Evidence Based Practice For A Patient With Depression And Other Issues

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Evidence-Based Practice for a Patient with Depression and Other Issues Annique is a 51-year-old, African American female with a chief complaint of chronic major depressive disorder. Additionally, she is currently seeking treatment for assertion deficits/dependent personality disorder, and for menopausal symptoms including hot flashes and irritability. She is a married teacher and wants to improve her relationships and quality of life. She sees a private psychiatrist every 3 months for medication management, and has tried a number if antidepressant medications, which she states “take the edge off”. This will be the third time that she has participated in psychotherapy. She and her husband work full-time, have job security and health…show more content…
However, among those treated with combination therapy who began with high depression and low anxiety, 58% achieved remission. Clearly the authors found a significant benefit from the combination of medication and psychotherapy than from either treatment alone, including in those patients who, like my client, have a high level of depression but a low level of anxiety. There are significant questions as to the generalizability of the study. My client differs from the sample group by being African American and married. There are many multiples of psychiatric medications for patients to try, along with medication combinations. There are also many more tools in our clinical toolbox beyond cognitive-behavioral treatment of depression. Also, one study, albeit with hundreds of participants, can be an outlier. We therefore quickly scanned review reports, of which there are several, such as Cuijpers et al. (2012). Multiple authors have investigated the peer-reviewed literature on the treatment of major depression with psychotherapy versus medication versus both, and have found that combination treatment works best. Legal considerations for clients and research require strict privacy for individuals who come under our care (i.e., HIPAA laws). While research data can be divided into groups, such as by treatment and/or race and/or gender and/or age, if the division were to be so fine as to identify certain individuals, then that would go too far.
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