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NU-643-05-23PCSP Adv.Psychopharmacology
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- Week 10: Psychopharmacology of ADHD
- Week 10 Discussion 1: Harold or Greg ADHD Case Study
Week 10 Discussion 1: Harold or Greg ADHD Case Study
To do: Make forum posts: 1
Value: 100 points
Due: Create your initial post by Day 4, and reply to at least two of your classmates’ posts by Day 7.
Grading Category: Discussion Forums
Initial Post
- You will need to use the following log-in information to access these videos (all case sensitive):
- To access the site, choose the login button from the upper-right corner of the screen.
- Enter the login criteria.
- View the following case study videos and select one for your discussion post by clicking on its link. (You must be logged in to access the video links):
- Answer the following questions and post your discussion to this discussion forum:
- Your initial post should be in APA format with evidence-based references to support your statements.
- 1, what symptoms of ADHD does your patient present with
- 2, what are the other possible symptoms causes?
- 3, what further information, if any, would you like to reveal about this
- 4, what the assumption that the patient does have ADHD, what medicationwould you prescribe(list name and dose) why
- 5, list any relevant safety informational screening(eg, labs) related to your medication choice
- 6, your initial post should be APA format with evidence-based reference to support your statement
- This is the case study
Greg Case Study Video Transcript
Off Camera: Hi, nice to meet you.
Greg: Hi, uh, doc.
Off Camera: How can I help you today?
Greg: Well I need some Dexedrine for my ADHD.
Off Camera: Uh-huh, have you been prescribed Dexedrine in the past?
Greg: Since I was little, but I’ve been off it for a while. I need to get back to it.
Off Camera: What kind of difficulties are you having?
Greg: Uh, poor concentration, poor focusing, getting distracted, forgetting things, I’ve been feeling hyper all the time. I just, I can’t sit still. But when I was on Dexedrine, it worked great though.
Off Camera: Are all of these difficulties you had previously?
Greg: Since I was five or six. I was always out of control, driving my parents up the wall.
Off Camera: Mm-hmm, how did the medications help?
Greg: Well, it controlled it all. Um, all the symptoms vanished.
Off Camera: Did you have any side effects?
Greg: No, no, no side effects.
Off Camera: Such as decrease in your appetite?
Greg: No, I don’t think so.
Off Camera: Uh-huh, trouble going to sleep?
Greg: No, I sleep well. Yeah, sleep’s good.
Off Camera: I mean, um, sleep difficulties when you took medications for ADHD.
Greg: Oh no, no, I slept good, too.
Off Camera: Mm-hmm, what age did you start the medications?
Greg: Five or six.
Off Camera: So you were very young.
Greg: I don’t know, I don’t know what age children normally start. Is five or six young?
Off Camera: Uh-huh, fairly young. But children that age sometimes are started on medications. And did you try any other ADHD medications, other than the Dexedrine?
Greg: No, no, Dexedrine worked really good, so I just, I stuck with that.
Off Camera: And when did you stop taking it?
(patient exhales)
Greg: About a year ago, yeah a year.
Off Camera: What did you notice after you stopped taking the medication?
Greg: Well all my symptoms just, they came right back.
Off Camera: Did that impact your studies here at the university?
Greg: A lot, actually.
Off Camera: How are your grades?
Greg: They’re terrible. Um, I’m getting B’s and C’s, and I really need to be getting A’s, at the very least B’s.
Off Camera: What made you decide to come in at this very moment in time to restart the medication?
Greg: I’m just, I’m struggling. And um, I wanna get back on track. I’m tired of not doing well.
Off Camera: Do you have any friends taking ADHD medications?
Greg: I mean, half the campus is on some kind of medication. I don’t know if that’sgood, or if it’s bad, but I don’t know, I just know it works for me.
Off Camera: Would we be able to get you to sign a release so we can get your old medical records?
Greg: I have to ask my parents, um, cuz I think the doctor I actually used to go to died, or moved.
Off Camera: Uh-huh, what was your doctor’s name?
Greg: The doctor who prescribed the Dexedrine?
Off Camera: Yeah, uh-huh.
Greg: He wasn’t like my family physician. He was a child specialist, like a shrink that my mom brought in. I’d have to ask my mom.
Off Camera: Uh, could you do that? Uh, ask your mother and then sign a release so we can get your records? It’d be really helpful.
Greg: My mother and I aren’t really seeing eye-to-eye on anything right now.
Off Camera: Oh.
Greg: So if I could not have to involve her, I’d rather do that.
Off Camera: Uh-huh, well do you remember the name of the clinic? Then we could maybe track your records that way.
Greg: This is exactly what I need Dexedrine for! I can’t remember shit. I’m, sorry, is there any way that I could maybe do like a trial of Dexedrine? That way you could see if I have any symptoms. I know I’m not going to, but you know, for your sake. Um, I would know, you would know, you know, could we do something along those lines?
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