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Depression Case Study:Luis Chaves is a 22-year-old who migrated to Miami at the age of 2 years with hisparents.

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Depression Case Study:Luis Chaves is a 22-year-old who migrated to Miami at the age of 2 years with hisparents. SAD PERSONS SCALE: - ANSWERS 6 (1. no spouse, 2. lack social support, 3. loss of rational thinking, 4. etoh use, 5. depressed mood, 6. Age older than 45) Based on assessment. Which behavior is INCONSISTENT with depression? - ANSWERS Hearing a man's voice (auditory hallucinations are inconsistent with depression and are more likely to occur with psychoses) Which behavior(s) justify short-term involuntary treatment? SATA - ANSWERS Unable to meet basic self-care needs; States she has a plan to harm self She begins Prozac 10mg. What classification of drug is the antidepressant Prozac? - ANSWERS SSRI What is the action of an SSRI? - ANSWERS Increase availability of serotonin Why are SSRI now more widely used than tricyclics? - ANSWERS Tricyclics are more lethal in OD (they are cardiotoxic) Explaining the therapeutic effect of Prozac. When should the client begin to feel less depressed? - ANSWERS 1-3 weeks (it is suggested that depression occurs when a depletion of neurotransmitters in the synapse causes the transmitter receptors to increase. As the antidepressants make more transmitters available, it takes the receptors several weeks to return their numbers back to normal allow normal synaptic activity.) Which side effects commonly occur in clients who are taking SSRI antidepressants? - ANSWERS Gastrointestinal disturbances. (nausea and diarrhea) No sedative side effects Anticholinergic effects are more common with: - ANSWERS tricyclic antidepressants Extrapyramidal side effects are common with: - ANSWERS traditional antipsychotic medications Neuroleptic malignant syndrome: - ANSWERS can be fatal. It is serious side effect of antipsychotic medications, and its symptoms include autonomic hyperactivity and muscle rigidity.

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