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The PMHNP is treating a 19 y/o African American male in his freshman year of college and he reports he has felt highly irritable and depressed for the past two years, citing the precipitating event as a breakup with a girlfriend. Prior to this event , he was making all A’s. He reports he has been unable to stop abscessing over what happened. He has been taking 20 mg Prozac since the breakup and endorses partial remission of depressed mood. The PMHNP teaches the patient that a. Prozac can treat anxious rumination in higher diose, but also may induce feeling of apathy b. Prozac may be triggering the patient’s irritability, and the dose therefore should be lowered c. Medication is not a valid option for this patient and that psychotherapy is necessary to cultivate better adaptive skills d. Prozac is not working well, and another medication should be considered
SCIENCE
HEALTH SCIENCE
NURSING

 
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