The care provider should provide Angela with a prescription of antidepressant to treat this condition. Precisely, citalopram 20 mg a day for two weeks. This should be the initial management plan ( Shoar & Padhy, 2018 ). When staring a patient on an antidepressant, it is essential to maintain a week by week follow-up services to monitor progress.
However, during her follow-up visit to the clinic improved as Angela complained that her condition had not changed the result of taking citalopram. The provider first responds by changing the medication and recommended Lexapro 10 mg daily ( Benson & McDonald, 2016 ). Further, the service provides asked him to visit after two weeks for follow up.
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Some of the problems associated with the first medication that the caregiver prescribed, Citalopram 20 mg a day, was that Angela felt vertigo and nausea. On the other hand, after prescribing Lexapro, Angela came back. She stated that nausea and vertigo disappeared. She also added that she felt less tired hence a sign of improvement.
Angela associated shown signs of improvement after the follow-up service, and the care provider must spend 20 minutes explaining to the patient how antidepressants work and what the patient should expect in the long run.
To effectively manage Angela’s moderate depression, the care provider should refer her to a professional mental health counsellor. This, in addition to taking the Lexapro medication daily for four weeks. For the person with depression such as Angeal, having someone to talk to about her stressors is significant to release the mental pressures. To fully overcome her depression, Angela should continue taking Lexapro and seeing the mental health counsellor for one year after which evaluation should be undertaken to asses her condition. Consequently, if there is an improvement, consider tapering her off the selective serotonin uptake inhibitor therapy.
References
Shoar, N. S., & Padhy, R. K. (2018). Citalopram. In StatPearls [Internet] . StatPearls Publishing.
