The theme for Week 7 is substance use disorders and Week 8 is Co-Morbidities – Sleeping, Eating Disorders and General Medical Conditions.

Please share a case with us that you find challenging, one that you would like to seek advice on handling. The case must be associated with the theme of either Week 7 or 8. Tell us how you handled it and what your concern is. If you are not in clinical then use a client from your current job, a client you remember from 604, or a client or case that has always stuck with you.

This can be an ethical dilemma or a management issue. Maybe you disagreed with your preceptor and don’t know what to do. Maybe you really need to talk to a family member but HIPAA has held you back. Did you need to advocate for your patient with an insurance company. Is your patient delusional and you don’t know how to work with this? Lots of choices.

Then please address ONE of the following as it pertains to your patient: 

1) what neurotransmitters and CYP-450 enzymes are being affected and how the medication will address that, 

2) recommended starting dose, frequency, route, and plans for titration

3) all patient teaching considerations including side effects, how long side effects might continue, time till improvement, etc., 

4) plans for follow-up (how often would you see this patient and how would you evaluate the effectiveness of the treatment plan), or

 5) what are your thoughts if there is no response to this medication or treatment intervention? 

Don’t forget to include 3 references beyond your assigned readings for this week and attach it for your peers.

Expectations: At least 500 words, up to 3 references.