Case study/assignment week 7: Complementary and alternative medicine in psychiatric mental health care

Case study/assignment week 7: Complementary and alternative medicine in psychiatric mental health care – Explore options for complementary and alternative medicine in psychiatric mental health care or functional medicine aspects that you could envision incorporating into your practice…

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Case study/assignment week 7: Complementary and alternative medicine in psychiatric mental health care

Instructions

Explore options for complementary and alternative medicine in psychiatric mental health care or functional medicine aspects that you could envision incorporating into your practice. For this discussion, since this ends our psychopharmacology and prescribing course, keep your options focused on supplements, herbs, etc… Include the following:

  • Diagnostic testing and assessments: 
  • Pharmacologic interventions: including dosage, route, and frequency
  • Mechanism of Action (MOA)
  • Contraindications 
  • Education, including health promotion, maintenance, and psychosocial needs:
  • Referrals: 
  • Follow-up, including return to clinic (RTC) with a time frame and reason and any labs that support your choice with at least 1 peer-reviewed article within the timeframe of the last five (5) years.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

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Solution

Case Study Assignment


Complementary and alternative medicines (CAMs) refer to the diagnostic and treatment practices outside standard and mainstream health care (Thirthalli et al., 2016). While alternative therapies are considered substitutes for standard health, they are safe, affordable, and effective treatments for mental health issues.

Alternatives medicines are considered natural remedies better than chemical ones, while complimentary approaches are added to standard health care (Schulz & Hede (2018). According to Almeida (2018), approximately 38% of adults and 12% of children use CAM as of 2007. Nonetheless, mental health and diagnosed medical health have recorded higher CAM expenditure rates than the general population.


For this discussion, I will be doing a case study on a 40-year-old patient with severe depression. He has tried psychotherapy, augmentation, and antidepressants without any benefits. While he has also been prescribed complementary treatment such as hormones and micro nutrition, his depression has not improved.

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I recommend using ginkgo biloba as alternative medicine following this analysis, contrary to the popularized Western treatment. Ginkgo Biloba is a tree extract from South-Eastern Asia, which is made from its leaves. These extracts contain 6% of terpene trilactones, 16%- 25% of ginkgo flavone glycosides, and 5 ppm ginkgolic acids, which have the potential of causing allergic reactions.


I recommend a two-month dose of 120 mg/d of ginkgo extract, which is divided into two and three doses. This dosage will help the patient deal with severe depression, improving her overall health condition (Schulz & Hede, 2018). A study conducted on older adults showed that individuals who had taken the dose for two months reported improved performance than those who had taken it for a few weeks.

Complementary and alternative medicine in psychiatric mental health care

While this herbal remedy is also known to improve memory, among other intellectual functions. However, I would inform the patient of the possible side effects such as blood clotting or bleeding. To avoid such adverse health issues, I would ensure the patient is not taking other blood-thinning drugs.

References

  • Almeida, J., Siegel, P., & Barros, N. (2018). Governing complementary and alternative medicine (CAM) in Brazil and Portugal: Implications for CAM professionals and the public. Professional Health Regulation in the Public Interest, 181-200. https://doi.org/10.1332/policypress/9781447332268.003.0010
  • Schulz P.& Hede V. (2018). Alternative and complementary approaches in psychiatry: Beliefs versus evidence. Controversies in Psychiatry, 20(3), 207-214. https://doi.org/10.31887/dcns.2018.20.3/pschulz
  • Thirthalli, J., Zhou, L., Kumar, K., Gao, J., Vaid, H., Liu, H., Hankey, A., Wang, G., Gangadhar, B. N., Nie, J., & Nichter, M. (2016). Traditional, complementary, and alternative medicine approaches to mental health care and psychological wellbeing in India and China. The Lancet Psychiatry, 3(7), 660-672. https://doi.org/10.1016/s2215-0366(16)30025-6

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