HMPHarmwk11 Write a 1-page narrative in APA format that addresses the following: Explain the circumstances under which children should be prescribed dru

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Write a 1-page narrative in APA format that addresses the following:

  • Explain the circumstances under which children should be prescribed drugs for off-label use. Be specific and provide examples.
  • Describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.
  •  

2/7/22, 3:00 PM Psychopharmacologic Approaches to Treatment of Psychopathology

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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”

Mother reports that teacher said child is withdrawn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

MENTAL STATUS EXAM
Alert & oriented X 3, speech clear, coherent, goal directed, spontaneous. Self-reported mood

is “sad”. Affect 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.

You administer the Children’s Depression Rating Scale, obtaining a score of 30 (indicating

significant depression)

RESOURCES
§ Poznanski, E., & Mokros, H. (1996). Child Depression Rating Scale–Revised. Los Angeles,

CA: Western Psychological Services.

2/7/22, 3:00 PM Psychopharmacologic Approaches to Treatment of Psychopathology

cdnfiles.laureate.net/2dett4d/Walden/NURS/6521/05/mm/decision_trees/week_02/index.html 2/2

Decision Point One
Select what you should do:

Begin Zoloft 25 mg orally daily

Begin Paxil 10 mg orally daily

Begin Wellbutrin 75 mg orally BID

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