Margo is a 49-year-old divorced woman who works as a bank teller. She tells her primary care provider (PCP) that she feels tired all the time and that she is
gaining weight because she has no interest in her usual exercise activities, and that she has been overeating, even though she is often not really hungry. She
notices that she has difficulty falling asleep at night and awakens around 4 a.m. most mornings, without her alarm, and cannot go back to sleep even though
she still feels tired. She finds little joy in her life but cannot pinpoint any particular concern or event causing this problem. The PCP asks Angela to fill out a
Beck’s Depression Scale, which indicates she has moderate depression.
• Choose a pharmacologic intervention for Margo.
• Provide Margo with written education regarding her prescriiption.
- Explain what she should expect when first taking the drug.
- Explain appropriate activity warnings.
- When to expect improvement.
- Side effects she may experience.
- and anything she should report to the provider.