Order Number |
354574092 |
Type of Project |
ESSAY |
Writer Level |
PHD VERIFIED |
Format |
APA |
Academic Sources |
10 |
Page Count |
3-12 PAGES |
When pediatric patients present with mood disorders, the process of assessing, diagnosing, and treating them can be quite complex. Children not only present with different signs and symptoms than adult patients with the same disorders, they also metabolize medications much differently. Yet, there may be times when the same psychopharmacologic treatments may be used in both pediatric and adult cases with major depressive disorders. As a result, psychiatric nurse practitioners must exercise caution when prescribing psychotropic medications to these patients. For this Assignment, as you examine the patient case study in this week’s Learning Resources, consider how you might assess and treat pediatric patients presenting with mood disorders. 12/12/21, 6:48 PM Psychopharmacologic Approaches to Treatment of Psychopathology
https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/DT/week_02/index.html 1/3
Therapy for Pediatric Clients with Mood Disorders An African American Child Su�ering From Depression
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”
12/12/21, 6:48 PM Psychopharmacologic Approaches to Treatment of Psychopathology
https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/DT/week_02/index.html 2/3
� Mother reports that teacher said child is withdrawn from peers in class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
� Client seen by Psychiatric Nurse Practitioner
MENTAL STATUS EXAM Alert & oriented X 3, speech clear, coherent, goal directed, spontaneous. Self-reported mood is “sad”. A�ect 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.
The PMHNP administers the Children’s Depression Rating Scale, obtaining a score of 30 (indicating signi�cant
depression)
RESOURCES
12/12/21, 6:48 PM Psychopharmacologic Approaches to Treatment of Psychopathology
https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/DT/week_02/index.html 3/3
Services.
Decision Point One Select what the PMHNP should do:
Begin Zoloft 25 mg orally daily
(1.html)
Begin Paxil 10 mg orally daily
(2.html)
Begin Wellbutrin 75 mg orally BID
(3.html)
https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/DT/week_02/1.html
https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/DT/week_02/2.html
https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/DT/week_02/3.html