Decision #2: Treatment Plan for Psychotherapy
Begin Abilify 10mg orally daily
Reason for this Decision
Abilify is known to be effective with improving psychotic and manic symptoms within a week but take several weeks for full effect on behavior, cognition and affective stabilization. It increases dopamine output when the concentrations are low, consequently enhancing cognitive, behavioral and affective symptoms. It also reduces dopamine output when the concentrations are high, therefore improving mediating antipsychotic actions and positive symptoms (Stahl, 2014). Cyclothymic Disorder decision tree case study essay assignment example.
The efficacy of the medication shows between 4–6 weeks for some patient but takes up to 16–20 weeks to show the effect on cognitive symptoms. Educating the patient about the side effect of the medication is crucial. Cyclothymic Disorder decision tree case study essay assignment example. The following baseline of blood pressure, weight, fasting plasma glucose, and fasting lipid profile must be taken and check within three months after starting the medication (Stahl, 2014).The patient is educated about the medication and the side effects (dizziness, hypotension, sedation, nausea, vomiting, headache.
The patient will be informed to go for psychotherapy because it increased patient awareness of their diagnosis and helped cope with their mood swings. Cyclothymic Disorder decision tree case study essay assignment example. It also helps to prevent full-blown manic attacks from happening (Saddock, Sadock & Ruiz, 2014).
What was Hoping to Achieve by Making this Decision?
The aim of giving the patient Abilify is to help stabilize her mood and ability to think well and prevent a full-blown manic attack from happening. When the patient returns for follow up, she will express feeling a little better.
The Difference between what is Expected and the Achieve outcome with Decision #2
The expected outcome and achieved outcome are the same. The medication was reduced the symptoms of cyclothymic disorder and the side effect was expected. The patient returned to the clinic for follow-up after four weeks and reported that the medication had helped her not feel sad, but she noted some dizziness which had subsided.
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