What would you consider for the primary working diagnosis for Faith? Moderate Major depression disorder (This is THE DIAGNOSIS OF THIS PATIENT)

Working Primary Diagnosis:
1) What would you consider for the primary working diagnosis for Faith? Moderate Major depression disorder (This is THE DIAGNOSIS OF THIS PATIENT)
Differential Diagnosis:
2) Please list at least three differentials that you would want to rule out as a diagnosis. Include all exclusionary and inclusion symptoms for your rationale. Please note any diagnostic tools including rating scales or questionnaires you would utilize to support your diagnosis.
Treatment Plan:
3) What is the class of medication that you would consider for a first line treatment for Faith?
Drug: Fluoxetine (Prozac) 10mg/day PO in the morning
Route: Oral
Frequency: QDay
Indication: moderate major depression
Disp#30
Refill:0
Follow up:
Follow up in 1 month or sooner as needed
Clinical Pearls:
-Although Faith does report some anxiety symptoms, using Propranolol for a PRN treatment would not be advised because she has a history of asthma.
Test Questions:
4) What are two things that you should monitor closely for when initiating treatment for Faith? What safety measures would you encourage the patient and her guardian to take to ensure Faith is safe at home?
5) Please explain your rationale for your primary diagnosis including all the criteria that were met for her diagnosis and why this aligned with the DSM 5 criteria. Are there any medical diagnoses that should also be ruled out?
6) What is the primary symptom associated with Faith’s diagnosis considering she is an adolescent? Is this uncommon?
7) Consider appropriate educational material you would give to Faith and her mother. What would be helpful educational points to discuss before you end your interview?
8) How soon would you recommend this patient follow up with you? What issues should you consider associated with the development, course, and cultural considerations for this patient?

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