The Impact of Ethnicity on Antidepressant Therapy

List three questions you might ask the patient if he or she were in your office. Provide a rationale for why you
might ask these questions.
Identify people in the patient’s life you would need to speak to or get feedback from to further assess the
patient’s situation. Include specific questions you might ask these people and why.
Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results
would be used.
List three differential diagnoses for the patient. Identify the one that you think is most likely and explain why.
List two pharmacologic agents and their dosing that would be appropriate for the patient’s antidepressant
therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide
a rationale for why you might choose one agent over the other.
For the drug therapy, you select, identify any contraindications to use or alterations in dosing that may need to
be considered based on the client’s ethnicity. Discuss why the contraindication/alteration you identify exists.
That is, what would be problematic with the use of this drug in individuals of other ethnicities?
If your assigned case includes “checkpoints” (i.e., follow-up data at week 4, 8, 12, etc.), indicate any
therapeutic changes that you might make based on the data provided.
Explain “lessons learned” from this case study, including how you might apply this case to your own practice
when providing care to patients with similar clinical presentations

Sample Solution