A 42-year-old woman presents to your outpatient clinic. She…
A 42-year-old woman presents to your outpatient clinic. She states that for the last two years, she has felt an excessive amount of worry. She says she worries about her bills, her marriage, what her friends think about her, and her job. Upon further questioning, she says her mood has been irritable lately and she finds it difficult to fall asleep. In addition, she feels like her energy level is low. She feels as if all of this worry is getting the best of her because her marriage and work performance are suffering. Which of the following is the best choice of pharmacotherapy for the patient at this time?
Read DetailsA 45-year-old female with a history of opioid use disorder p…
A 45-year-old female with a history of opioid use disorder presents with concerns for cravings and urges to use opioids. She has recently transitioned from the prison environment and is facing challenges with transitioning to the community. She has not used opioids for over a year. Which of the following medications would be the most appropriate for this patient to start?
Read DetailsA 50-year old physician presents with complaints of anhedoni…
A 50-year old physician presents with complaints of anhedonia, fatigue, headache, abdominal distress, and weight loss. His husband reports increasing irritability, inattentiveness and low libido over the last month. He was seen by his primary care provider who just notified him he had pre-diabetes, hypercholesterolemia and hypertension despite weight loss. These findings are most consistent with
Read DetailsA 10-year-old boy is referred by the school nurse because of…
A 10-year-old boy is referred by the school nurse because of persistent stomachaches every morning in school. In evaluating the boy, the PMHNP learned that he does not like to go to school and insists on coming home immediately, and that he sleeps in his parent’s bed at night. His clinical description is most characteristic of which of the following conditions?
Read DetailsA 25-year-old female presents to the emergency department, h…
A 25-year-old female presents to the emergency department, having just witnessed an accident. Her speech is pressured. She states, “There were a lot of people in need of care at the scene, and I should know because I have traveled to many Third World countries. I know how bad needs can get. The people were injured, and I was hit by a car before but I did not suffer any injuries. There were a lot of police cars and ambulances.” The patient was triaged to psychiatry. The PMHNP describes her thought process as:
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