SSRIs and SNRIs are first-line treatments for anxiety disorders. They can take 4-6 weeks to take full effect. Benzodiazepines provide faster relief but carry risks of dependence and abuse with long-term use. Cognitive behavioral therapy is an effective psychotherapy for treating anxiety by helping patients identify and modify negative thoughts. Benzodiazepines should only be prescribed short-term after assessing for risk of addiction or substance abuse. Side effects, risks of dependence, and need for gradual tapering should be discussed with patients.
AssignmentWrite a Respond to two of these #1&2 case studies.docxnormanibarber20063
- A 60-year-old male has struggled with depression for 40 years. Recently, his family noticed worsening symptoms.
- Three key questions the provider would ask are about life changes, suicidal thoughts, and safety at home.
- It's important to involve family by asking about dynamics, triggers, and the home environment.
- Diagnostic testing and scales can help evaluate symptoms and rule out other causes, while follow-ups assess progression.
- Differential diagnoses include adjustment disorder, dysthymia, and bipolar disorder.
The man whose antidepressants stopped workingMajor depress.docxpoulterbarbara
: The man whose antidepressants stopped working
Major depressive disorder is one of the most prevalent disorders we will see in our clinical practice. Treatment options for MDD can vary greatly contingent on the appropriate psychopharmacologic interventions being adopted for our clients.
Medication nonadherence for patients with chronic diseases is extremely common, affecting as many as 40% to 50% of patients who are prescribed medications for management of chronic conditions (Kleinsinger, 2018). Nonadherence isn't a new problem. However, offering clients valuable interventions and education to overcome any potential compliance barriers will help the provider identify any challenges and decide how to achieve mutually agreed-upon goals to improve their health.
Questions
1.
Do you ever feel that taking your medications is a nuisance or inconvenience? Do you have a difficult time remembering to take your medications or forget?
•&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ;Developing a medication schedule, It is difficult to come up with a schedule to take medications every day for some patients. Collaboratively we need to come up with a convenient time to take the antidepressant and the other prescribed medication for them to be effective.
2.
Does your prescribed medications and treatment regimen still leave you feeling depressed? Do you have a difficult time adhering to a prescribed regimen?
•&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ;The patient discontinued his Effexor although it appeared to be effective. It is essential to find out the patient’s reason for not following the prescribed regimen and come up with a solution together.
•&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ;It is crucial for the patient to take his antidepressants accordingly, as well as not skip or alter the dosage, nor terminate the medication once you start feeling better.
3.
Have the side effects of your medications been difficult to cope with or manage? Do you sometimes stop taking your medications because of the adverse effects?
Sertraline has been prescribed in the past and discontinued several times. The patient experienced side effects of sexual dysfunction and stopped taking. Encourage the patient to monitor any side effects, physical and emotional changes or occurrences.
Stopping medications and treatment regimens prematurely or abruptly have been associated with high relapse rates and can cause serious withdrawal symptoms (Henssler, Heinz, Brandt, & Bschor, 2019).
Important People
Family members and other caregivers bring personal knowledge on the suitability or lack thereof regarding different treatments for the patient's circumstances and preferences (Smith, 2013). The patient is married, so I would address additional questions to his wife. After getting permission to discuss his medical records with his family members, I would ask the wife if she knew what medications her husband was taking? If she knew why he was taking them? Informed and en.
The document discusses depression, somatization disorders, and their treatment. For somatization disorder, cognitive behavioral therapy and tricyclic antidepressants can be effective treatments. Symptoms can be evaluated before and during treatment using the PHQ-15 questionnaire. Depression is associated with changes in neurotransmitters like serotonin and treatments include SSRIs, psychotherapy, and evaluating response using scales like the HAM-D. Reducing stigma around depression involves education about mental health and advocating for greater rights. For adolescent depression, CBT and SSRIs are commonly used treatments, with education about potential increased suicide risks from antidepressants.
Due Facilitating group to post by Day 1; all other students post AlyciaGold776
The facilitating group posted discussion prompts on somatization disorder, depression, and the link between social media use and depression in adolescents.
For somatization disorder, they asked how therapeutic interventions would be formulated and how success would be evaluated. For depression, they asked how views on living with depression may have changed after watching a video, what interventions and resources would be used and how treatment success would be evaluated. For social media and adolescent depression, they asked for non-pharmacological interventions and an appropriate medication choice along with important patient education.
A peer responded by discussing screening and treatment of somatization disorder including psychotherapy and medications. For depression, the peer discussed the neurobiology, diagnostic criteria, treatment options of
The AssignmentRespond to at least two of your colleag.docxtodd541
The Assignment:
Respond
to at least
two
of your colleagues by providing one alternative therapeutic approach. Explain why you suggest this alternative and support your suggestion with evidence-based literature and/or your own experiences with clients. In APA Format, Cite and Provide at least 2 references no more five year old for each responses.
Colleagues
Respond# 1
Paranoid Personality Disorder (301.0), which comes out of general personality disorder. These individuals have a constant distrust and suspicion of others around them, thinking that everyone has a motive against them. These patients start having problems from childhood and it presents in a variety of ways. Some of them are being apprehensive and doubtful of others thinking they are going to exploit, harm, or deceive them. Constantly preoccupied with unjustified doubts about the loyalty or trustworthiness of the people closest to them. Reluctant to confide with the fear that their information will be used maliciously against them. Persistently bears grudges, perceives attacks on their character when it is not so and quick to react with ager or counterattack (A.P.A., 2013).
These individuals or personality disorders are usually treated with cognitive behavioral therapy, which is a collaborative process of empirical investigation, reality testing, and problem-solving between the therapist and the patient (Wheeler, 2014). Depending on what other underlying issues or disorders they have, other therapeutic therapies can also be introduced but for the most part, CBT is the one that is used often for personality disorders. for PPD medication is usually not given and psychotherapy is the route, but depending on what other extreme symptoms the patient may have like anxiety or depression, then medications can be given for them. Unfortunately, these individuals don’t see that they have problems and usually don’t seek medical help, which makes for a poor quality of life for these individuals. It is common for them to have other comorbidities such as substance misuse disorder, major depressive disorder, agoraphobia and OCD (Vollm et al, 2011).
The essential feature here with these patients is distrust and being suspicious of others and their surroundings, therefore in order to be able to have any kind of therapeutic or therapist relationship with them one has to first get their trust completely. Make them feel that you are completely on their side by sharing with them that you respect what they believe but you don’t share it or have the same belief, that you have nothing that can harm them, that you are genuine and are there only for them (Carroll, 2018). Once that is established, which may take some time and patience on the therapist part, then little by little we can point various things out to them to help them see that what they perceived as evil is not it and from these little examples that are clarified then we can explain to them the disorder or problem they have.
Colle.
- The document is a case study and analysis of a young boy, Tyrel, presenting with obsessive behaviors around handwashing and concerns over germs.
- The PMHNP diagnoses Tyrel with Obsessive Compulsive Disorder based on his obsessive thoughts and compulsive handwashing behaviors meeting DSM-5 criteria.
- The PMHNP decides to start Tyrel on Fluvoxamine immediate release 25 mg orally at bedtime, as this has a safer starting dose profile than other options for a child and is dosed to minimize daytime sedation as a side effect.
The document discusses schizophrenia in older adults, focusing on FDA-approved and off-label pharmacological and non-pharmacological treatments. It describes Seroquel as an FDA-approved atypical antipsychotic recommended for older adults with schizophrenia. Lithium is mentioned as an off-label drug sometimes used to treat schizophrenia. Psychosocial therapy, specifically Cognitive Behavioral Social Skills Training, is recommended as a non-pharmacological intervention for older adults. The risks and benefits of Seroquel, lithium, and psychosocial therapy are also briefly outlined.
This document discusses erectile dysfunction, a sexual dysfunction characterized by difficulty obtaining or maintaining an erection. The diagnostic criteria for erectile dysfunction include difficulty obtaining or maintaining an erection during sexual activity for at least 6 months that causes distress. Treatment options include cognitive behavioral sex therapy and antidepressants like bupropion, which has been shown to help cases caused by other antidepressants. Psychotherapy and medication must be tailored to the individual based on the underlying cause of their erectile dysfunction.
AssignmentWrite a Respond to two of these #1&2 case studies.docxnormanibarber20063
- A 60-year-old male has struggled with depression for 40 years. Recently, his family noticed worsening symptoms.
- Three key questions the provider would ask are about life changes, suicidal thoughts, and safety at home.
- It's important to involve family by asking about dynamics, triggers, and the home environment.
- Diagnostic testing and scales can help evaluate symptoms and rule out other causes, while follow-ups assess progression.
- Differential diagnoses include adjustment disorder, dysthymia, and bipolar disorder.
The man whose antidepressants stopped workingMajor depress.docxpoulterbarbara
: The man whose antidepressants stopped working
Major depressive disorder is one of the most prevalent disorders we will see in our clinical practice. Treatment options for MDD can vary greatly contingent on the appropriate psychopharmacologic interventions being adopted for our clients.
Medication nonadherence for patients with chronic diseases is extremely common, affecting as many as 40% to 50% of patients who are prescribed medications for management of chronic conditions (Kleinsinger, 2018). Nonadherence isn't a new problem. However, offering clients valuable interventions and education to overcome any potential compliance barriers will help the provider identify any challenges and decide how to achieve mutually agreed-upon goals to improve their health.
Questions
1.
Do you ever feel that taking your medications is a nuisance or inconvenience? Do you have a difficult time remembering to take your medications or forget?
•&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ;Developing a medication schedule, It is difficult to come up with a schedule to take medications every day for some patients. Collaboratively we need to come up with a convenient time to take the antidepressant and the other prescribed medication for them to be effective.
2.
Does your prescribed medications and treatment regimen still leave you feeling depressed? Do you have a difficult time adhering to a prescribed regimen?
•&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ;The patient discontinued his Effexor although it appeared to be effective. It is essential to find out the patient’s reason for not following the prescribed regimen and come up with a solution together.
•&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ;It is crucial for the patient to take his antidepressants accordingly, as well as not skip or alter the dosage, nor terminate the medication once you start feeling better.
3.
Have the side effects of your medications been difficult to cope with or manage? Do you sometimes stop taking your medications because of the adverse effects?
Sertraline has been prescribed in the past and discontinued several times. The patient experienced side effects of sexual dysfunction and stopped taking. Encourage the patient to monitor any side effects, physical and emotional changes or occurrences.
Stopping medications and treatment regimens prematurely or abruptly have been associated with high relapse rates and can cause serious withdrawal symptoms (Henssler, Heinz, Brandt, & Bschor, 2019).
Important People
Family members and other caregivers bring personal knowledge on the suitability or lack thereof regarding different treatments for the patient's circumstances and preferences (Smith, 2013). The patient is married, so I would address additional questions to his wife. After getting permission to discuss his medical records with his family members, I would ask the wife if she knew what medications her husband was taking? If she knew why he was taking them? Informed and en.
The document discusses depression, somatization disorders, and their treatment. For somatization disorder, cognitive behavioral therapy and tricyclic antidepressants can be effective treatments. Symptoms can be evaluated before and during treatment using the PHQ-15 questionnaire. Depression is associated with changes in neurotransmitters like serotonin and treatments include SSRIs, psychotherapy, and evaluating response using scales like the HAM-D. Reducing stigma around depression involves education about mental health and advocating for greater rights. For adolescent depression, CBT and SSRIs are commonly used treatments, with education about potential increased suicide risks from antidepressants.
Due Facilitating group to post by Day 1; all other students post AlyciaGold776
The facilitating group posted discussion prompts on somatization disorder, depression, and the link between social media use and depression in adolescents.
For somatization disorder, they asked how therapeutic interventions would be formulated and how success would be evaluated. For depression, they asked how views on living with depression may have changed after watching a video, what interventions and resources would be used and how treatment success would be evaluated. For social media and adolescent depression, they asked for non-pharmacological interventions and an appropriate medication choice along with important patient education.
A peer responded by discussing screening and treatment of somatization disorder including psychotherapy and medications. For depression, the peer discussed the neurobiology, diagnostic criteria, treatment options of
The AssignmentRespond to at least two of your colleag.docxtodd541
The Assignment:
Respond
to at least
two
of your colleagues by providing one alternative therapeutic approach. Explain why you suggest this alternative and support your suggestion with evidence-based literature and/or your own experiences with clients. In APA Format, Cite and Provide at least 2 references no more five year old for each responses.
Colleagues
Respond# 1
Paranoid Personality Disorder (301.0), which comes out of general personality disorder. These individuals have a constant distrust and suspicion of others around them, thinking that everyone has a motive against them. These patients start having problems from childhood and it presents in a variety of ways. Some of them are being apprehensive and doubtful of others thinking they are going to exploit, harm, or deceive them. Constantly preoccupied with unjustified doubts about the loyalty or trustworthiness of the people closest to them. Reluctant to confide with the fear that their information will be used maliciously against them. Persistently bears grudges, perceives attacks on their character when it is not so and quick to react with ager or counterattack (A.P.A., 2013).
These individuals or personality disorders are usually treated with cognitive behavioral therapy, which is a collaborative process of empirical investigation, reality testing, and problem-solving between the therapist and the patient (Wheeler, 2014). Depending on what other underlying issues or disorders they have, other therapeutic therapies can also be introduced but for the most part, CBT is the one that is used often for personality disorders. for PPD medication is usually not given and psychotherapy is the route, but depending on what other extreme symptoms the patient may have like anxiety or depression, then medications can be given for them. Unfortunately, these individuals don’t see that they have problems and usually don’t seek medical help, which makes for a poor quality of life for these individuals. It is common for them to have other comorbidities such as substance misuse disorder, major depressive disorder, agoraphobia and OCD (Vollm et al, 2011).
The essential feature here with these patients is distrust and being suspicious of others and their surroundings, therefore in order to be able to have any kind of therapeutic or therapist relationship with them one has to first get their trust completely. Make them feel that you are completely on their side by sharing with them that you respect what they believe but you don’t share it or have the same belief, that you have nothing that can harm them, that you are genuine and are there only for them (Carroll, 2018). Once that is established, which may take some time and patience on the therapist part, then little by little we can point various things out to them to help them see that what they perceived as evil is not it and from these little examples that are clarified then we can explain to them the disorder or problem they have.
Colle.
- The document is a case study and analysis of a young boy, Tyrel, presenting with obsessive behaviors around handwashing and concerns over germs.
- The PMHNP diagnoses Tyrel with Obsessive Compulsive Disorder based on his obsessive thoughts and compulsive handwashing behaviors meeting DSM-5 criteria.
- The PMHNP decides to start Tyrel on Fluvoxamine immediate release 25 mg orally at bedtime, as this has a safer starting dose profile than other options for a child and is dosed to minimize daytime sedation as a side effect.
The document discusses schizophrenia in older adults, focusing on FDA-approved and off-label pharmacological and non-pharmacological treatments. It describes Seroquel as an FDA-approved atypical antipsychotic recommended for older adults with schizophrenia. Lithium is mentioned as an off-label drug sometimes used to treat schizophrenia. Psychosocial therapy, specifically Cognitive Behavioral Social Skills Training, is recommended as a non-pharmacological intervention for older adults. The risks and benefits of Seroquel, lithium, and psychosocial therapy are also briefly outlined.
This document discusses erectile dysfunction, a sexual dysfunction characterized by difficulty obtaining or maintaining an erection. The diagnostic criteria for erectile dysfunction include difficulty obtaining or maintaining an erection during sexual activity for at least 6 months that causes distress. Treatment options include cognitive behavioral sex therapy and antidepressants like bupropion, which has been shown to help cases caused by other antidepressants. Psychotherapy and medication must be tailored to the individual based on the underlying cause of their erectile dysfunction.
Anxiety May Lead to SUD and Vice Versa - Dealing With Double WhammyDualdiagnosis Helpline
Anxiety disorders are among the common mental health conditions that impact lives of millions of Americans. It is a highly disabling disorder that can restrict an individual from living a healthy life and performing daily activities with enthusiasm.
Major Depressive Disorder affects 5-9% of women and 2-3% of men annually. It causes depressed mood or loss of interest for at least two weeks and disrupts daily life. Risk of suicide is higher for those with depression. While the exact causes are unknown, genetics and stressful life events may play a role. Current treatment focuses on antidepressants, which come in different classes with varying side effects. Finding the right medication and dosage takes trial and error over long periods of time to achieve full recovery in most cases of Major Depressive Disorder.
Generalized Anxiety Disorder - Diagnosis and Treatment.pptxBrett Steve
Generalized anxiety disorder is a condition in which one tends to feel anxious and worry excessively about various events or activities in life such as performance at school or even going for shopping. In addition a person lives with this apprehension for almost most things and most days in life, for more than six months.
Visit : https://www.hopequre.com/service/anxiety-counselling-online
Somatic symptom disorder is a mental illness that causes distressing physical symptoms without a clear medical cause. Treatment focuses on improving daily functioning rather than just symptoms, and may include therapy, stress reduction, and addressing any underlying mental health conditions. Hypochondriasis involves a persistent fear of having a serious illness despite reassurance. Illness anxiety disorder involves excessive worry about personal health without clear physical symptoms. These somatic symptom disorders can be chronic and difficult to treat, often requiring therapy and management of anxiety.
Bipolar depression is a debilitating mental illness that affects around 2.6% of adults in the United States. It involves alternating periods of mania and depression. If left untreated, bipolar depression can lead to suicidal thoughts or actions. Effective treatment involves therapy and medication to stabilize moods and prevent episodes. Proper diagnosis is also important and involves assessing symptoms over time according to standardized diagnostic criteria.
Bipolar depression is a debilitating mental illness that affects approximately 5.7 million adults in the United States. It involves extreme shifts in mood from excessive highs to severe lows. If left untreated, bipolar depression can lead to suicidal thoughts or actions. Effective treatment requires a combination of medication and psychotherapy to manage symptoms and prevent mood episodes.
Discussion-Privacy and EthicsPrivacy is a sticky issue for the I.docxmadlynplamondon
Discussion-Privacy and Ethics
Privacy is a sticky issue for the Information Technology department. As IT professionals, we have access to practically everything stored about the organization, those who work there, and our customers. That can be a huge responsibility. The Discussion question this week asks you to talk about how you would apply what you’ve learned in the lecture this week and your textbook reading to address ethical and privacy issues that arise in your workplace.
Many people argue that the right to privacy is granted to all Americans in the Fourth Amendment to the Constitution of the United States of America (1789). This is the Amendment that grants the right of the people to be secure in their persons, houses, paper, and effects against unreasonable searches and seizures. The counter argument is that this is not granting a right to privacy, but to protection against having that privacy exposed in a very limited arena (your person, property and the papers / effects that YOU own). This suggests that your workspace is not one of these places where you may expect any right to privacy. Often, organizations will have Privacy Policies that expressly and formally grant the organization permission to search everything in the workplace without your knowledge or specific consent. What do you think about this?
The other side of this is how organizations handle data about their customers. In 2016, the European Union adopted the General Data Protections Regulation (GDPR) as a way to protect the privacy of European citizens and legal residents. This may or may not affect your organization depending upon the scope and span of the business (if you don’t have customers residing in the EU, you are not affected). Now we have the California Consumer Privacy Act (CCPA). This 2018 law is very broad and vague in the way it addresses how organizations should deal with data privacy issues. At least 18 other states in the United States are considering adopting this law in total or at least in part. You should familiarize yourself with this law.
This week, I would like for you to discussion what you’ve seen in the lecture, the textbook, and what you can find out about US privacy protection laws (hint: Nevada is an interesting one also) and share a post with your peers. This is our final discussion with each other, so make it great!
Running head: MENTAL HEALTH TREATMENT PLAN/ANALYSIS 1
2
Running head: MENTAL HEALTH TREATMENT PLAN/ANALYSIS
Mental Health Final Treatment Plan/Analysis
NR 603
Assessment: Generalized anxiety disorder (F41.1)
R.W. is 58-year-old Caucasian female with symptoms of increased anxiety for 1 week associated with shakiness, body tension and a “wound up” feeling upon awakening, impacting her work and daily life, likely complicated by many stressors, denying any specific triggers. Patient does not report symptoms of long periods of sadness, suicidal or homicidal ideation or hallucination. At this time, it ...
William Allan Kritsonis, Editor-in-Chief, NATIONAL FORUM JOURNALS (Founded 1982). Dr. LaVelle Henricks, Texas A&M University-Commerce and colleagues published in national refereed journal.
Dr. William Allan Kritsonis, Distinguished Alumnus, Central Washington University, College of Education and Professional Studies, Ellensburg, Washington; Invited Guest Lecturer, Oxford Round Table, University of Oxford, United Kingdom; Hall of Honor, Prairie View A&M University/Member of the Texas A&M University System.
The title of this chapter derives from a book of the same title .docxgloriab9
The title of this chapter derives from a book of the same title by David Healy (1997). Healy points out the important but overlooked fact that depression proper (what the DSM-5 calls Major Depressive Disorder) [American Psychiatric Association (APA), 2013] was basically unheard of as recently as 50 years ago. For Healy, the antidepressant era unfolded against a backdrop of battles within the psychiatric profession (people endorsing the medical model perspective battling those endorsing models emphasizing a psychological perspective), regulatory agencies such as the Food and Drug Administration (FDA), and the pharmaceutical industry. Antidepressant medications are among the medications most advertised directly to consumers and evidence is mounting that this does not in fact increase consumer knowledge about depression and antidepressants but rather increases misperceptions like the discredited chemical imbalance theory of depression (Park, 2013).
This chapter is divided into seven sections. Section One provides an overview of the current impact of antidepressants and Major Depressive Disorder. Section Two describes early theories of antidepressant action. Section Three covers the neurotrophic/plasticity theory of antidepressant action and other newer findings. Section Four begins coverage of the classes of antidepressant medications with what are called first generation antidepressants. Section Five is devoted to selective serotonin reuptake inhibitors (second generation antidepressants). Section Six covers third-generation antidepressants like bupriopion and duloxetine and experimental drugs like ketamine. Section Seven covers important psychological, cultural, and social perspectives on anti-depressants including the concerns about violent behavior being correlated with antidepressant therapy.
Learning Objectives
• Know what the point and lifetime prevalence of Major Depressive Disorder is.
• Understand the conditions that are often comorbid with depression.
• Be able to articulate sex differences in reported rates of depression.
• Know what meta-analytic studies note as the overall efficacy of antidepressants.
A television commercial features a grimacing young man with his face against a wall. The commercial's narrator lists several symptoms of fear and anxiety related to Social Anxiety Disorder (previously Social Phobia in DSM-IV). The last scene in the commercial shows the same young man smiling, rising from a table in a crowded room apparently to receive acclaim for some accomplishment. The ad ends by repeating the name of the medication and informing the viewer, “Your life is waiting.” As we noted in , there is vigorous debate as to whether such ads are a valuable source of information or prey on the misconceptions many people have about such drugs being “magic potions” to change their lives.
At this writing, antidepressants are still one of the most advertised and prescribed psychotropic medications. Over $11 billion is spent annually.
Reply to Comment· Collapse SubdiscussionEmilia EgwimEmil.docxlillie234567
Reply to Comment
·
Collapse SubdiscussionEmilia Egwim
Emilia Egwim
8:33amDec 21 at 8:33am
Manage Discussion Entry
Discussion for Comprehensive Focused Soap Psychiatric Evaluation
Hello Lovelyne
Great presentation; I really enjoy reading your presentation about your patient Joey which is very informative. Autism Spectrum disorder is a neurodevelopmental disorder that is associated with tenacious predicaments in social communication and interaction in addition with limited, continual model of behaviors. According to study by Fitzpatrick et al; indicated that aggression behavior are noted to be increased in individual with ASD than when compared with other neurodevelopmental impairments (2016). This aggressive behavioral issues has been indicated by studies to relate with obstructive consequences for children diagnosed with ASD and their care providers resulting in reduced quality of life, heightened stress levels and decreased accessibility of educational and social adaptation/acceptance. Studies indicated that establishing effective therapeutic and pharmacological intervention approach for treatment as well as preventing aggressive behavior is imperative for reaching to better outcomes for individual with ASD. The patient in this case presentation had history of ASD and endorses aggression and self-injuries behaviors which have been indicated by various studies to associated with ASD and other manifestation including hyperactive, impulsive, inattentive behavior, unusual mood or emotional reaction.
To answer your question “
Is Risperidone FDA approved for patients with Autism”
Based on various studies, Risperidone and aripiprazole are approved by FDA and recommended for treatment of schizophrenia and bipolar for adult and adolescent including children with Autism Spectrum disorder around age 5 to 16 years. The Risperidone an antipsychotic medication was recommended to treat the aggression, irritability and mood swings associated with ASD. According to study; Risperidone has been effecting in treating symptoms of aggression and irritability between the age of 5 and 6 years distinctly that is associated with ASD, however, there’s no FDA approved medication for treatment of core sign and symptoms of ASD (Alayouf et al, 2021). There have been several controversy surrounding the use of Risperidone in which several clinician trials conducted reported that the medication was effective for the agitation, aggression and irritability often observed in autism patient, but was less effective in treating the core symptoms of Autism and other argument including the undesirable side effects that are associated with the medication and most significant of which is weight gain from an increased appetite. Other several medication as well as off-label prescription has been indicated to be effective such as treatment with SSRIs, CNS stimulants, NMDA-receptor antagonists, and including other agents (LeClerc & Easley, 2015). I completely agree with th.
Analytic essay on the topic of victimless” social problems.docxmilissaccm
Analytic essay on the topic of “victimless” social problems
Who defines when lifestyle choices become social problems? When does an individual lifestyle choice or group affiliation cross the “line” and become defined as problematic for others or for society? What would we need to do if, tomorrow, we decided that going out in public without a hat should be recognized as a significant social problem? What steps would we take?
The usual assignment rules apply: about one page, standard margins and fonts, and please link or cite any use of outside materials.
.
analytical paper of 1500 to 2000 wordsUsing the core value of pe.docxmilissaccm
analytical paper of 1500 to 2000 words
Using the core value of
personal development
as a jumping off point,
the *decision* you are asked to make for this written assignment is this: Decide how a major
character in
Epic of Gilgamesh
transformed himself or herself from the beginning of the
narrative to the end. You may explain this transformation with the language of the Hero’s journey,
(e.g., departure phase, initiation phase, return phase), or you may use another technique such as
identifying three or more character traits that improved throughout the course of the narrative.
Conversely, you may approach the idea of personal development as a negative slide downward, if
that is something you see. For example, you might note three or more ways that a character
“developed” or devolved, on a personal level, into a much more negative and less functional being as
s/he progressed throughout his or her journey. However, once your decision is made—it will be in the
form of a thesis statement.
Structure of Thesis:
In
nationality
name of author (birth/date year)
’s
genre
_
title of text
_ (
date of publication
),
name of character
exemplifies/disregards the core value of personal development in the
following three ways:
way/place/event 1
,
way/place/event 2
, and
way/place/event 3
.
Sample Thesis:
In Canadian Jackie Rich’s (1901-84) novella,
It Happened Suddenly, One Autumn
(1956), Angelica,
the protagonist, demonstrates the SLU Core Value of
personal development
in three key ways. The
first was when she was presented the challenge of helping her old neighbor carry his packages up
the stairs of their flat; sarcasm is her default reaction, but she keeps her remarks to herself about
his statue of Ganesh. Angelica’s second sign of restraint—evidence of growth—is when she eats
the rotten-smelling kimchi prepared by her brother’s fiancée at their house. Finally, she reports her
boyfriend Curtis, the disgruntled postman who steals magazines from the tenants who are away on
vacation, thus showing that some new stage of emotional maturity had taken place in the character
since the beginning of the narrative
Personal Development
Saint Leo University stresses the development of every person’s mind, spirit, and body for a balanced life. All members of the Saint Leo University community must demonstrate their commitment to personal development to help strengthen the character of our community.
You will need to begin your essay, somewhere after the thesis statement, with an exact
definition of the SLU Core Value you will be using in your essay. (Also what it means to you)
Your will be responsible for explaining, with CITED quoted passages and CITED paraphrased examples from the text, (at least) three ways in which one of the SLU Core Values is
exemplified, or, violated/disregarded, by one of the primary characters. Each item of support listed in
roadmap/blue print section of your thesis statement, must be represented as the opening topic
s.
Analyze at least two published public health interventions used to a.docxmilissaccm
Analyze at least two published public health interventions used to address the issue, describing both the interventions and the theoretical basis of each. In other words, what were the intervention strategies used to address this problem and what was the rationale (the thinking behind the strategy, why the strategy works) for those actions, according to your resource?
B. Explain how the selected interventions reflect primary, secondary, and/or tertiary intervention strategies for public health prevention.
C. Explain how the interventions address and/or mitigate the social determinants of the issue (health and healthcare disparities associated with each). Remember that social determinants are the conditions in which people are born, grow, live, work, and age.
no word count due eastern time by 1130 pm 07/17/16 use worksheet attached
.
Analyze the ASP model and other outsourcing models as they apply to .docxmilissaccm
Analyze the ASP model and other outsourcing models as they apply to Champion to understand outsourcing as an option. Provide the potential success or downfall of each, including partial outsourcing, single-application ASP support, or network systems outsourcing.
Compare a centralized-versus-distributed-server model as an in-house implementation to cut costs. Determine the viability of both as they apply to Champion in order to understand keeping IS/IT functions in-house. Provide the pros and cons of each as they pertain to various business support systems.
.
Analytical Essay Instruction Relate the actions or situations of .docxmilissaccm
Analytical Essay Instruction: Relate the actions or situations of
three stories (choose from story list)
to your own experiences. Explain how the stories are relevant to your situation. focus on their impact on you with regard to your personal beliefs and values. the essay should have a clear central thesis, be well organized, quote from the text or texts, and present a compelling argument.
I'm a non-native speaker, I'm an Asian, so I need a writer must have or know Asian culture and some experiences.
Story list:
Kate Chopin: The Story of an Hour
Alice Walker: Everyday Use
Eudora Welty: A Worn Path
Shirley Jackson: The Lottery
John Cheever: The Swimmer
Raymond Carver: Cathedral
Toni Cade Bambara: The Lesson
Tillie Olsen: I Stand Here Ironing
Annie Dillard: Living like Weasels
Chinua Achebe: Marriage is a Private Affair
Sherman Alexie: The lone Ranger and Tonto Fistfight in Heaven
.
Analyze the macroeconomic factors that led to the 2007–2009 recess.docxmilissaccm
Analyze the macroeconomic factors that led to the 2007–2009 recession.
How were GDP, inflation, and unemployment affected during the recession, and how does the model show this?
What monetary policies and fiscal policies were implemented during the recession?
How did the recession affect U.S. trade relations and the U.S. dollar exchange rate?
.
Analyze the importance and impact of the Great Famine during the Mid.docxmilissaccm
Analyze the importance and impact of the Great Famine during the Middle Ages. Did the previous famines that were experienced in those times affected the outcome of the Great Famine? Does the Great Famine marked a series of future epidemics in the Middle Ages? How the famine affected the lives of the citizens of the Middle Ages, especially regarding the economic, societal, and health aspects.
****
Please use at least one primary or secondary source.
300 ~500 words
.
Analyze the characteristics of wireless LANs and assess the security.docxmilissaccm
Analyze the characteristics of wireless LANs and assess the security concerns of this technology in organizations such as universities or hospitals. Identify additional areas of concern for organizations that implement a wireless LAN. Then, explain whether the implementation of a WAN would solve these problems. Explain your rationale.
Rank the following IEEE 802.11 standard addresses in order of importance with the first one being the most important. Justify the reason for your chosen order.
Association
Re-association
Disassociation
Authentication
.
Analysis of Public Relations TacticsBackgroundA mark of a p.docxmilissaccm
Analysis of Public Relations Tactics
Background:
A mark of a professional is being able to analyze and evaluate information using objective criteria rather than making haphazard and capricious judgments. The purpose of this assignment is to apply objective evaluation criteria to organizational Web sites.
Assignment:
select two Web sites maintained by for-profit or nonprofit organizations (not by individuals).
One selection should be an example of a Web site you consider effective; the other, ineffective.
Using first the effective Web site and then the ineffective one, identify and/or discuss
each of the following:
Part 1:
Sponsoring organization, specific Web URL, and intended or likely key public(s) or audience(s).
Part 2.
Reliability of the information, including whether the site has a unique domain name associated with the organization and the stability or prestige of the Web site publisher.
Part 3:
Validity of the information, in terms of accuracy or honesty, expertise or authority of the information provider, documentation of sources, objectivity and freedom from bias on the part of the information provider, currency and lack of obsolescence of the information, and comprehensiveness of coverage.
Part 4:
User friendliness, including accessibility of the site, loading time, ease of navigation within the site, and internal logic within the site.
Part 5:
Effectiveness of the written content of the Web site.
Part 6:
The effectiveness of the visual content of the Web site.
Part 7:
Any ethical issues or questions this Web site raises in your mind.
Part 8:
The main competitors of the sponsoring organization, and the type of Web sites used by these competitors.
Part 9:
Personal evaluation, including a discussion of your likes and dislikes about the site, as well as your constructive criticism for improving the site and your recommendation for other users.The effectiveness of the visual (nonverbal) content of the ad.
Part 10:
What you have learned from this assignment.
Clearly label each part with boldface type or an underline. Attach a copy of the Web site home pages to your assignment. Present each analysis separately (that is, Effective Web site, Parts 1-10; followed by Ineffective Web site, Parts 1-10).
.
Analyze the development and formation of the United States Governmen.docxmilissaccm
Analyze the development and formation of the United States Government by answering the following questions in a well-developed five page essay:
Discuss American political culture.
What is the definition of political culture? How does it differ from political ideology?
What are the core American values political culture is based upon in the United States?
Discuss the development of the United States Constitution during the Constitutional Convention.
What issues were agreed upon?
What issues were disagreed upon?
What were the compromises?
Discuss how the Constitution is amended.
What are the various paths to passing a Constitutional Amendment?
What impact, if any do the courts have?
Discuss how ideas of freedom, liberty, and equality were incorporated throughout the Constitution.
What is limited government?
Why was the notion of limited government so important?
****Assignments should be five double-spaced pages using 12-point font and completed in essay format and must be submitted by 5pm eastern time on Sunday 10/2. NO plegiraism professor will check and give no credit to a plegarized paper and I will dispute for refund if this happens*****
.
Analyze the following scenario There are multifaceted ethical.docxmilissaccm
Analyze the following scenario:
There are multifaceted ethical issues relating to international investments. One aspect relates to human rights. Most Latin American governments have constitutions that mandate health care as a human right, yet some of these countries provide poor health care for the majority of their population.
During the 1980s, the general populace of these countries deteriorated, even though several Latin American countries developed strategies to reposition medical personnel and services to rural areas. Throughout this time, many international donors provided assistance; however, they did so with imposed conditions. An example of this constrained assistance was the World Bank, which imposed restrictions that included privatization of health care, as well as required limitations on universal access.
Did the World Bank and other international donors act responsibly and ethically in constraining their humanitarian assistance? Who has the responsibility for the health care of the Latin American people? Is it a reasonable and socially responsible practice to offer international assistance in exchange for an opportunity to shape a country's political and/or social system? Why or why not?
300-400 words in APA standard format including cited references
.
Analysis of cultural impact of song music.50Defines symboli.docxmilissaccm
Analysis of cultural impact of song/ music.
50
Defines symbolism, and the symbolic nature of the song chosen.
30
Demonstrates knowledge of some of the social and political issues present in American and, if relevant, international culture that were going on at the time of the song's release.
20
Total
100%

Write an essay about the cultural impact of popular music on society, and how it reflects the social issues of its time of production.
Select a popular song from the era of your choice (1950's - 2000's), and discuss its cultural impact.
Analyze the meaning of the lyrics, and discuss how this song represents an element of popular culture/ American society.
The main focus of your essay should be regarding symbolism, and the symbolic nature of the song you have chosen.
Give some background into the musician or musical group you have chosen.
Then, discuss some of the social and political issues present in American and, if relevant, international culture that were going on at the time of the song's release.
This paper should be 2 pages, in APA style,
.
More Related Content
Similar to Student 1 JudyWhat medications are considered first-line be
Anxiety May Lead to SUD and Vice Versa - Dealing With Double WhammyDualdiagnosis Helpline
Anxiety disorders are among the common mental health conditions that impact lives of millions of Americans. It is a highly disabling disorder that can restrict an individual from living a healthy life and performing daily activities with enthusiasm.
Major Depressive Disorder affects 5-9% of women and 2-3% of men annually. It causes depressed mood or loss of interest for at least two weeks and disrupts daily life. Risk of suicide is higher for those with depression. While the exact causes are unknown, genetics and stressful life events may play a role. Current treatment focuses on antidepressants, which come in different classes with varying side effects. Finding the right medication and dosage takes trial and error over long periods of time to achieve full recovery in most cases of Major Depressive Disorder.
Generalized Anxiety Disorder - Diagnosis and Treatment.pptxBrett Steve
Generalized anxiety disorder is a condition in which one tends to feel anxious and worry excessively about various events or activities in life such as performance at school or even going for shopping. In addition a person lives with this apprehension for almost most things and most days in life, for more than six months.
Visit : https://www.hopequre.com/service/anxiety-counselling-online
Somatic symptom disorder is a mental illness that causes distressing physical symptoms without a clear medical cause. Treatment focuses on improving daily functioning rather than just symptoms, and may include therapy, stress reduction, and addressing any underlying mental health conditions. Hypochondriasis involves a persistent fear of having a serious illness despite reassurance. Illness anxiety disorder involves excessive worry about personal health without clear physical symptoms. These somatic symptom disorders can be chronic and difficult to treat, often requiring therapy and management of anxiety.
Bipolar depression is a debilitating mental illness that affects around 2.6% of adults in the United States. It involves alternating periods of mania and depression. If left untreated, bipolar depression can lead to suicidal thoughts or actions. Effective treatment involves therapy and medication to stabilize moods and prevent episodes. Proper diagnosis is also important and involves assessing symptoms over time according to standardized diagnostic criteria.
Bipolar depression is a debilitating mental illness that affects approximately 5.7 million adults in the United States. It involves extreme shifts in mood from excessive highs to severe lows. If left untreated, bipolar depression can lead to suicidal thoughts or actions. Effective treatment requires a combination of medication and psychotherapy to manage symptoms and prevent mood episodes.
Discussion-Privacy and EthicsPrivacy is a sticky issue for the I.docxmadlynplamondon
Discussion-Privacy and Ethics
Privacy is a sticky issue for the Information Technology department. As IT professionals, we have access to practically everything stored about the organization, those who work there, and our customers. That can be a huge responsibility. The Discussion question this week asks you to talk about how you would apply what you’ve learned in the lecture this week and your textbook reading to address ethical and privacy issues that arise in your workplace.
Many people argue that the right to privacy is granted to all Americans in the Fourth Amendment to the Constitution of the United States of America (1789). This is the Amendment that grants the right of the people to be secure in their persons, houses, paper, and effects against unreasonable searches and seizures. The counter argument is that this is not granting a right to privacy, but to protection against having that privacy exposed in a very limited arena (your person, property and the papers / effects that YOU own). This suggests that your workspace is not one of these places where you may expect any right to privacy. Often, organizations will have Privacy Policies that expressly and formally grant the organization permission to search everything in the workplace without your knowledge or specific consent. What do you think about this?
The other side of this is how organizations handle data about their customers. In 2016, the European Union adopted the General Data Protections Regulation (GDPR) as a way to protect the privacy of European citizens and legal residents. This may or may not affect your organization depending upon the scope and span of the business (if you don’t have customers residing in the EU, you are not affected). Now we have the California Consumer Privacy Act (CCPA). This 2018 law is very broad and vague in the way it addresses how organizations should deal with data privacy issues. At least 18 other states in the United States are considering adopting this law in total or at least in part. You should familiarize yourself with this law.
This week, I would like for you to discussion what you’ve seen in the lecture, the textbook, and what you can find out about US privacy protection laws (hint: Nevada is an interesting one also) and share a post with your peers. This is our final discussion with each other, so make it great!
Running head: MENTAL HEALTH TREATMENT PLAN/ANALYSIS 1
2
Running head: MENTAL HEALTH TREATMENT PLAN/ANALYSIS
Mental Health Final Treatment Plan/Analysis
NR 603
Assessment: Generalized anxiety disorder (F41.1)
R.W. is 58-year-old Caucasian female with symptoms of increased anxiety for 1 week associated with shakiness, body tension and a “wound up” feeling upon awakening, impacting her work and daily life, likely complicated by many stressors, denying any specific triggers. Patient does not report symptoms of long periods of sadness, suicidal or homicidal ideation or hallucination. At this time, it ...
William Allan Kritsonis, Editor-in-Chief, NATIONAL FORUM JOURNALS (Founded 1982). Dr. LaVelle Henricks, Texas A&M University-Commerce and colleagues published in national refereed journal.
Dr. William Allan Kritsonis, Distinguished Alumnus, Central Washington University, College of Education and Professional Studies, Ellensburg, Washington; Invited Guest Lecturer, Oxford Round Table, University of Oxford, United Kingdom; Hall of Honor, Prairie View A&M University/Member of the Texas A&M University System.
The title of this chapter derives from a book of the same title .docxgloriab9
The title of this chapter derives from a book of the same title by David Healy (1997). Healy points out the important but overlooked fact that depression proper (what the DSM-5 calls Major Depressive Disorder) [American Psychiatric Association (APA), 2013] was basically unheard of as recently as 50 years ago. For Healy, the antidepressant era unfolded against a backdrop of battles within the psychiatric profession (people endorsing the medical model perspective battling those endorsing models emphasizing a psychological perspective), regulatory agencies such as the Food and Drug Administration (FDA), and the pharmaceutical industry. Antidepressant medications are among the medications most advertised directly to consumers and evidence is mounting that this does not in fact increase consumer knowledge about depression and antidepressants but rather increases misperceptions like the discredited chemical imbalance theory of depression (Park, 2013).
This chapter is divided into seven sections. Section One provides an overview of the current impact of antidepressants and Major Depressive Disorder. Section Two describes early theories of antidepressant action. Section Three covers the neurotrophic/plasticity theory of antidepressant action and other newer findings. Section Four begins coverage of the classes of antidepressant medications with what are called first generation antidepressants. Section Five is devoted to selective serotonin reuptake inhibitors (second generation antidepressants). Section Six covers third-generation antidepressants like bupriopion and duloxetine and experimental drugs like ketamine. Section Seven covers important psychological, cultural, and social perspectives on anti-depressants including the concerns about violent behavior being correlated with antidepressant therapy.
Learning Objectives
• Know what the point and lifetime prevalence of Major Depressive Disorder is.
• Understand the conditions that are often comorbid with depression.
• Be able to articulate sex differences in reported rates of depression.
• Know what meta-analytic studies note as the overall efficacy of antidepressants.
A television commercial features a grimacing young man with his face against a wall. The commercial's narrator lists several symptoms of fear and anxiety related to Social Anxiety Disorder (previously Social Phobia in DSM-IV). The last scene in the commercial shows the same young man smiling, rising from a table in a crowded room apparently to receive acclaim for some accomplishment. The ad ends by repeating the name of the medication and informing the viewer, “Your life is waiting.” As we noted in , there is vigorous debate as to whether such ads are a valuable source of information or prey on the misconceptions many people have about such drugs being “magic potions” to change their lives.
At this writing, antidepressants are still one of the most advertised and prescribed psychotropic medications. Over $11 billion is spent annually.
Reply to Comment· Collapse SubdiscussionEmilia EgwimEmil.docxlillie234567
Reply to Comment
·
Collapse SubdiscussionEmilia Egwim
Emilia Egwim
8:33amDec 21 at 8:33am
Manage Discussion Entry
Discussion for Comprehensive Focused Soap Psychiatric Evaluation
Hello Lovelyne
Great presentation; I really enjoy reading your presentation about your patient Joey which is very informative. Autism Spectrum disorder is a neurodevelopmental disorder that is associated with tenacious predicaments in social communication and interaction in addition with limited, continual model of behaviors. According to study by Fitzpatrick et al; indicated that aggression behavior are noted to be increased in individual with ASD than when compared with other neurodevelopmental impairments (2016). This aggressive behavioral issues has been indicated by studies to relate with obstructive consequences for children diagnosed with ASD and their care providers resulting in reduced quality of life, heightened stress levels and decreased accessibility of educational and social adaptation/acceptance. Studies indicated that establishing effective therapeutic and pharmacological intervention approach for treatment as well as preventing aggressive behavior is imperative for reaching to better outcomes for individual with ASD. The patient in this case presentation had history of ASD and endorses aggression and self-injuries behaviors which have been indicated by various studies to associated with ASD and other manifestation including hyperactive, impulsive, inattentive behavior, unusual mood or emotional reaction.
To answer your question “
Is Risperidone FDA approved for patients with Autism”
Based on various studies, Risperidone and aripiprazole are approved by FDA and recommended for treatment of schizophrenia and bipolar for adult and adolescent including children with Autism Spectrum disorder around age 5 to 16 years. The Risperidone an antipsychotic medication was recommended to treat the aggression, irritability and mood swings associated with ASD. According to study; Risperidone has been effecting in treating symptoms of aggression and irritability between the age of 5 and 6 years distinctly that is associated with ASD, however, there’s no FDA approved medication for treatment of core sign and symptoms of ASD (Alayouf et al, 2021). There have been several controversy surrounding the use of Risperidone in which several clinician trials conducted reported that the medication was effective for the agitation, aggression and irritability often observed in autism patient, but was less effective in treating the core symptoms of Autism and other argument including the undesirable side effects that are associated with the medication and most significant of which is weight gain from an increased appetite. Other several medication as well as off-label prescription has been indicated to be effective such as treatment with SSRIs, CNS stimulants, NMDA-receptor antagonists, and including other agents (LeClerc & Easley, 2015). I completely agree with th.
Similar to Student 1 JudyWhat medications are considered first-line be (10)
Analytic essay on the topic of victimless” social problems.docxmilissaccm
Analytic essay on the topic of “victimless” social problems
Who defines when lifestyle choices become social problems? When does an individual lifestyle choice or group affiliation cross the “line” and become defined as problematic for others or for society? What would we need to do if, tomorrow, we decided that going out in public without a hat should be recognized as a significant social problem? What steps would we take?
The usual assignment rules apply: about one page, standard margins and fonts, and please link or cite any use of outside materials.
.
analytical paper of 1500 to 2000 wordsUsing the core value of pe.docxmilissaccm
analytical paper of 1500 to 2000 words
Using the core value of
personal development
as a jumping off point,
the *decision* you are asked to make for this written assignment is this: Decide how a major
character in
Epic of Gilgamesh
transformed himself or herself from the beginning of the
narrative to the end. You may explain this transformation with the language of the Hero’s journey,
(e.g., departure phase, initiation phase, return phase), or you may use another technique such as
identifying three or more character traits that improved throughout the course of the narrative.
Conversely, you may approach the idea of personal development as a negative slide downward, if
that is something you see. For example, you might note three or more ways that a character
“developed” or devolved, on a personal level, into a much more negative and less functional being as
s/he progressed throughout his or her journey. However, once your decision is made—it will be in the
form of a thesis statement.
Structure of Thesis:
In
nationality
name of author (birth/date year)
’s
genre
_
title of text
_ (
date of publication
),
name of character
exemplifies/disregards the core value of personal development in the
following three ways:
way/place/event 1
,
way/place/event 2
, and
way/place/event 3
.
Sample Thesis:
In Canadian Jackie Rich’s (1901-84) novella,
It Happened Suddenly, One Autumn
(1956), Angelica,
the protagonist, demonstrates the SLU Core Value of
personal development
in three key ways. The
first was when she was presented the challenge of helping her old neighbor carry his packages up
the stairs of their flat; sarcasm is her default reaction, but she keeps her remarks to herself about
his statue of Ganesh. Angelica’s second sign of restraint—evidence of growth—is when she eats
the rotten-smelling kimchi prepared by her brother’s fiancée at their house. Finally, she reports her
boyfriend Curtis, the disgruntled postman who steals magazines from the tenants who are away on
vacation, thus showing that some new stage of emotional maturity had taken place in the character
since the beginning of the narrative
Personal Development
Saint Leo University stresses the development of every person’s mind, spirit, and body for a balanced life. All members of the Saint Leo University community must demonstrate their commitment to personal development to help strengthen the character of our community.
You will need to begin your essay, somewhere after the thesis statement, with an exact
definition of the SLU Core Value you will be using in your essay. (Also what it means to you)
Your will be responsible for explaining, with CITED quoted passages and CITED paraphrased examples from the text, (at least) three ways in which one of the SLU Core Values is
exemplified, or, violated/disregarded, by one of the primary characters. Each item of support listed in
roadmap/blue print section of your thesis statement, must be represented as the opening topic
s.
Analyze at least two published public health interventions used to a.docxmilissaccm
Analyze at least two published public health interventions used to address the issue, describing both the interventions and the theoretical basis of each. In other words, what were the intervention strategies used to address this problem and what was the rationale (the thinking behind the strategy, why the strategy works) for those actions, according to your resource?
B. Explain how the selected interventions reflect primary, secondary, and/or tertiary intervention strategies for public health prevention.
C. Explain how the interventions address and/or mitigate the social determinants of the issue (health and healthcare disparities associated with each). Remember that social determinants are the conditions in which people are born, grow, live, work, and age.
no word count due eastern time by 1130 pm 07/17/16 use worksheet attached
.
Analyze the ASP model and other outsourcing models as they apply to .docxmilissaccm
Analyze the ASP model and other outsourcing models as they apply to Champion to understand outsourcing as an option. Provide the potential success or downfall of each, including partial outsourcing, single-application ASP support, or network systems outsourcing.
Compare a centralized-versus-distributed-server model as an in-house implementation to cut costs. Determine the viability of both as they apply to Champion in order to understand keeping IS/IT functions in-house. Provide the pros and cons of each as they pertain to various business support systems.
.
Analytical Essay Instruction Relate the actions or situations of .docxmilissaccm
Analytical Essay Instruction: Relate the actions or situations of
three stories (choose from story list)
to your own experiences. Explain how the stories are relevant to your situation. focus on their impact on you with regard to your personal beliefs and values. the essay should have a clear central thesis, be well organized, quote from the text or texts, and present a compelling argument.
I'm a non-native speaker, I'm an Asian, so I need a writer must have or know Asian culture and some experiences.
Story list:
Kate Chopin: The Story of an Hour
Alice Walker: Everyday Use
Eudora Welty: A Worn Path
Shirley Jackson: The Lottery
John Cheever: The Swimmer
Raymond Carver: Cathedral
Toni Cade Bambara: The Lesson
Tillie Olsen: I Stand Here Ironing
Annie Dillard: Living like Weasels
Chinua Achebe: Marriage is a Private Affair
Sherman Alexie: The lone Ranger and Tonto Fistfight in Heaven
.
Analyze the macroeconomic factors that led to the 2007–2009 recess.docxmilissaccm
Analyze the macroeconomic factors that led to the 2007–2009 recession.
How were GDP, inflation, and unemployment affected during the recession, and how does the model show this?
What monetary policies and fiscal policies were implemented during the recession?
How did the recession affect U.S. trade relations and the U.S. dollar exchange rate?
.
Analyze the importance and impact of the Great Famine during the Mid.docxmilissaccm
Analyze the importance and impact of the Great Famine during the Middle Ages. Did the previous famines that were experienced in those times affected the outcome of the Great Famine? Does the Great Famine marked a series of future epidemics in the Middle Ages? How the famine affected the lives of the citizens of the Middle Ages, especially regarding the economic, societal, and health aspects.
****
Please use at least one primary or secondary source.
300 ~500 words
.
Analyze the characteristics of wireless LANs and assess the security.docxmilissaccm
Analyze the characteristics of wireless LANs and assess the security concerns of this technology in organizations such as universities or hospitals. Identify additional areas of concern for organizations that implement a wireless LAN. Then, explain whether the implementation of a WAN would solve these problems. Explain your rationale.
Rank the following IEEE 802.11 standard addresses in order of importance with the first one being the most important. Justify the reason for your chosen order.
Association
Re-association
Disassociation
Authentication
.
Analysis of Public Relations TacticsBackgroundA mark of a p.docxmilissaccm
Analysis of Public Relations Tactics
Background:
A mark of a professional is being able to analyze and evaluate information using objective criteria rather than making haphazard and capricious judgments. The purpose of this assignment is to apply objective evaluation criteria to organizational Web sites.
Assignment:
select two Web sites maintained by for-profit or nonprofit organizations (not by individuals).
One selection should be an example of a Web site you consider effective; the other, ineffective.
Using first the effective Web site and then the ineffective one, identify and/or discuss
each of the following:
Part 1:
Sponsoring organization, specific Web URL, and intended or likely key public(s) or audience(s).
Part 2.
Reliability of the information, including whether the site has a unique domain name associated with the organization and the stability or prestige of the Web site publisher.
Part 3:
Validity of the information, in terms of accuracy or honesty, expertise or authority of the information provider, documentation of sources, objectivity and freedom from bias on the part of the information provider, currency and lack of obsolescence of the information, and comprehensiveness of coverage.
Part 4:
User friendliness, including accessibility of the site, loading time, ease of navigation within the site, and internal logic within the site.
Part 5:
Effectiveness of the written content of the Web site.
Part 6:
The effectiveness of the visual content of the Web site.
Part 7:
Any ethical issues or questions this Web site raises in your mind.
Part 8:
The main competitors of the sponsoring organization, and the type of Web sites used by these competitors.
Part 9:
Personal evaluation, including a discussion of your likes and dislikes about the site, as well as your constructive criticism for improving the site and your recommendation for other users.The effectiveness of the visual (nonverbal) content of the ad.
Part 10:
What you have learned from this assignment.
Clearly label each part with boldface type or an underline. Attach a copy of the Web site home pages to your assignment. Present each analysis separately (that is, Effective Web site, Parts 1-10; followed by Ineffective Web site, Parts 1-10).
.
Analyze the development and formation of the United States Governmen.docxmilissaccm
Analyze the development and formation of the United States Government by answering the following questions in a well-developed five page essay:
Discuss American political culture.
What is the definition of political culture? How does it differ from political ideology?
What are the core American values political culture is based upon in the United States?
Discuss the development of the United States Constitution during the Constitutional Convention.
What issues were agreed upon?
What issues were disagreed upon?
What were the compromises?
Discuss how the Constitution is amended.
What are the various paths to passing a Constitutional Amendment?
What impact, if any do the courts have?
Discuss how ideas of freedom, liberty, and equality were incorporated throughout the Constitution.
What is limited government?
Why was the notion of limited government so important?
****Assignments should be five double-spaced pages using 12-point font and completed in essay format and must be submitted by 5pm eastern time on Sunday 10/2. NO plegiraism professor will check and give no credit to a plegarized paper and I will dispute for refund if this happens*****
.
Analyze the following scenario There are multifaceted ethical.docxmilissaccm
Analyze the following scenario:
There are multifaceted ethical issues relating to international investments. One aspect relates to human rights. Most Latin American governments have constitutions that mandate health care as a human right, yet some of these countries provide poor health care for the majority of their population.
During the 1980s, the general populace of these countries deteriorated, even though several Latin American countries developed strategies to reposition medical personnel and services to rural areas. Throughout this time, many international donors provided assistance; however, they did so with imposed conditions. An example of this constrained assistance was the World Bank, which imposed restrictions that included privatization of health care, as well as required limitations on universal access.
Did the World Bank and other international donors act responsibly and ethically in constraining their humanitarian assistance? Who has the responsibility for the health care of the Latin American people? Is it a reasonable and socially responsible practice to offer international assistance in exchange for an opportunity to shape a country's political and/or social system? Why or why not?
300-400 words in APA standard format including cited references
.
Analysis of cultural impact of song music.50Defines symboli.docxmilissaccm
Analysis of cultural impact of song/ music.
50
Defines symbolism, and the symbolic nature of the song chosen.
30
Demonstrates knowledge of some of the social and political issues present in American and, if relevant, international culture that were going on at the time of the song's release.
20
Total
100%

Write an essay about the cultural impact of popular music on society, and how it reflects the social issues of its time of production.
Select a popular song from the era of your choice (1950's - 2000's), and discuss its cultural impact.
Analyze the meaning of the lyrics, and discuss how this song represents an element of popular culture/ American society.
The main focus of your essay should be regarding symbolism, and the symbolic nature of the song you have chosen.
Give some background into the musician or musical group you have chosen.
Then, discuss some of the social and political issues present in American and, if relevant, international culture that were going on at the time of the song's release.
This paper should be 2 pages, in APA style,
.
Analyze the issues associated with the discussion in Documents and .docxmilissaccm
Analyze the issues associated with the discussion in "Documents and Debate: On Whose Side? God, Slavery, And The Civil War" by F. Douglas and G. Armstrong -
Religion in American History: A Reader,
Butler & Stout.
Which author's arguments do you favor? Upon what basis?
What is your response to the opposing author's arguments?
.
Analyze the importance of internal and external sustainability audit.docxmilissaccm
Analyze the importance of internal and external sustainability audits in corporate sustainability. When should organizations catch their errors? Identify a well-known organization (or a not so well-known one) that has been “caught” in an audit nightmare. What might the corporation have done to avoid a catastrophe? Was the blunder a recoverable one? Give feedback to two other students’ posts
.
Analyze Chico's FAS Inc 2010
Annual Report
( see attached)
write an overview of the company's functional strategies using the Three Functional Concerns model (
the product, the people, and the support processes)
due saturday 7am cst
2-3 pages APA format with references
in text citations
checked for plagurism
.
Analysis and Application Legal Rights Afforded to the AccusedThe .docxmilissaccm
Analysis and Application: Legal Rights Afforded to the Accused
The following case study presents issues related to the legal rights afforded the accused and the reasons those rights are provided to all individuals under our system of criminal justice.
Case Study:
John Doe is an individual who left his country in an effort to make a better life. However, he does not have legal status in America and was recently arrested for shoplifting merchandise, which was valued over $1,000. At the time of his arrest, John voluntarily began to make incriminating statements to the arresting officers. At the police station, detectives conducted an interview of John asking him about the theft. John Doe has had no prior arrests, is 35 years old, and most of John Doe’s family still resides in his home country. Due to the amount of money involved, the crime is deemed a felony and John was arrested and placed in the county jail in Toms River, NJ. He is going to face the judge in the Ocean County Superior Court; however, he has no money for bail.
Please discuss the following questions, explaining your answers in detail by analyzing the facts presented and other factors you consider relevant; defining and explaining key legal terms and principles; and citing legal authority (your text and other legal authority) to support your conclusions in a 2–3 page paper (excluding the title page and reference page).
Since John was in custody, what are the procedural steps the police were required to take once John began to incriminate himself?
What procedural steps must the officers perform following John’s arrest and interview at the police station?
The court could choose either a preliminary hearing or a grand jury proceeding to establish probable cause for the felony charges in this case. Compare and contrast the two procedures.
Identify what issues the judge would take into consideration when setting bond for John.
Explain what an arraignment is and what occurs during an arraignment.
.
An outbreak of salmonellosis occurred after a department luncheon,.docxmilissaccm
An outbreak of salmonellosis occurred after a department luncheon, which was attended by 485 faculty/staff. Assume everyone ate the same food items. Sixty-five people had fever and diarrhea, 5 of these people were severely affected. Subsequent laboratory tests on all who attended the luncheon revealed an additional 72 cases. The attack rate of salmonellosis was
.
Analysis of 4 chapter. Chapter 4,5,6 and 10. per each chapter mini.docxmilissaccm
Analysis of 4 chapter.
Chapter 4,5,6 and 10. per each chapter minimun 2 pages .
Analysis
1.
Relationships, trends, patterns
2.
Roles of people, places, objects, situations
3.
Consequences or results of events, decisions and processes
4.
Causes and their effects
5.
Advantages and disadvantages/ gains and losses
6.
Strengths and weaknesses
.
Analysis 5 sources about social network. Writing An Outline .docxmilissaccm
Analysis 5 sources about social network.
Writing An "Outline" prepare for the Annotated bibliography compare and contrast ( 4.5 pages ) 12pt , come up with
5 sources MLA works cited.
BEFORE STARTING, please read the
outline
sample. Writing style is similar to the sample:
Summary
Evaluate ( what was the goal? who is the intended audience? was it biased/ unbiased? )
Plan for paper ( Be specific to your essay
.
Analysis and Application Procedures in a Criminal TrialThe follow.docxmilissaccm
Analysis and Application: Procedures in a Criminal Trial
The following case study presents issues related to procedures in a criminal trial and the roles of the major participants.
Case Study:
Jones, Walsh, and Bert have been arrested on suspicion of rape and criminal assault of a 14-year-old girl. As the police investigation unfolds they locate and obtain the statement of Bland, who provides them additional information about Jones. The evidence the police uncover reveals that there have been three separate assault and rapes of juveniles over a 3-day period.
The prosecutor in the case files charges against Jones, Walsh, and Bert for their acts. Bert hires an attorney to defend him. Bert tells his defense attorney that he did not commit any of the rapes and that he was only present one time with Jones and all he did was hit one of the girls. Bert explains that he can prove this because at the times the other rapes are alleged to have occurred, he was with Mook. Mook is currently out of the country on a mountain climbing trip and will not return for 2 months.
Shortly after the prosecutor files charges in the case, Bland contacts the prosecutor’s office and provides a written statement to the prosecutor that Walsh was not present during any of the rapes.
In a 2 page paper (excluding the title page and reference page), discuss the following questions, explaining your answers in detail by analyzing the facts presented and other factors you consider relevant; defining and explaining key legal terms and principles; and citing legal authority (your text and other legal authority) to support your conclusions.
How should the court rule on Bert’s motion for severance in the case?
What should the prosecutor do following the statement Bland after charges had been filed against Walsh?
How should the court rule on Bert’s motion to continue regarding Mook?
.
The simplified electron and muon model, Oscillating Spacetime: The Foundation...RitikBhardwaj56
Discover the Simplified Electron and Muon Model: A New Wave-Based Approach to Understanding Particles delves into a groundbreaking theory that presents electrons and muons as rotating soliton waves within oscillating spacetime. Geared towards students, researchers, and science buffs, this book breaks down complex ideas into simple explanations. It covers topics such as electron waves, temporal dynamics, and the implications of this model on particle physics. With clear illustrations and easy-to-follow explanations, readers will gain a new outlook on the universe's fundamental nature.
How to Manage Your Lost Opportunities in Odoo 17 CRMCeline George
Odoo 17 CRM allows us to track why we lose sales opportunities with "Lost Reasons." This helps analyze our sales process and identify areas for improvement. Here's how to configure lost reasons in Odoo 17 CRM
Strategies for Effective Upskilling is a presentation by Chinwendu Peace in a Your Skill Boost Masterclass organisation by the Excellence Foundation for South Sudan on 08th and 09th June 2024 from 1 PM to 3 PM on each day.
How to Fix the Import Error in the Odoo 17Celine George
An import error occurs when a program fails to import a module or library, disrupting its execution. In languages like Python, this issue arises when the specified module cannot be found or accessed, hindering the program's functionality. Resolving import errors is crucial for maintaining smooth software operation and uninterrupted development processes.
How to Add Chatter in the odoo 17 ERP ModuleCeline George
In Odoo, the chatter is like a chat tool that helps you work together on records. You can leave notes and track things, making it easier to talk with your team and partners. Inside chatter, all communication history, activity, and changes will be displayed.
This presentation includes basic of PCOS their pathology and treatment and also Ayurveda correlation of PCOS and Ayurvedic line of treatment mentioned in classics.
A workshop hosted by the South African Journal of Science aimed at postgraduate students and early career researchers with little or no experience in writing and publishing journal articles.
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Thinking of getting a dog? Be aware that breeds like Pit Bulls, Rottweilers, and German Shepherds can be loyal and dangerous. Proper training and socialization are crucial to preventing aggressive behaviors. Ensure safety by understanding their needs and always supervising interactions. Stay safe, and enjoy your furry friends!
Natural birth techniques - Mrs.Akanksha Trivedi Rama University
Student 1 JudyWhat medications are considered first-line be
1. Student 1: Judy
What medications are considered first-line best practices for
treating anxiety? How long can they expect these medications to
take full effect? Alternative to use?
Selective serotonin reuptake inhibitors (SSRIs) are
recommended as a first-line treatment for anxiety disorders
(Bandelow et al., 2017). They increase serotonin levels by
blocking the serotonin transporter (SERT) which helps to reduce
anxiety (Stahl & Muntner, 2021). These drugs can be used long-
term due to better tolerability, less sedation, and less chance of
abuse or withdrawal (Bandelow et al., 2017). A study that was
conducted by Jakubovski et al (2018), also reported that
serotonin-norepinephrine reuptake inhibitors (SNRIs) are also
the first-line
pharmacological
treatment for anxiety disorders, but higher doses of these
medications are not needed to relieve anxiety. Therefore, the
pharmacotherapeutic treatment is somewhat a matter of
professional expertise and what the provider is comfortable with
prescribing.
What therapy would be indicated for someone with anxiety?
Cognitive behavior therapy (CBT) can be indicated for someone
with anxiety. It can be used to examine negative thoughts that
contribute to anxiety symptoms and replace those thoughts with
more positive realistic thoughts. This type of therapy approach
is to help clients identify irrational thoughts and help them
analyze their negative beliefs. Furthermore, the use of an SSRI
with CBT can reduce the activity in the amygdala and insula
which is responsible for pain and emotional perception, and
2. addictive behaviors (Gorka et al., 2019).
What do you need to assess before prescribing a
benzodiazepine? What special considerations should be gi ven
and discussed with the patient?
Benzodiazepines may be used in the management of diseases
such as insomnia or anxiety. However, the use of
benzodiazepines can result in respiratory depression due to its
effects on the central nervous system hence patients should be
educated on its use and contraindications. Benzodiazepines are
recommended for short-term pharmacotherapeutic treatment use
due to the significant risk of dependence. Long-term
benzodiazepines should be avoided if possible due to the risk of
dependence, possible abuse, and cognitive decline (Stahl, 2017).
Moreover, patients should be tapered off long-term use if they
can tolerate the discontinuation without severe withdrawal.
According to Takaesu et al (2019), patients taking
benzodiazepines are at increased risk of cognitive function
decline, falls, as well as dependence, and tolerance. That being
said, benzodiazepines should not be considered first-line due to
their high potential for abuse.
Last Name: I-N
Body Dysmorphic Disorder (F45.22)
How would you define the disorder?
Diagnostic and Statistical Manual of Mental Disorders, Fifth
Edition (DSM 5) (2013), defines body dysmorphic disorder
(BDD) as a preoccupation with one or more flaws in physical
appearance that others do not see that causes social anxiety and
avoidance. Individuals who have BDD excessively look at
themselves in the mirror, and they are always grooming
themselves. These types of behaviors cause a significant amount
3. of distress which affects one’s everyday functioning. The
person with BDD cannot control these behaviors and therefore
has a high level of anxiety. They are always concerned about
their appearance and try to compare themselves with others.
Their preoccupation is not related to their weight or body fat
therefore they do not have an eating disorder (American
Psychiatric Association, 2013). Some individuals with this
disorder have beliefs that their body is built too thin with
insufficient muscles. Additionally, individuals have
compulsions and obsessions that are mainly focused on their
physical appearance, and they are usually time-consuming as
well as difficult to control (American Psychiatric Association,
2013). According to Nicewicz and Boutrouille (2021), BDD was
first recognized as an atypical somatoform disorder.
What signs/symptoms would one see in the patient that
demonstrate the disorder?
The signs and symptoms that one would see that demonstrate
body dysmorphic disorder are individuals engaging in repetitive
behaviors, such as excessive mirror checking, compulsive skin
picking, camouflaging, participating in excessive grooming,
excessive weightlifting, or pervasive mental acts that involve
them comparing themselves to other people (Field, 2018). These
perceived physical flaws most commonly occur on the skin,
hair, or nose, but any body part can be involved. An individual
is hyper-focused on his/her appearance which makes them
believe that they are ugly and unattractive. They are usually
concerned about their eyes, teeth, lips, breasts, stomach,
genitals, and legs among others (American Psychiatric
Association, 2013). They compare themselves with other
people, they think other people are taking note of their negative
appearance and they might repeatedly apply makeup to try to
cover flaws. Some individuals end up seeking medical
procedures, excessively tanning their skin, and changing their
clothes excessively (American Psychiatric Association, 2013).
4. They also tend to seek reassurance from others about how they
look and sometimes avoid social situations due to fear of being
judged or maybe people will notice their imperfections.
What are the main DSM-5 criteria for this disorder?
According to the DSM 5, body dysmorphic disorder is classified
under obsessive-compulsive and related disorders. An
individual exhibits the four of the following features to meet the
diagnostic criteria:
Preoccupation with one or more perceived defects or flaws in
physical appearance that are not observable by others or others
slightly notices them (American Psychiatric Association, 2013,
p.242).
The person performs repetitive behaviors such as checking
mirrors, excessive grooming, skin picking, reassurance-seeking,
or mental acts that are concerning to their appearance
(American Psychiatric Association, 2013, p.242).
The preoccupation causes clinically significant distress or
impairment in social, occupational, or other important areas of
functioning. (American Psychiatric Association, 2013, p.242).
The appearance preoccupation is not explained by concerns with
body fat or weight that one meets the criteria for an eating
disorder
. (American Psychiatric Association, 2013, p.242).
What is the top 3 differential diagnosis for this disorder from
the DSM-5?
The three top differential diagnoses from the DSM-5 include
Obsessive-compulsive disorder whereby there are
preoccupations and repetitive behaviors. However, in BDD they
5. are more focused on their appearance hence the skin picking to
improve how they look. The second is an eating disorder this
can be comorbid. Thirdly is anxiety disorders which are
common in body dysmorphic disorder. However, in BDD the
anxiety is appearance-related and not social or avoidance
(American Psychiatric Association, 2013).
What medications would you use? Why? Black box warnings?
Before prescribing any medications, I would first obtain consent
for treatment. It is important to explain to the patient all the
risks versus benefits of the medication. The medication class
that is preferred for patients with BDD is selective serotonin
reuptake inhibitors (SSRIs). According to Nicewicz and
Boutrouille (2021), Fluoxetine is the recommended drug to treat
BDD. The dosage will be 20mg daily as it is important to start
low and see how the patient might tolerate the drug. The goal
will be to reduce the symptoms. The onset of action is usually
delayed 2-4 weeks and if it is not working within 6-8 but the
patient is tolerating the drug then it should be increased. The
side effects that need to be discussed with the patient include
nausea, diarrhea, headache, drowsiness or activation, sexual
dysfunction, or desire. Serious adverse effects include suicidal
thoughts and/or behaviors, mania, and seizures (Stahl, 2021).
While waiting on the therapeutic effects to take effect, the
patient can also be started on a small dose of benzodiazepine
short-term to give some relief to the distressing symptoms.
What type of therapy would you recommend for this patient?
The types of therapy that have shown to be beneficial for
patients with BDD include cognitive-behavioral therapy (CBT)
and metacognitive therapy (Phillipou et al., 2016). CBT is the
recommended first line of treatment for BDD. These types of
therapy will help the patient to work on his/her self-confidence.
Also, help in identifying the behaviors and triggers that cause
6. these feelings.
What do you see as the possible outcomes for this patient?
Clinicians need to communicate realistic expectations to
patients who are diagnosed with BDD at the beginning of
treatment and explain that their disorder might not be cured but
the goal is a reduction of symptoms. The outcome for the
patient would be to continue taking fluoxetine until the
symptoms of BDD have resolved or have been significantly
reduced. Also, for the patient to participate in cognitive
behavioral therapy to manage negative thoughts and modify
behaviors.
What are the 5 components of a suicide risk assessment that the
patient needs to be asked?
The five components of the suicide risk assessment that the
patient needs to be asked are do you have current thoughts of
killing yourself, what are your intentions, do you have a plan,
have you ever tried to kill yourself in the past, what is keeping
you alive, or what might decrease the chances of you trying to
kill yourself as suicidality is high within individuals with body
dysmorphic disorder. Furthermore, 80% of individuals with
body dysmorphic disorder think about suicide while
approximately 26% of those individuals have attempted suicide
(Koenig et al., 2021).
In addition to the suicide risk assessment questions, the clinical
can conduct a physical assessment of an individual who has
body dysmorphic disorder, he or she might notice some skin
lesions secondary to skin picking. Most patients with BDD have
a history of self-inflicted injuries. Although clients might not
want to share with the clinicians about their disorders, it is
important to ask them questions about any cosmetic procedures,
or surgical interventions. Also find out how they feel about
7. their appearance, how much time they spend worrying about
their appearance, and ask whether their condition affects their
quality of life. Find out if the patient has other dermatologic
issues. Find out the onset and duration of symptoms. Ask if the
patient has mental health history in his or her family or if
he/she is experiencing any significant life changes or stressors.
It is also imperative for the clinician to assess and rule out
disorders and other comorbidities like social anxiety disorder
and obsessive-compulsive disorder (American Psychiatric
Association 2013).
Student 2: Klaus
What medications are considered first line best practice for
treating anxiety? How long can they expect these medications to
take full effect? Alternative to use?
To treat social anxiety disorder, health care providers may
prescribe medications. This disorder can be effectively treated
with a variety of medications, including selected serotonin
reuptake inhibitors (SSRIs) and serotonin-norepinephrine
reuptake inhibitors (SNRIs) are antidepressants (SNRIs); this
class of medications may take several weeks to reach their
effect usually four to six weeks; alternatively, benzodiazepines
can also be utilized and these usually take a shorter time to take
effect but long term use is contradicted as it can be addictive
(Mayo Foundation for medical Education and Research, 2021).
What therapy would be indicated for someone with anxiety?
Most patients with social anxiety disorder benefit from
psychotherapy. In therapy, you will learn how to recognize and
modify negative beliefs about yourself as well as build skills to
help you achieve social confidence; CBT (cognitive behavioral
therapy) is the most successful type of psychotherapy for
anxiety, and it can be used either individually or in groups
8. (Mayo Foundation for medical Education and Research, 2021).
What do you need to assess before prescribing a
benzodiazepine? What special considerations should be given
and discussed with the patient?
Examine the patient for signs of addiction and abuse.
Benzodiazepines should not be used by patients who have a
history of substance abuse, particularly prescriiption drug
abuse; If the patient has other risk factors, use cautious, such
as: a background of chronic pain, a history of substance abuse
and behavioral addictions in the family (Mayo Foundation for
medical Education and Research, 2021).
Social Anxiety Disorder
How would you define the disorder?
In situations where they may be inspected, assessed, or judged
by others, such as speaking in public, meeting new people,
answering a question in class, or having to chat to a cashier in a
store, a person with social anxiety disorder experiences anxiety
or terror; commonplace activities such as eating or drinking in
front of people or using a public lavatory, might generate
anxiety or dread of being embarrassed, judged, or rejected
(Mayo Foundation for medical Education and Research, 2021).
What signs/symptoms would one see in the patient that
demonstrate the disorder?
Unlike ordinary uneasiness, social anxiety disorder include fear,
anxiety, and avoidance that interfere with relationships, daily
routines, job, school, or other activities (Mayo Foundation for
medical Education and Research, 2021).
What are the main DSM-5 criteria for this disorder?
9. Several criteria are involved when diagnosing someone with
social anxiety disorder (DSM-5 definition of social anxiety
disorder, n.d).
persistent anxiety of being exposed to unfamiliar people or
being scrutinized by others in one or more social or
performance circumstances. The person is afraid that he or she
may do something embarrassing and humiliating (or show
anxiety symptoms).
Being exposed to the feared situation nearly always causes
worry, which can manifest as a situationally bound or
predisposed Panic Attack.
The individual recognizes that his or her fear is irrational or
excessive.
Fearful circumstances are avoided or endured with a great deal
of anxiety and distress.
The avoidance, nervous anticipation, or distress in the dreaded
social or performance situation(s) severely interferes with the
person's usual routine, occupational (academic) functioning,
social activities, or relationships, or the person feels distressed
by having the phobia.
The fear, worry, or avoidance is long-term, usually lasting six
months or more.
4.
What are the top 3 differential diagnosis for this disorder from
the DSM-5?
panic disorder
10. agoraphobia
atypical depression
5.
What medications would you use? Why? Black box warnings?
Though there are a variety of drugs available, selective
serotonin reuptake inhibitors (SSRIs) are frequently used to
treat chronic social anxiety symptoms. Sertraline or paroxetine
(Paxil) may be prescribed by your doctor (Zoloft); Venlafaxine
(Effexor XR), a serotonin and norepinephrine reuptake inhibitor
(SNRI), may also be used to treat social anxiety disorder (Mayo
Foundation for medical Education and Research, 2021).
What type of therapy would you recommend for this patient?
Most patients with social anxiety disorder benefit from
psychotherapy. In therapy, you will learn how to recognize and
modify negative beliefs about yourself as well as build skills to
help you achieve social confidence; CBT (cognitive
behavioral
therapy) is the most successful type of psychotherapy for
anxiety, and it can be used either individually or in groups
(Mayo Foundation for medical Education and Research, 2021).
What do you see as the possible outcomes for this patient?
Combination of an appropriate therapy and medications as last
resort should be helpful to this patient to a high degree and go a
long way in increasing the prognosis
What are the 5 components of a suicide risk assessment (From
the PowerPoint/Kaltura in Week1) that the patient needs to be
11. asked?
I’ll as if the patient has any plans of killing themselves
Ask what the plan is
Seek to know if they has any access to the plan
Seek to know their intention
Seek to find out what is keeping them from executing the plan
so far