Unresponsive Treatment Plan

The intake assessment is where the case manager get to know the client and what problems does it have you can also it can also help as a guide to start the treatment plan which is very important this help the client look at the possibilities that their goals are being taken care of. As a case manager you will have to give that little extra push or extra confident that they have lost in the past time. As a case worker you have to maintain that resiliently mood with the client and that is where the treatment plan comes in. In this dissertation will be discussing the treatment plan for the follow up client which is Belinda. Also what strategies can a

Major depressive disorder, we all have probably heard of it, but do we really know what is it is ? Major depressive disorder is “a mood disorder that causes a persistent feeling of sadness and loss of interest… major depressive disorder or clinical depression, affects how you feel, think and behave and can lead to a variety of emotional and physical problems”(Mayo Clinic Staff). Having this disorder puts you in a very unstable position because you are constantly feeling depressed so it affects the way you think and feel and that can be very dangerous. Sometimes this happens to a person for one day, but put yourself in the shoes of someone who experiencing this for more than two weeks? When you have major depressive disorder, the signs of depression disorder can last for two weeks or more(myers646). This dis order must be treated immediately because “depression may make you feel as if life isn 't worth living”(Mayo Clinic Staff). Feeling this way can lead you to doing things that you can not take back such as committing suicide and sadly that can happen when you have major depressive disorder. Kiyohara and Yoshimasu conducted a research that showed that 90% of suicides have were dealing with major depressive disorder(qtd. in The World Health Organization). Throughout this paper I will be discussing the causes, symptoms and treatment when dealing with major depressive disorder.

Of these different options, medications and therapy are the most commonly chosen route to take by people who have the illness. For medication, certain medications will try to affect the balance of serotonin or norepinephrine. Others will try to regulate the amount of dopamine in the brain. All of these are affected by neurotransmitters, which are located in the brain, and affect a person’s moods. Those that affect the amount of serotonin in the brain are commonly called SSRIs, or selective serotonin re-uptake inhibitors. Popular brand names are Zoloft, Prozac, and Paxil

Pharmacotherapy i.e. treatment through drugs in this case antidepressants, is one of the many therapies used to treat depression. There are varieties of antidepressants that are used as a treatment of depression, for example tricyclics. The newest and most commonly used antidepressants are selective serotonin reuptake inhibitors (SSRIs). The Cochrane review (2007) has showed evidence that SSRIs such as fluoxetine compared with a placebo have been effective when treating depression in children and adolescents. Another type of antidepressants that have been used in treatment of depression are tricyclics, unlike SSRIs, a study by Hazell (2004) has shown that they are an ineffective treatment of depression.

There is a recent debate is on the different treatment methods for depression and which are the most effective. The

Due to the harmful side effects of antidepressants, other forms of coping and dealing with depression should be implicated. Using tricyclic antidepressants as a last resort is an option that should be considered only after trying other forms of therapies such as cognitive and behavioral treatment, group therapy, and psychodynamic therapy. Cognitive and behavioral therapies focus on trying to change the behavior of the patient instead of focusing on the past and root issue of the problem. “The main idea of behavioral therapy is that people who are rewarded for the wrong things and punished for positive acts end up behaving in ways that don’t serve them well” (Wolff 61). Another equally effective aid for depression is the most commonly known type of therapy, psychodynamic therapy; psychodynamic therapy works by setting an example of a healthy

I agree with you, the patients we treat should be just as responsible in their healthcare plans as we are in rendering treatment plans; however, providing care to non-adherent patients can place everyone at certain risk if not handled appropriately. The best way to protect the clinic and your staff when dealing with non-adherent patients is to not only document non-adherence issues identified, but also be specific as to which strategies were implemented to help the high risk patient in becoming compliant with proposed medical guidelines ( CMPA, 2013). The CMPA recommends that having open communication with patients is important and providers need to assess potential obstacles ( socio-economic, education levels, language barriers, and attitudes) early on; therefore, begin to provide available resources to assist the patient in hopes to mitigate foreseeable complications. Foreseeability entails "guarding against that which is probable and likely to happen, not against that which is only remotely possible" ( Pozar, 2016, p.

According to the DBSA in the US alone depression affects 6.7% of adults. This is approximately 14.8 million people who are diagnosed yearly. Depression puts you at a risk four times higher than that of a non depressed person for a heart attack. The majority of depressed peoples are women. In the medical world there are many techniques to combat depression. There are many forms of prescription antidepressants including; selective serotonin reuptake inhibitors (SSRIs), atypical antidepressants, tricyclic antidepressants (TCAs), and monoamine oxidase inhibitors (MAOIs). Thanks to Ed Likovich, Kasey Russell, Richard Schwartz, Jacqueline Olds and Tom Hayes there is another form of prescribed antidepressant that we now know as Sunsprite.

Reviews of research on psychotherapy versus antidepressants with evidence supported methods were used. WebPages along with the reading of numerous studies

With an estimated 9.3% of Americans currently living with major depression or bipolar disorder, according to the NIMH, the safety of antidepressant drugs is at the forefront of many pharmaceutical discussions. At present, the most common drugs used to treat the debilitating lethargy, anxiety, and fatigue often associated with major depression fall into three key categories based upon mechanism of action: SSRIs, Tricyclics, and MAOIs. Since major depression and bipolar disorder are characterized by imbalances of certain chemicals within the brain, prescription medications are often the best way of relieving the symptoms of these disorders. As with any medication, antidepressants carry risks of side-effects, which usually relate to the drug

Major Depressive Disorder or MDD is a very common clinical condition that affects millions of people every year. According to the Agency for Health Care Policy & Research, “ depression is under diagnosed & untreated by most medical doctors, despite the fact that it can almost always be treated successfully.

three groups.Monoamine oxidase inhibitor (MAOI) medicines block the monoamine oxidase enzyme (MAO) from destroying monoamine neurotransmitters, which allows them to accumulate, alleviating depression. Serotonin selective reuptake inhibitor (SSRI) medications block the serotonin reuptake pump, allowing the serotonin neurotransmitter to remain and accumulate in the receptor for longer. Speaking of serotonin specifically, depression has been related to a deficiency of the 5-hydroxytryptamine (serotonin) neurotransmitter as evidenced by the concentrations of the

Depression is a very hard illness to cure, but, daily antidepressants and weekly or monthly therapy can help depression over time. Depressive symptoms can be temporarily “fixed” by antidepressants, but more than likely, the depression will set in again. Although, if you use the drug treatment and therapy, depression has a lesser chance of returning. A new study with 595 patients with major depression showed that the best treatment plan involves a combination of psychotherapy and drug therapy. Fred Duman, M.D. says, “Even patients prescribed medication alone need psychological attention. Knowledgeable clinicians can miss things like poor compliance, life stresses and substance abuse that can interfere with the medication’s working.” Furthermore, psychotherapy and antidepressants together can help cure depression, which is why depression should be treated this

As the literature remains inconclusive as to the relation between current major treatment modalities and depressive disorder, and given the extremities of the potential dangers of antidepressant medications, it is apparent that there is a need to develop new interventions, which show greater efficacy, safety, and acceptability.

The first step to treating many of these new cases of depression is the prescription and use of antidepressant medication, however this has cause a mass flooding of our society with unnecessary prescription drugs. Due to the ease of treatment, primarily with prescription drugs, and the large range of severity in depression is often over diagnosed, adding to the problem.