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NR 508 week 4 part 1

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Discussion Part One (graded) Barbara is a married 39-year-old woman with no children, smokes 1 pack/day, and weighs 180 pounds who has scheduled an appointment with you to discuss feelings of anhedonia that she has be ...

Discussion Part One (graded) Barbara is a married 39-year-old woman with no children, smokes 1 pack/day, and weighs 180 pounds who has scheduled an appointment with you to discuss feelings of anhedonia that she has been experiencing for the past few months. She has a history of depression as a teenager, but has not needed or received therapy for ~20 years. At the appointment, she relays that she has been experiencing chronic fatigue/loss of energy, feelings of worthlessness, appetite disturbances, weight gain, inability to concentrate, psychomotor disturbances, and insomnia.  Please provide a list of differential diagnoses, as well as an indication of your primary diagnosis.  Once this has been completed, please indicate and describe your chosen pharmacological treatment with inclusion of dose and mechanism of action of your chosen prescription. Subjective Patient states she: smokes 1 pack/day, anhedonia, hx of depression, chronic fatigue/loss of energy, feelings of worthlessness, appetite disturbances, weight gain, inability to concentrate, psychomotor disturbances, and insomnia. Objective Pertinent positives – 39 yr. old married female with no children experiencing fatigue, feelings of worthlessness, appetite disturbances, weight gain, lack of concentration, insomnia, and psychomotor disturbances. Weight 180lbs (overweight, possibly obese) height needed Anhedonia – lack of interest or pleasure in normal activities Pertinent negatives – none Assessment 1. Major Depression Disorder (Primary Diagnosis) – Depression is defined as a state of extreme sadness. Depression occurs due to a dysfunction with the potassium transmembrane. This membrane allows for potassium to leak back into the cell (Borsotto, 2016). Symptoms of depression on a daily basis for a minimum of 2 weeks include:  Sadness and despair  Weight loss or gain (>5% of body weight)  Feeling of worthlessness and guilt  Sleep disturbance (insomnia or hypersomnia)  Fatigue  Diminished concentration and indecisiveness  Anh

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