1. Are there any contraindications to prescribing Lexapro for this patient?
2. What is another FDA-approved medication for adolescents in treating anxiety and depression?
3. What other medications besides Vistaril could the patient have been prescribed to help with anxiety short term?
Required Reading
• Carlat, D. J. (2017). The psychiatric interview (4th ed.). Wolters Kluwer.
o Chapters 31, “Assessing Personality Disorders”
o Chapter 32, “How to Educate Your Patient”
• MeditrekLinks to an external site. https://edu.meditrek.com/Default.html

o Note: Use this website to log into Meditrek to report your clinical hours and patient encounters.
• Document: Focused SOAP Note Template (Word document)Download Focused SOAP Note Template (Word document)
• Document: Focused SOAP Note Exemplar (Word document)Download Focused SOAP Note Exemplar (Word document)
• Office of Disease Prevention and Health Promotion. (n.d.). Social Determinates of Health.Links to an external site. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/priority-areas/social-determinants-health
Recommended Readings
• American Psychiatric Association. (2010). Practice guideline for the treatment of patients with borderline personality disorderLinks to an external site.. https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/bpd.pdf
• Oldham, J. M. (2005). Guideline watch: Practice guideline for the treatment of patients with borderline personality disorderLinks to an external site.. American Psychiatric Association. https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/bpd-watch.pdfLinks to an external site.
• Boland, R. Verdiun, M. L. & Ruiz, P. (2022). Kaplan & Sadock’s synopsis of psychiatry (12th ed.). Wolters Kluwer.
Recommened Media
• Grande, T. (2018, Nov. 30). What are paraphilic disorders?Links to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=YOV61lKxqxY
• Taylor Study Method. (2014, Aug. 18) Paraphilic disordersLinks to an external site.. [Video]. YouTube. https://www.youtube.com/watch?v=0TtryBLokZc

 

 

 

Sample solution

Dante Alighieri played a critical role in the literature world through his poem Divine Comedy that was written in the 14th century. The poem contains Inferno, Purgatorio, and Paradiso. The Inferno is a description of the nine circles of torment that are found on the earth. It depicts the realms of the people that have gone against the spiritual values and who, instead, have chosen bestial appetite, violence, or fraud and malice. The nine circles of hell are limbo, lust, gluttony, greed and wrath. Others are heresy, violence, fraud, and treachery. The purpose of this paper is to examine the Dante’s Inferno in the perspective of its portrayal of God’s image and the justification of hell. 

In this epic poem, God is portrayed as a super being guilty of multiple weaknesses including being egotistic, unjust, and hypocritical. Dante, in this poem, depicts God as being more human than divine by challenging God’s omnipotence. Additionally, the manner in which Dante describes Hell is in full contradiction to the morals of God as written in the Bible. When god arranges Hell to flatter Himself, He commits egotism, a sin that is common among human beings (Cheney, 2016). The weakness is depicted in Limbo and on the Gate of Hell where, for instance, God sends those who do not worship Him to Hell. This implies that failure to worship Him is a sin.

God is also depicted as lacking justice in His actions thus removing the godly image. The injustice is portrayed by the manner in which the sodomites and opportunists are treated. The opportunists are subjected to banner chasing in their lives after death followed by being stung by insects and maggots. They are known to having done neither good nor bad during their lifetimes and, therefore, justice could have demanded that they be granted a neutral punishment having lived a neutral life. The sodomites are also punished unfairly by God when Brunetto Lattini is condemned to hell despite being a good leader (Babor, T. F., McGovern, T., & Robaina, K. (2017). While he commited sodomy, God chooses to ignore all the other good deeds that Brunetto did.

Finally, God is also portrayed as being hypocritical in His actions, a sin that further diminishes His godliness and makes Him more human. A case in point is when God condemns the sin of egotism and goes ahead to commit it repeatedly. Proverbs 29:23 states that “arrogance will bring your downfall, but if you are humble, you will be respected.” When Slattery condemns Dante’s human state as being weak, doubtful, and limited, he is proving God’s hypocrisy because He is also human (Verdicchio, 2015). The actions of God in Hell as portrayed by Dante are inconsistent with the Biblical literature. Both Dante and God are prone to making mistakes, something common among human beings thus making God more human.

To wrap it up, Dante portrays God is more human since He commits the same sins that humans commit: egotism, hypocrisy, and injustice. Hell is justified as being a destination for victims of the mistakes committed by God. The Hell is presented as being a totally different place as compared to what is written about it in the Bible. As a result, reading through the text gives an image of God who is prone to the very mistakes common to humans thus ripping Him off His lofty status of divine and, instead, making Him a mere human. Whether or not Dante did it intentionally is subject to debate but one thing is clear in the poem: the misconstrued notion of God is revealed to future generations.

 

References

Babor, T. F., McGovern, T., & Robaina, K. (2017). Dante’s inferno: Seven deadly sins in scientific publishing and how to avoid them. Addiction Science: A Guide for the Perplexed, 267.

Cheney, L. D. G. (2016). Illustrations for Dante’s Inferno: A Comparative Study of Sandro Botticelli, Giovanni Stradano, and Federico Zuccaro. Cultural and Religious Studies4(8), 487.

Verdicchio, M. (2015). Irony and Desire in Dante’s” Inferno” 27. Italica, 285-297.

Sample Solution 

Fluoxetine is an antidepressant that is approved by the U.S. Food and Drug Administration for the treatment of depression in children and adolescents

Sample Solution 

Fluoxetine is an antidepressant that is approved by the U.S. Food and Drug Administration for the treatment of depression in children and adolescents

Contraindications to prescribing Lexapro

Fluoxetine is an antidepressant that is approved by the U.S. Food and Drug Administration for the treatment of depression in children and adolescents. It is also approved for use in pediatric patients with obsessive-compulsive disorder (OCD) and bulimia nervosa. Fluoxetine may be used in patients older than eight years.

Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) that works by increasing the amount of serotonin in the brain. Serotonin is a neurotransmitter that helps regulate mood, appetite, and sleep.

Fluoxetine can cause side effects such as nausea, diarrhea, headache, insomnia, and dry mouth. It can also cause sexual dysfunction and weight gain.

It is important to note that antidepressants can increase the risk of suicidal thinking and behavior in children, adolescents, and young adults with major depressive disorder1.

 

  1. Are there any contraindications to prescribing Lexapro for this patient?

Fluoxetine (Prozac) and escitalopram (Lexapro) are the only two medications approved by the U.S. Food and Drug Administration to treat major depressive disorder in children and adolescents. Fluoxetine is approved for patients eight years and older, and escitalopram is approved for patients 12 years and older.

  1. What is another FDA-approved medication for adolescents in treating anxiety and depression?

Duloxetine (Cymbalta), which is an SNRI, has FDA approval for anxiety in children and adolescents.

  1. What other medications besides Vistaril could the patient have been prescribed to help with anxiety short term?

Other medications besides Vistaril that could be prescribed to help with anxiety short term include benzodiazepines such as alprazolam (Xanax), clonazepam (Klonopin), diazepam (Valium), and lorazepam (Ativan)

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