14 Oct Depression, Anxiety, Substance Use, and Chronic Pain
Ms. R.D. is a 45-year-old female presenting with insomnia, fatigue, chronic low back pain, and mood changes.
History
· PMH: Chronic pain, prior opioid exposure
· Reports alcohol use nightly
· PHQ-9: 17, GAD-7: 15
Student Assignment Requirements
1. Pathophysiology (25%)
· Neurobiology of depression and anxiety
· Substance use impact on CNS
· Pain–mood interaction
2. Mental Health Assessment (35%)
· Diagnostic differentiation
· Suicide risk screening
· Substance use screening
· Safety planning
3. Pharmacology & Integrated Treatment (30%)
· Antidepressant selection and titration
· Avoidance of high-risk medications
· Non-pharmacologic and referral planning
4. APA & Evidence Use (10%)
RUBRIC – CASE STUDY 4 – Mental Health, Substance Use & Chronic Pain (100 Points)
1. Neurobiologic Pathophysiology (25 points)
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