What are the key symptoms of MDD, and how do they relate to the patient’s presentation? How do you approach the discussion about medication options for depression? What are some lifestyle changes or behavioral interventions (such as behavioral activation) you might suggest to the patient?
Scenario 2: Major Depressive Disorder (MDD)
Background:
A 50-year-old male comes to the clinic reporting feelings of hopelessness, low energy, and loss of interest in his usual activities. He admits to feeling down for several months, especially since his recent retirement. He also mentions difficulty sleeping and a decreased appetite. There is a family history of depression.
Role-Playing Exercise:
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NP’s Role: As the NP, you need to establish a trusting environment to help the patient open up about his depression. You may need to use open-ended questions and reflective listening.
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Patient’s Role: The patient expresses frustration with the lack of motivation to engage in hobbies and struggles to find meaning in his life since retiring.
Discussion Prompts:
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What are the key symptoms of MDD, and how do they relate to the patient’s presentation?
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How do you approach the discussion about medication options for depression?
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What are some lifestyle changes or behavioral interventions (such as behavioral activation) you might suggest to the patient?
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How would you handle a patient who is reluctant to consider therapy or antidepressant medication?
