In A 2-3 Page APA Formatted Paper Include The Following
In a 2-3 Page APA Formatted Paper Include the Following
In a 2- to 3-page, APA-formatted paper, include the following: As a mental health professional, you are called upon to advocate for clients in mental health settings. For this Assignment, imagine you have been called into a panel discussion with the case study team for Suzy. Your plan is to advocate for Suzy through her mental health treatment. In your advocacy for Suzy, address the following: Identify which neurotransmitters may be affected in Suzy’s case and justify your selection based on evidence from the case and the Learning Resources. Identify three drugs that could be used to treat Suzy’s mental health symptoms and explain how these drugs may affect her neurotransmitter function.
Identify one possible drug of addictive potential that may contribute to her mental health symptoms. Explain how your awareness of using the right drugs helps in advocating for clients through mental health treatment. Suzy is a 27-year-old Caucasian woman with no children. At age 8, she witnessed her mother’s overdose of prescription pain medication. Her mother subsequently recovered but was addicted to prescription pain medication throughout her childhood. Suzy’s father did not live with them. Suzy’s mother suggested that this was because of his alcoholism. Rage-filled fights between her parents were commonplace for Suzy since she was an infant. Over the last several years, Suzy has become increasingly anxious. It seems that she is always on edge and worried. In fact, her doctor suspects she may have generalized anxiety disorder. She has been referred to your counseling clinic in hopes of getting better. During the first session, you learn that Suzy abuses alcohol frequently—six to seven drinks at least three times per week. Suzy believes she will have trouble coming to counseling if she does not have medication to help calm her down enough to “sit still.” Resources Lichtblau, L. (2011). Psychopharmacology demystified. Clifton Park, NY: Delmar, Cengage Learning. Chapter 1, “Neuroanatomy and Neurophysiology” (pp. 1–18) Preston, J. D., O’Neal, J. H., & Talaga, M. (2017). Handbook of clinical psychopharmacology for therapists (8th ed.). Oakland, CA: New Harbinger. Chapter 3, “Neurobiology” (pp. 29–43) Chapter 4, “Pharmacology” (pp. 45–56) Chapter 9, “Anxiety Disorders” (pp. )
Paper For Above instruction
In this paper, I will advocate for Suzy’s mental health treatment by examining her neurobiological profile, potential pharmacological interventions, and considerations of medication misuse that could influence her condition. Suzy's history, including early exposure to trauma, familial substance abuse, and ongoing anxiety, suggests complex neurochemical alterations, making comprehensive pharmacological management crucial for her recovery process.
Neurotransmitters Affected in Suzy's Case
Suzy’s presentation of heightened anxiety and alcohol abuse points toward dysregulation in several key neurotransmitter systems, notably gamma-aminobutyric acid (GABA), serotonin (5-HT), and norepinephrine (NE). GABA, the primary inhibitory neurotransmitter in the brain, plays a vital role in reducing neuronal excitability and promoting relaxation (Lichtblau, 2011). In anxiety disorders such as generalized anxiety disorder (GAD), GABAergic dysfunction is common, leading to decreased inhibitory signaling and heightened anxious arousal. Suzy’s reliance on alcohol, which enhances GABA activity, further supports the notion of GABA dysregulation (Preston et al., 2017).
Serotonin is integral to mood regulation, and its deficiency is implicated in both anxiety and depressive disorders. Suzy's chronic worry and sensation of always being on edge suggest serotonergic pathway impairment (Preston et al., 2017). Norepinephrine, involved in the ‘fight-or-flight’ response, also appears affected given her constant state of heightened alertness and physiological hyperarousal (Lichtblau, 2011). Collectively, these neurotransmitter disruptions underpin her symptoms and guide targeted pharmacotherapy.
Pharmacological Treatments for Suzy’s Symptoms
Three medications that could be considered for Suzy include selective serotonin reuptake inhibitors (SSRIs), benzodiazepines, and buspirone. SSRIs, such as sertraline or escitalopram, increase serotonergic activity by inhibiting serotonin reuptake, thereby alleviating anxiety symptoms and improving mood (Preston et al., 2017). They are considered first-line treatments for GAD and have a relatively favorable side effect profile.
Benzodiazepines, such as diazepam or lorazepam, potentiate GABA activity, resulting in rapid anxiolytic effects. However, their addictive potential raises concerns, especially given Suzy’s history of alcohol abuse (Lichtblau, 2011). Their short-term use may be beneficial during acute anxiety episodes, but long-term use should be avoided due to dependency risks.
Buspirone, a non-benzodiazepine anxiolytic, acts as a serotonin 5-HT1A receptor partial agonist. It provides anxiolytic effects without the sedative and dependency issues associated with benzodiazepines, making it suitable for long-term management (Preston et al., 2017).
Addictive Potential Medication and Its Impact
One medication with a high addictive potential that could be used is benzodiazepines. While effective for anxiety, their misuse can lead to dependence, withdrawal, and exacerbation of anxiety symptoms when discontinued. In Suzy's case, using benzodiazepines requires careful assessment and monitoring to mitigate addiction risks. An understanding of this potential guides clinicians in advocating for safer alternatives, emphasizing the importance of non-addictive options when possible (Lichtblau, 2011).
Importance of Appropriate Drug Selection in Advocacy
As a mental health advocate, applying a thorough knowledge of psychopharmacology ensures that clients like Suzy receive medications that effectively target their symptoms while minimizing adverse effects and dependency risks. Recognizing the neurobiological underpinnings enables tailored interventions that promote recovery and improve quality of life. My awareness of the pharmacological profiles allows me to collaborate with prescribers to select the safest, most effective medications, providing comprehensive advocacy that balances symptom relief with long-term well-being (Preston et al., 2017).
Conclusion
Suzy’s complex history and symptoms underscore the necessity of a nuanced pharmacological approach grounded in neurobiological understanding. By identifying affected neurotransmitters, selecting effective medications judiciously, and being aware of drug addiction potentials, mental health professionals can advocate effectively for her recovery. Ensuring safe and targeted medication management aligns with best practices and highlights the critical role of advocacy in mental health treatment.
References
- Lichtblau, L. (2011). Psychopharmacology demystified. Clifton Park, NY: Delmar, Cengage Learning.
- Preston, J. D., O’Neal, J. H., & Talaga, M. (2017). Handbook of clinical psychopharmacology for therapists (8th ed.). Oakland, CA: New Harbinger.
- Hyman, S. E., Malenka, R. C., & Nestler, E. J. (2006). Neurobiology of addiction: Neurocircuitry and neuroplasticity. Nature Reviews Neuroscience, 7(10), 711-723.
- Davidson, J. R. (2002). Pharmacotherapy of generalized anxiety disorder. Journal of Clinical Psychiatry, 63(Suppl 8), 33-38.
- Stanley, M. A., & Van McGonigal, J. (2004). Pharmacological treatment of GAD: A review. Psychiatric Clinics of North America, 27(2), 467-485.
- Ribeiro, J. D., et al. (2018). Alcohol use disorder and pharmacotherapy. American Journal of Psychiatry, 175(2), 105-113.
- Insel, T. R. (2014). The neurobiology of mental illness. JAMA Psychiatry, 71(4), 320-324.
- Blier, P., & Ward, H. (2003). Is there a neurochemical basis for the antidepressant response? Journal of Psychiatry & Neuroscience, 28(2), 127-143.
- Charney, D. S. (2004). Psychotropic medications for anxiety disorders: An update. Psychopharmacology Bulletin, 38(2), 55-74.
- Stein, M. B., & Sareen, J. (2015). Generalized anxiety disorder. New England Journal of Medicine, 373(21), 2059-2068.