SOLVED1645
You are seeing a new patient who complains of anhedonia and low mood. They state that they have not always felt like this and only noticed these symptoms over the past few weeks. They are currently taking Adderall IR 30mg BID. They deny any illicit substance use, but do endorse drinking 3 cups of coffe per day as well as 2 energy drinks. What is the best course of action to take with this patient? The patient is likely suffering from MDD. Consider starting an SSRI to help with their depressive symptoms. The patient is likely experiencing anhedonia and low mood related to downregulation of their dopamine receptors. Consider discontinuing coffee and energy drinks and taper the dose of Adderall. The patient is likely experiencing anhedonia and low mood related to upregulation of their dopamine receptors. Consider discontinuing coffee and energy drinks and taper the dose of Adderall. The patient likely needs to increase their dose of Adderall.
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NURSING
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