Chapter 11, Case 1
Lotus is a 36-year-old Asian American female who recently started a new executive position with an advertising firm. While she loves her new job and the field of advertising, she admits that the new schedule is grueling and that she often doesn’t get home until quite late. She has noticed that it is difficult for her to relax before getting to bed and her mind often wanders to the many tasks she needs to complete when she returns to work in the morning. These “racing thoughts” result in significant initial insomnia, causing her to be alert for nearly an hour or more before she is able to fall asleep. When questioned about these symptoms, she claims that she has never seen a therapist before, doesn’t consider herself to be anxious or depressed, and has never had a problem with sleeping in the past. There are no worries of money or health-related issues, and she claims to enjoy her job and the people with whom she works. She even does not find these thoughts unpleasant, as she uses the time to plan her next day. She admits that they are just a bit intrusive and that she really needs to wind down and get more rest.
Questions: Remember to answer these questions from your textbooks and clinical guidelines to create your evidence based treatment plan. At all times, explain your answers.
Summarize the clinical case.
Create a list of the patient’s problems and prioritize them.
Which pharmacological treatment would you prescribe? Include the rationale for this treatment.
Which non-pharmacological treatment would you prescribe? Include the rationale for this treatment.
Include an assessment of treatment’s appropriateness, cost, effectiveness, safety, and potential for patient adherence.
Submission Instructions:
Your instructor will assign you your case number and you will post on the case number you have been assigned.
You will reply to the other case study.
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
All replies must be constructive and use literature where possible.
Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.
Grading Rubric
Your assignment will be graded according to the grading rubric.
Discussion Rubric
Criteria Ratings Points
Identification of Main Issues, Problems, and Concepts Distinguished – 4 points
Post is substantively accurate. Identifies and demonstrates a sophisticated understanding of the issues, problems, and concepts surrounding the assignment. Provides exceptional and thought-provoking analysis that directly addresses details and/or examples of the main topic. Excellent – 3 points
Post is mostly related to the topic. Demonstrates understanding of most of the issues, problems, and concepts surrounding the assignment. It provides some supporting details and/or examples. Analyses not as clear as they could be. Fair – 1-2 points
Demonstrates limited understanding of most of the issues, problems, and concepts surrounding the assignment. No details and/or examples are given. Poor – 0 points
Post is off-topic, incorrect and/or irrelevant to the issues, problems, and concepts surrounding the assignment. Analyses are not well organized or clear. 4 points
APA Formatting Guidelines Distinguished – 2 points
The reference page contains at least the required current scholarly academic reference and text reference. Follows APA guidelines of components: double space, 12 pt. font, abstract, level headings, hanging indent, and in-text citations. Excellent – 1 point
The reference page contains one current scholarly academic resource and text reference. Follows most APA guidelines of components: double space, 12 pt. font, abstract, level headings, hanging indent, and in-text citations. Fair – 0.5 points
The reference page contains one current or outdated scholarly academic resource. Many errors of APA guidelines: double space, 12 pt. font, abstract, level headings, hanging indent, and in-text citations. Poor – 0 points
The reference page contains no current scholarly academic resources, only internet web pages, or no reference page. Lack of APA guidelines for references provided or in-text citations. 2 points
Writing Mechanics Distinguished – 2 points
Rules of grammar, usage, and punctuation are followed; spelling is correct. Excellent – 1 point
Few grammatical errors, but sentences could be clearer and more precise. Fair – 0.5 points
The paper contains a few grammatical, punctuation, and spelling errors. Poor – 0 points
The paper contains numerous grammatical, punctuation, and spelling errors. 2 points
Response to Posts of Peers Distinguished – 2 points
Constructively responded to two other posts and either extended, expanded, or provided a rebuttal to each. Fair – 1 point
Constructively responded to one other post and either extended, expanded, or provided a rebuttal. Poor – 0 points
Provided no response to a peer’s post.
2 points
Total Points 10
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