Psychopharmacologic Treatment: Treatment Plans and Ethics

WK-5-ASSIGNMENT
Psychopharmacologic Treatment - Case #2 Anxiety disorder, OCD, or something else?
Name
NURS 6660
Date
Background - Case #2 Anxiety disorder, OCD, or something else?
Tyrel is an 8-year-old black male who has been worried and nervous over the past two months. He is increasingly anxious about germs and is constantly washing his hands. Tyrel lives with his mother, Shaquana, who has been divorced from her ex-husband, Desmond, for the past two years. Tyrel is also facing difficulties at school; he is nervous around his classmates and has missed classes in the past three weeks.
Decision #1: Differential Diagnosis
Decision choice: Obsessive-Compulsive Disorder
The information suggests obsessive-compulsive disorder (OCD), which is one of the most common mental disorders that are associated with an anxiety disorder. OCD is characterized by obsessive thoughts that are recurring and persistent that is linked to restlessness, fear, anxiety, or apprehension. The choices that I did not select are “Generalized Anxiety Disorder (GAD)” and “Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (“PANDAS”).”
These obsessive ideas are expressed in different ways and are experienced and can cause compulsive behaviors and anxiety when there are recurring and unwanted thoughts. Tyrel has repeatedly washed his hands many times when compared to his peers and is constantly afraid of germs. His anxiety is linked to the need to remain clean, and his reactions are exaggerated, meaning GAD and PANDAS are not the actual diagnoses. I was hoping to make the right diagnosis when considering the client’s symptoms and DSM-5 guidelines. The results were as expected as there was an option for selecting OCD.
Decision #2: Treatment Plan for Psychotherapy
Decision choice: Begin Fluvoxamine immediate release 25 mg orally at bedtime
I chose to begin Fluvoxamine immediate release 25 mg orally at bedtime, and the other options were “Begin Zoloft 50 mg orally daily” and Begin Fluvoxamine controlled release 100 mg orally in the morning. The FDA has approved Zoloft for treating OCD, in children betw...