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Initially because of his symptoms of depression and anxiety he was placed on Lorazepam and Zoloft, which were increased over the first month until he felt better.
He began weekly psychotherapy to get at the root of his problems with authority.
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The case study and answers to the following questions on screening for depression in adults are based on the recommendations of the U. Preventive Services Task Force (USPSTF), an independent panel of experts in primary care and prevention that systematically reviews the evidence of effectiveness and develops recommendations for clinical preventive services.
More detailed information on this subject is available in the USPSTF Recommendation Statement and the evidence synthesis on the USPSTF Web site ( Preventive Services Task Force Program, Agency for Healthcare Research and Quality CLARENCE LAM, MD, MPH, General Preventive Medicine Residency, Johns Hopkins Bloomberg School of Public Health Am Fam Physician. The USPSTF recommends that adults be screened for depression only when staff-assisted depression care supports are in place to assure accurate diagnosis, effective treatment, and follow-up. He reports no problems; his blood pressure is well controlled on his current medication regimen; and his physical examination is unremarkable.. is a 54-year-old man who presents with a request to refill his antihypertensive medication.The USPSTF found fair evidence that screening and feedback alone, without staff-assisted care supports, do not improve clinical outcomes in adults.He attended therapy sessions along with his mother, who was quite open to listening to his feelings, and they became closer, and she became more involved with his children as a caring grandmother.The client also approached his father to work on reconciling their longstanding emotional distance.His mother excessively doted on him, partly because she lacked a man in her life, which made him feel “special.” A year later his mother began dating a man who eventually moved into the house.The man was resentful of his girlfriend’s affections toward her two sons, was highly critical of them and their father, and would mock all of them. At times the live-in boyfriend would threaten the boys’ mother verbally and physically, and would threaten the boys themselves.The USPSTF found at least fair-quality evidence that SSRI use in adults older than 70 years is associated with an increased risk of upper gastrointestinal bleeding, and this risk increases with age.In adults 40 to 79 years of age, the concurrent use of SSRIs with low-dose aspirin or a nonsteroidal anti-inflammatory drug increases the risk of upper gastrointestinal bleeding.