Answer

Challenging Case Presentation on Treatment Resistant Patient

1. The situation was made challenging for me by failure of the patient to respond to the medication options. The patient had treatment resistant depression as he could not respond to the multiple antidepressants administered.
2. My role in resolving the challenge was to assess and monitor the situation of the patient. I also had a role of administering suitable medication and providing therapy to help manage the situation of the patient. Attention deficit/hyperactivity disorder (ADHD) affects the memory of a person and such individuals require close monitoring and reminder, especially when it comes to taking their medications.
3. The evidence that was brought to help in addressing this challenge included assessment of the previous behaviors expressed by the patient and medication attempts. For instance, the depression signs the patient experience, the Attention deficit/hyperactivity disorder and depression signs, the Paxil treatment, and other symptoms such as attempts to commit suicide, samples of antidepressants given, the history of changing behaviors such as impulsive behavior, and elevated mood.
4. I have learned a valuable lesson from the experience of this challenge. One, that patients with ADHD require attention and monitoring, especially when under medication as they may forget to take medicine. I have also learned that before placing a patient to any medication, it is important to carry out assessments to establish what exactly they suffer from. Further, I have also learned that some patients are resistant to certain treatment and it is important to have another plan on how to help them manage their condition. Apart from medication, therapy is also an important component when dealing with ADHD patients.

5. The scenario and the experience have given me more insights when dealing with such cases in the course of my practice. Patients respond differently to medication and it becomes important that during such episodes, in my practice, I will know the amicable course of actions to help such patients.(2017) study employed, there are very little room for generalizing the study’s findings.