Identification of target symptoms/problems
What information, if any, would you like to know that was not included in the case?
– Family psych history
– Any previous episode
– Depression episodes
– Any other medical condition
– Child abuse history

Which psychiatric symptoms are a treatment priority for this case?
– Suicidal/homicidal ideation
– Auditory hallucinations
– Substance abuse psychosis
– Treat if any withdrawal or overdose

What are the non-pharmacologic issues in this case (problems/complaints that cannot be addressed by medication)?
1. Substance abuse

Medication Choice 1
List one medication that would be appropriate for this case. Include the name and starting dose.
– Ziprasidone 20mg BID

Describe your clinical decision making. What is your rationale for choosing this medication? Also, include the mechanism of action for this medication choice, and the neurotransmitters and areas of the brain in which the medication is proposed to act on.


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