Patient Encounter 1 Part 2

AX returns to your clinic 4 months later stating that despite meeting with the school psychologist a few times, she continues to have problems. In addition to worrying and feeling nervous, she feels down a lot. "I don't have the energy to play with my children. I obsess over everything. My grades have really gone downhill. I cry a lot and feel hopeless."

FH: Mother treated for depression; father, ethanol dependence

SH: Drinks ethanol occasionally; cigarettes one pack a day; lives independently with three children

Meds: Centrum multivitamin

Given this information, what is your assessment of this patient?

Develop a treatment plan, including nonpharmacologic and pharmacologic recommendations, duration of therapy, and monitoring plan.

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