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PowerPoint presentation Discussion questions can be found on slide 32.
1. Because of the relationship between thyroid disease states and psychiatric symptoms, there has
been interest in using thyroid hormones to treat mood disorders, specifically in patients who suffer
from depression, and both the manic and depressed phases of bipolar disorder. What are the pros
and cons of this treatment option?
2. It’s Friday at 3pm and a new client presents to your out-patient clinic in an agitated state. You
don’t have any past medical information or a current list of medications. The only thing you know
is that the client was brought in by a friend because they felt the client was acting strange for
the past few days. Briefly discuss your options for assessment and diagnosis in this client. What
diagnostic tests would you use, if any, to help you determine a diagnosis?
3. Your 35 year-old client is presenting to you with complaints of lethargy, weight gain, and daily
headaches. During the assessment process, you feel that her thinking process seems a little slow.
During a review of her medications, she states that a month or two ago she was put on a birthcontrol pill. Upon further questioning, she reports she has been having a lot of heartburn and so has
also been using antacids frequently. Her other current medications include L-Thyroxine 50mcg.
What is your first course of action with this client and why?
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