Therapist's Guide to Clinical Intervention - Sigmund Freud

10. Eating Disturbance
A. Evaluate eating pattern and fluid intake
B. Educate regarding importance of good nutrition for energy and clear thinking
11. Sleep Disturbance
A. Evaluate sleep pattern and overall amount of sleep
B. Encourage appropriate and adequate sleep cycle
C. Discourage daytime napping
D. Avoid caffeine and other stimulants
E. Perform relaxation exercises or listen to relaxing music before sleep
E Daily aerobic exercising such as walking
G. Administer sedative medications in the evening instead of other times during
the day
H. Suggest activities such as warm bath, massage, herbal tea, light snack, and so on,
which promote sleep
12. Difficulty Consistently Managing Depression: This requires a thorough review
of lifestyle. Managing depression requires a commitment by the person to take
responsibility for improving his/her quality of life. (Refer to skill building
section.)
A. The components of a self-care plan to manage depression include the following:
1. Structured daily activities
2. Development and utilization of social supports
3. Positive attitude and identification of the positive things in one's life
4. Awareness
5. Regular aerobic exercise
6. Eating nutritionally
7. Living in accordance with one's own value system
13. Educate Person (And Family If Appropriate) on Medication Issues
A. Emphasize the importance of compliance. Encourage patient to clarify potential
side effects including those that require immediate attention.
B. Recommend that patients familiarize themselves with any restrictions related to
medication use
C. Refer person to clarify medication issues with his/her physician and pharmacist
D. Educate regarding chemical imbalance related to depression
E. Educate regarding role of decompensation related to lack of medication
compliance
F Possible Side Effects of Antidepressant Medication
1. Sedation
2. Anticholinergic Effects
a. Dry mouth
b. Constipation
c. Blurred vision
d. Urinary retention
3. Orthostatic hypotension
4. Tachycardia/arrhythmia
5. Photosensitivity
6. Decrease in seizure threshold
7. Hypertensive crisis (monitor for symptoms such as palpitations, nausea,
vomiting, sweating, chest pain, severe occipital headache, fever, increased blood
pressure, coma)
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