Depression

Case: 17 y/o F presents with 2 months of anhedonia, fatigue, irritability, increased daily crying, decline in grades, weight gain, less energy, obesity, increased BMI, and recent breakup with boyfriend few months ago. She has a PHQ-A score of 19 out of 27 and is diagnosed with depressive disorder (moderately severe adolescent depression).

a. Providing anticipatory guidance is an important part of caring for adolescent clients as an NP. Using the Bright Futures Adolescence Visits as a guide, identify 2 topics to include as anticipatory guidance for this client visit.

b. How would your topic selection or guidance change if the client disclosed that she was bisexual?

c. Provide evidence from 2 scholarly resources. Cite your source(s) appropriately.

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