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+--- Thread: Q 46, psy, mastery 2 - nbmeq (/showthread.php?tid=811092)
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Q 46, psy, mastery 2 - nbmeq - ArchivalUser - 07-21-2015
A 57 yr old woman comes to physician because of difficulty sleeping, tearfulness and restlessness since her daughter was diagnosed with metastatic breast cancer 3 days ago . she reports that when she goes to bed at night, she unable to fall asleep for several hours and lays in bed worrying about her daughter’s situation. The pt underwent a mastectomy for breast cancer 7 yrs ago.she takes acetaminophen/butalbital for occasional migraines. Her vitals are normal. P/E-NAD. Mental status-tearful, tense but calms during the conversation. No evidence of suicidal ideation. Which is most appropriate next step in Mx?
A. Biofeedback
B. Carbamazepine therapy
C. Clonazepam
D. Clonidine
E. Imipramine
F. Olanzapine
G. Pentobarbital therapy
H. Sertraline.
0 - ArchivalUser - 07-21-2015
CC
0 - ArchivalUser - 07-21-2015
@medplus, why clonidine?
0 - ArchivalUser - 07-21-2015
@medplus
sorry, my mistake...u mention clonazepam
why clonazepam?
0 - ArchivalUser - 07-21-2015
why not SSRI Sertraline?
0 - ArchivalUser - 07-21-2015
My problem is,i cant even,diagnose her problem?
psycho makes me carzy.
0 - ArchivalUser - 07-21-2015
H -> depression. She hits like 4 or 5 of the SIGECAPS for depression and has problem before
0 - ArchivalUser - 07-21-2015
Her problems start 3 days ago(less than 2 weeks)???
0 - ArchivalUser - 07-21-2015
we can wait more 2 weeks )))))really i don't know!I just know in America MC Tx of depression use SSRIs
0 - ArchivalUser - 07-21-2015
anxiety....acute satge...C
antidepreesants take time to be effctive