Reference no: EM133657112

EG is a 16-year-old female who presented with a past medical history of mood disorder and depression. The patient endorses a suicide attempt by taking an unknown amount of naltrexone and Latuda. She states it was a handful of a mixture, which she did because she "wanted to sleep and have it all go away." Per her father, the patient was on these for mood stabilization and previous self-harm behavior. She has previously needed hospitalization for mental health reasons. Per her father, he manages and gives out her medication daily, so he is uncertain as to how she got a large amount of the medication other than she was possibly "cheeking "the meds and saving them.

Reason for Admission: The patient took an unknown amount of naltrexone and Latuda. The patient reports her triggers include arguments with her dad and feeling sad, hopeless, and worthless.

Medication: atomoxetine Oral 40 mg by mouth once daily in the morning for ADHD. Fluoxetine Oral 20 mg by mouth once daily for Disruptive mood dysregulation disorder

Latuda (lurasidone) 20 mg by mouth at bedtime for Disruptive mood dysregulation disorder. Naltrexone 25 mg by mouth once daily for Disruptive mood dysregulation disorder.

Provide a case formulation and treatment plan for the patient above. Discuss the treatment plan using clinical practice guidelines supported by evidence-based practice.

Include a discussion on the appropriate chosen FDA-approved psychopharmacologic agents (and dosage) and include alternative treatments available and supported by valid research. All treatment choices must have a discussion of the rationale for the choice supported by valid research.

Explain clearly what medication, dosage, and titration are to be used to treat this patient and for what diagnosis.

Explain what labs to check prior to starting these medications and ongoing.

Explain the differences between the medications you chose and the medications you decide not to start