Anxiety and Depression Instructor Case Study Ann is a 34-year-old African American woman who...

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Anxiety and Depression Instructor Case Study Ann is a 34-year-old African American woman who presents with a 6 week history of initial and terminal insomnia and a 10 pound weight loss over that same period. She admits to feeling sad almost every day for the past 6 weeks that occurred after she lost her job. She denies feeling enjoyment, has not engaged in any previously enjoyable activities, and wonders if life is worth living. Her physical examination is negative, vital signs and blood work including a thyroid profile are all within normal limits, and her body mass index is 22. Her mother and sister both had episodes of depression and were treated successfully with sertraline.
1. Which medication would you start Ann on and why?2. What is critical education to share with her?3. Does the fact that she is of childbearing age impact your decision making?4. Are medications alone enough?

Robert · Accepted Answer

1. As the woman has a family history of depression and her mother and sister were successfully 
treated for it by sertraline, the same medicine can be administered to her. The adverse effects 
of sertraline have been studied in human subjects and the effects have been reported to be 
mild, making it a safe drug [1,2]. It is very likely that she would respond positively to this 
medicine. 
2. As a part of critical education, her situation can be explained to her in more detail. She can be 
offered psychotherapy and social councelling [3]. She can also be educated about the 
different neurotransmitters released by brain that cause and eliminate depression. 
3. As she is of child bearing age,

Anxiety and Depression Instructor Case Study Ann is a 34-year-old African American woman who presents with a 6 week history of initial and terminal insomnia and a 10 pound weight loss over that same...

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