Jane is an 40 year old woman who over the past 5 years has been experiencing periods of weeks at a time where she has difficulty getting out of bed but not being able to sleep and she worries "about everything". She reports feeling as though she is moving really slowly. She no longer "hangs out" with her friends. She reports having a "short fuse" and getting annoyed at little things. She then has periods of weeks where she feels on top of the world but feels "a bit out of control". She does not need more than a few hours of sleep. Her girlfriend Rose reports that Jane's sex drive is "out of control" during these states and she fears she may have cheated on her. Rose also reports that during these times Jane speaks "so fast she could be an auctioneer". On a few occasion's Jane has been observed having a conversation with someone who is not there. Rose states that this only happens when she is "up". Rose also reports that Jane makes a "weird smacking noise with her mouth". This started about a month ago and is pretty constant.

ou must have a title page on your case. If you do not have a title page, your case will not be graded.

Paper is due by 11:59 PM on due date

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Jane

Jane is an 40 year old woman who over the past 5 years has been experiencing periods of weeks at a time where she has difficulty getting out of bed but not being able to sleep and she worries “about everything”. She reports feeling as though she is moving really slowly. She no longer “hangs out” with her friends. She reports having a “short fuse” and getting annoyed at little things. She then has periods of weeks where she feels on top of the world but feels “a bit out of control”. She does not need more than a few hours of sleep. Her girlfriend Rose reports that Jane’s sex drive is “out of control” during these states and she fears she may have cheated on her. Rose also reports that during these times Jane speaks “so fast she could be an auctioneer”. On a few occasion’s Jane has been observed having a conversation with someone who is not there. Rose states that this only happens when she is “up”. Rose also reports that Jane makes a “weird smacking noise with her mouth”. This started about a month ago and is pretty constant.

Jane is currently in an inpatient facility because a week ago she was pulled over for speeding and the officer observed her acting erratically and was not making sense when asked questions.

Jane’s medications are as follows:

Prozac -80 mg/day (2 years)

Pristiq- (1 week)

Abilify-30 mg/day (2 years)

Ativan- 1mg PRN (1 year)

Oral Contraceptives

Using your now extensive knowledge of medications and your class notes, book, research, address the following issues:

What is Jane’s likely diagnosis?
What are the red flags involved in this case? There are many.
What are the possible side effects of these drugs?
Which side effects do you believe Jane is suffering from?
If you were prescribing her medications, what would you change? Which drug would you take her off of (if any), which would you put her on instead (if any)?
What other treatments would you recommend for Jane?

Rubric
Case 1
Case 1
Criteria Ratings Pts
This criterion is linked to a Learning Outcome Red Flags
2.0 pts
This criterion is linked to a Learning Outcome Possible Side Effects
1.0 pts
This criterion is linked to a Learning Outcome Side effects client is suffering from
2.0 pts
This criterion is linked to a Learning Outcome What would you change
2.0 pts
This criterion is linked to a Learning Outcome What treatments do you recommend
2.0 pts
This criterion is linked to a Learning Outcome APA and Grammar
1.0 pts
Total Points: 10.0