major depressive episode without experiencing any manic or hypomanic symptoms (Kennedy, 2022). A major depressive episode is as a period of at least two weeks in length that are accompanied by at least five of the following symptoms: depressed mood, anhedonia, insomnia or hypersomnia, change in appetite or weight, psychomotor retardation or agitation, low energy, poor concentration, thoughts of worthlessness or guilt, and recurrent thoughts about death or suicide. Lastly, a depressed mood or anhedonia must be present as at least one of the symptoms (Kennedy, 2022).
What classifications of medications can be used to treat this disorder?
1. Second-generation antidepressants
Selective serotonin reuptake inhibitors (SSRIs): Celexa, Lexapro, Prozac, Paxil, Zoloft.
Serotonin-norepinephrine reuptake inhibitors (SNRIs): Effexor, Cymbalta
Atypical antidepressants: Wellbutrin, Remron
Serotonin modulators: Trazodone
2. First-generation antidepressants
Tricyclic antidepressants (TCAs): Amitriptyline, Doxepin
Monoamine oxidase inhibitors (MAOIs): Phenelzine
Which medication do you recommend and why?
Given the positive results and low side effect rates seen in controlled clinical trials involving SSRIs, I would suggest them for a first-time treatment (Whiston et al., 2022). When it comes to treating depression, SSRIs are by far the most popular option. As for which SSRI is appropriate for this young lady, I would choose escitalopram because it has been shown to increase appetite and help with sleep. I would also collaborate with a therapist to get her started on Cognitive Behavioral Therapy (Whiston et al., 2022).
Kennedy, S. H. (2022). Core symptoms of major depressive disorder: Relevance to diagnosis and treatment. Dialogues in Clinical Neuroscience, 10(3), 271–277. https://doi.org/10.31887/dcns.2008.10.3/shkennedyLinks to an external site.
Whiston, A., Lennon, A., Brown, C., Looney, C., Larkin, E., O’Sullivan, L., Sik, N., & Semkovska, M. (2022). A systematic review and individual patient data network analysis of the residual symptom structure following cognitive-behavioral therapy and escitalopram, mirtazapine and venlafaxine for depression. Frontiers in Psychiatry, 13. https://doi.org/10.3389/fpsyt.2022.746678Links to an external site.Hello all,