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Mood Disorders Case Study

Mood Disorders CONSIDER THE CORE DRUG KNOWLEDGE FOR Fluoxetine (Prozac®)

Why is Rita taking fluoxetine?

Rita is currently taking Fluoxetine in response to a psychological evaluation that demonstrates Major Depressive disorder and there is also some evidence of PMDD (Premenstrual Dysphoric Disorder). Major depressive disorder as described by the multi-axial system includes the presence of a single episode of the mood disorder, Major Depressive Disorder on the Axis I table as the patient has not reported having such severe episodes prior to this time and the episode is not better explained by any other psychotic disorder nor does she exhibit signs of having mixed episodes including mania or any other psychiatric disorder. It is also clear that Rita's Major Depressive Disorder episode is linked with the melancholic features as a modifier. The criteria for this modifier, experienced by Rita include loss of pleasure in all or most activities...

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The likely diagnosis for Rita would be Major Depressive Disorder Multiple Episode with Melancholic Features. Axis II does not apply to Rita as she does not report any marked personality disorder. Axis III is also non-applicable as she does not seem to be experiencing any underlying medical or neurological condition that could affect her outward presentation of diagnosis. Axis IV is appropriate to explore as Rita is and has experienced several life changing psychological stressors over her lifetime and is presently experiencing excessive life stressors associated with juggling work and a demanding school schedule. First she still has demonstrative feelings of loss with regard to her mother's death and…

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