Posted: February 10th, 2022

7/22, 3:00 PM Psychopharmacologic Approaches to Treatment of Psychopathology

2/7/22, 3:00 PM Psychopharmacologic Approaches to Treatment of Psychopathology
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BACKGROUND INFORMATION
The client is an 8-year-old African American male who arrives at the ER with his mother. He is
exhibiting signs of depression.
Client complained of feeling “sad”
Mother reports that teacher said child is withdrawn
from peers in class
Mother notes decreased appetite and occasional
periods of irritation
Client reached all developmental landmarks at
appropriate ages
Physical exam unremarkable
Laboratory studies WNL
Child referred to psychiatry for evaluation
MENTAL STATUS EXAM
Alert & oriented X 3, speech clear, coherent, goal directed, spontaneous. Self-reported mood
is “sad”. Affect somewhat blunted, but child smiled appropriately at various points throughout
the clinical interview. He denies visual or auditory hallucinations. No delusional or paranoid
thought processes noted. Judgment and insight appear to be age-appropriate. He is not
endorsing active suicidal ideation, but does admit that he often thinks about himself being
dead and what it would be like to be dead.
You administer the Children’s Depression Rating Scale, obtaining a score of 30 (indicating
significant depression)
RESOURCES
§ Poznanski, E., & Mokros, H. (1996). Child Depression Rating Scale–Revised. Los Angeles,
CA: Western Psychological Services.
2/7/22, 3:00 PM Psychopharmacologic Approaches to Treatment of Psychopathology
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Decision Point One
Select what you should do:
Begin Zoloft 25 mg orally daily
Begin Paxil 10 mg orally daily
Begin Wellbutrin 75 mg orally BID

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2:00 p.m. on February 7th, Psychopharmacologic Approaches to Psychopathology Treatment

cdnfiles.laureate.net/2dett4d/Walden/NURS/6521/05/mm/decision trees/week 02/index.html 1/2 INTRODUCTORY INFORMATION

The patient is an 8-year-old African-American boy who comes to the ER with his mother. He is a

displaying signs of depression

The client expressed sadness.

According to the mother, the instructor stated that the child is withdrawn.

in class from classmates

Mother observes a decrease in appetite and the occurrence of occasional

irritable periods

At the age of, the client had attained all developmental milestones.

ages that are appropriate

The physical examination was unremarkable.

Research in the laboratory WNL

The child has been referred to psychiatry for evaluation.

EXAMINATION OF MENTAL STATUS

Alert and focused X 3, clear, coherent, goal-directed, spontaneous speaking Self-reported mood

means “sad.” The child’s affect was rather muffled, but he grinned appropriately at several moments throughout.

the clinical examination He denies experiencing visual or auditory hallucinations. There is no delusion or paranoia.

thinking processes documented

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