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CASE STUDY Student Instructor Institution Course Date

Treating Moderate Depression Intervention: Margo's PCP (primary care physician) can choose between prescribing an SSRI or an SNRI to treat her moderate depression. Antidepressants, such as SSRIs (Selective serotonin reuptake inhibitors) and SNRIs (Serotonin and norepinephrine reuptake inhibitors), have the dual capacity to improve the mood and alleviate symptoms of depression, as well as potentially serving as preventive agents against the onset of depression. SSRIs increase serotonin levels in the brain, while SNRIs elevate both serotonin and norepinephrine levels ( Park & Zarate Jr, 2019). It is crucial to acknowledge that the medications may require several weeks to produce noticeable effects and expected results. Therefore, it is very important to exercise patience and provide sufficient time for them to work optimally. Prescription Education: Margo may experience adverse effects such as headaches, nausea, dry mouth, and insomnia after starting her medication plan. The side effects of this treatment are generally mild and temporary, ending within a few days after the start. If the symptoms persist or become concerning, it is advisable for the individual to notify their healthcare provider. It is crucial to inform Margo that SSRIs and SNRIs usually require a few weeks to take effect, necessitating patience as they work towards enhancing her energy levels and mood in the upcoming weeks. It is advisable for Margo to avoid driving or handling heavy machinery until she gains clarity of the impact of the medication on her. It is important for her to maintain medication adherence, even if her condition improves. It is crucial to gradually decrease the dosage of

medication under medical supervision to avoid withdrawal symptoms upon abrupt discontinuation. Any notable adverse effects experienced by Margo should be promptly reported to the relevant authorities. Certain patients have experienced significant adverse effects from SSRIs as well as SNRIs, including but not limited to self-harm thoughts, an increase in depressive symptoms, heightened physical or mental activity, and feeling worthless or guilty. In the event that Margo encounters any of these severe side effects, it is important for her to promptly seek further medical attention.

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References Park, L. T., & Zarate Jr, C. A. (2019). Depression in the primary care setting. New England Journal of Medicine , 380 (6), 559-568.