Impulsivity and compulsivity have a wide range
of clinical presentations and often overlap with many other psychiatric
disorders. Some individuals act without forethought and have difficulty
saying “no” to certain things such as using illicit drugs or spending
money, whereas other individuals engage in compulsive behaviors with
undesirable consequences. In some cases, these impulsive and compulsive
behaviors also fuel issues with addiction. To effectively assess and
treat clients, you must understand how these disorders differ, as well
as how their symptoms impact clients and their families.
week, as you examine therapies for individuals with impulsivity,
compulsivity, and addiction, you explore the assessment and treatment of
clients with these disorders. You also consider ethical and legal
implications of these therapies.
Impulsivity, compulsivity, and addiction are
challenging disorders for clients across the lifespan. These disorders
often manifest as negative behaviors, resulting in adverse outcomes for
clients. In your role as the psychiatric mental health nurse
practitioner, you have the opportunity to help clients address
underlying causes of the disorders and overcome these behaviors. For
this Assignment, as you examine the client case study in this week’s
Learning Resources, consider how you might assess and treat clients
presenting with impulsivity, compulsivity, and addiction.
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Note: All Stahl resources can be accessed through this link provided.
Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.
To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.
Stahl, S. M., & Grady, M. (2012). Stahl’s illustrated substance use and impulsive disorder New York, NY: Cambridge University Press.
To access the following chapter, click on the Illustrated Guides tab and then the Substance Use and Impulsive Disorders tab.
Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.
To access information on the following medications, click on The Prescriber’s Guide, 5th ed tab on the Stahl Online website and select the appropriate medication.
Review the following medications:
For obsessive-compulsive disorder
For alcohol withdrawal
For bulimia nervosa and binge eating
For alcohol abstinence
For alcohol dependence
For opioid dependence
For nicotine addiction
Book Excerpt: Substance Abuse and Mental Health Services Administration. (1999). Treatment of adolescents with substance use disorders. Treatment Improvement Protocol Series, No. 32. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK64350/
Childhood trauma linked to worse impulse control. (2016). Journal of Psychosocial Nursing & Mental Health Services, 54(4), 15.
Grant, J. E., Odlaug, B. L., & Schreiber, L. N. (2014). Pharmacological treatments in pathological gambling. British Journal of Clinical Pharmacology, 77(2), 375-381. doi:10.1111/j.1365-2125.2012.04457.x
Loreck, D., Brandt, N. J., & DiPaula, B. (2016). Managing opioid abuse in older adults: Clinical considerations and challenges. Journal of Gerontological Nursing, 42(4), 10-15. doi:http://dx.doi.org/10.3928/00989134-20160314-04
Salmon, J. M., & Forester, B. (2012). Substance abuse and co-occurring psychiatric disorders in older adults: A clinical case and review of the relevant literature. Journal of Dual Diagnosis, 8(1), 74-84. doi:10.1080/15504263.2012.648439
Sanches, M., Scott-Gurnell, K., Patel, A., Caetano, S. C., Zunta-Soares, G. B., Hatch, J. P., & … Soares, J. C. (2014). Impulsivity in children and adolescents with mood disorders and unaffected offspring of bipolar parents. Comprehensive Psychiatry, 55(6), 1337-1341.
Laureate Education (2016c). Case study: A Puerto Rican woman with comorbid addiction [Interactive media file]. Baltimore, MD: Author Note: This case study will serve as the foundation for this week’s Assignment.
To prepare for this Assignment:
Examine Case Study: A Puerto Rican Woman With Comorbid Addiction.
You will be asked to make three decisions concerning the medication to
prescribe to this client. Be sure to consider factors that might impact
the client’s pharmacokinetic and pharmacodynamic processes.
At each decision point stop to complete the following:
Note: Support your rationale with a minimum of three
academic resources. While you may use the course text to support your
rationale, it will not count toward the resource requirement.
To submit your completed Assignment for review and grading, do the following:
Now that you have:
Next week, you will build on your assessment and treatment skills as you examine clients presenting for therapy for ADHD.
To go to the next week:Week 9