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. Do you agree with your peer decision-making? What are the pros and cons of their choices? What other suggestions might you offer?
Your response should include evidence of review of the course material through proper citations using APA format
PEER #3 DISCUSSION/PRESENTATION. INITIAL POST.
Describe your treatment plan for your patient in each of these three scenarios. This means that you will have a treatment plan for each separate scenario.
Scenarios
There is no response to the medication.
There is a partial response to the medication. Mood has lifted but energy and motivation are still poor.
Mood is improved but the patient has sexual side effects that interfere with quality of life.
Scenario 1: No Response to medication
The efficacy of Lexapro is estimated to take action as from three to six weeks to manifest, and in some cases, the response might be sooner. However, patients who exhibit no response to Lexapro post six weeks need to change the medication and seek alternative pharmacological interventions (Rivero et al., 2013). It is recommended that all patients who have been prescribed Lexapro medication adhere to the drug schedule; patients need to ensure that they administer the dosage without fail. In cases where they forget to take the drug, one should take it as soon as possible.
No response to the medication can infer that the severity of the depression or ailment is significant, and hence a review is necessary for the patient. Lexapro is a highly potent anti-depressant (Rivero et al., 2013). The use of Lexapro in treating depression offers a better treatment outcome; the dosage rate of the medication is 100mg tablets administered twice a day orally in normal depression cases and thrice a day in severe cases. Lexapro acts as an inhibitor reducing the hormonal release of depressive cognitive elements. In the case of Alison, it is necessary to utilize Lexapro medication as it provides higher efficacy in handling depression and acts as a mood and energy level booster.
Scenario 2: Partial Response to medication
In cases of a partial response to the medication, it is advisable that the patient be it would be ideal to upscale the dosage while simultaneously administering a mix of non-pharmacological interventions such as therapy (Friedli et al., 2015; Watkins, Pieper, and Treisman, 2011). Lexapro is administered twice a day with the dosage of 100mg orally; the dosage is increased three times a day if the patients case shows partiality in response. A supplementary consideration non-pharmacological intervention can be utilized if the patients response index still shows partiality after an upscale in the dosage. Therapy is a viable non-pharmacological intervention in treating depression (Zheng et al., 2020; Rivero et al., 2013). Alisons case can be mitigated by using the medication choice and supplementation with the use of therapy. Therapy sessions are good supplementary interventions that can be used to comprise a patients treatment plan. In mood improvement, it is prudent to scale down the dosage administered to the patient. The patient will be administered a lower dosage of the selected medication in cases where her depression is mild with the supplementation of mood-boosting medication.
Scenario 3: Sexual Side Effects
Pharmacological interventions are prone to elicit side effects on the users. According to Partridge, Lucke, and Hall (2014), sexual side effects of anti-depressants are a common occurrence among patients. The best-fit intervention in such cases is to continue with the dosage prescribed as the side effects caused are not long-lasting. However, in cases where the severity of the side effect affects the patient significantly, dosage should be stopped and re-administered after consultation with the respective doctor. A blood pressure test is a critical laboratory test before prescribing Lexapro medication. According to Friedli et al. (2015), anti-depressants increase inhibition of certain hormones in the body that can cumulatively impact the blood pressure if not well monitored, such as developing sexual side effects. Dosage control and supplementation with virality boosting supplements can be an ideal remedy for mitigating sexual side effects.
References
Friedli, K., Almond, M., Day, C., Chilcot, J., da Silva Gane, M., Davenport, A., Guirguis, A., Fineberg, N., Spencer, B., Wellsted, D., & Farrington, K. (2015). A study of sertraline in dialysis (ASSertID): a protocol for a pilot randomised controlled trial of drug treatment for depression in patients undergoing haemodialysis. BMC Nephrology, 16.
Partridge, B., Lucke, J., & Hall, W. (2014). Over-diagnosed and over-treated: a survey of Australian public attitudes towards the acceptability of drug treatment for depression and ADHD. BMC Psychiatry, 14, 74. http://dx.doi.org/10.1186/1471-244X-14-74
Rivero, G., Gabilondo, A. M., Garca-sevilla, ,J.A., Callado, L. F., La Harpe, R., Morentin, B., & Meana, J. J. (2013). Brain RGS4 and RGS10 protein expression in schizophrenia and depression. Effect of drug treatment. Psychopharmacology, 226(1), 177-88. http://dx.doi.org/10.1007/s00213-012-2888-5
Watkins, C. C., Pieper, A. A., & Treisman, G. J. (2011). Safety considerations in drug treatment of depression in HIV-Positive patients. Drug Safety, 34(8), 623-39. http://dx.doi.org/10.2165/11592070-000000000-00000
Zheng, W., Xu, K., Wang, D., & Zheng, Y. (2020). Depression alleviation effect of psychological intervention based on traditional Chinese medicine. Revista Argentina De Clnica Psicolgica, 29(1), 776. http://dx.doi.org/10.24205/03276716.2020.105
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