Diagnosis: Gambling disorder, alcohol use disorderDecision Point One Antabuse (Disulfiram) 250 mg orally every morning ON Naltrexone (Vivitrol) injection, 380 mg intramuscularly in the gluteal region every 4 weeksAntabuse (Disulfiram) 250 mg orally dailyCampral (Acamprosate) 666 mg orally three times/day E· Client returns to clinic in four weeks· Mrs. Perez states that she has noticed that she has been having suicidal ideation over the past week, and it seems to be getting worse· Clientis She is also reporting that she is having “out of control” anxiety.. Decision Point TwoEducate Mrs. Perez on the side effects of Campral and add Valium (diazepam) 5 mg orally TID to address anxiety symptomsRESULTS OF DECISION POINT TWO Decision Point TwoSelect what the PMHNP should do next:Add on Valium (diazepam) 5 mg orally TID/PRN/anxietyRefer to a counselor to address gambling issuesAdd on Chantix (varenicline) 1 mg orally BID
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