You evaluating a patient who comes in for a psychiatric evaluation. Jose Lopez is a 52-year-old married Hispanic male. He complains of being depressed, having no energy, low motivation, anhedonia, and being unable to sleep at night. You identify that Jose has major depressive disorder and insomnia disorder.
Answer the following questions from your perspective as his psychiatric nurse practitioner, in a paper no longer than two double-spaced pages (not including the reference page), in APA format.
- What symptoms must be present in order to make an insomnia disorder (780.52) diagnosis?
- What medications might be used when treating Jose for both his depression and his insomnia diagnoses?
- If you were concerned about obstructive sleep apnea, what additional testing would you order? What type of specialist would you refer Jose to for evaluation?
- You decide to order a hypnotic sleep medication. What teaching should take place before giving Jose this prescription? What side effects should you make him aware of?
- Since schema therapy might not be the best psychotherapy option for treating insomnia, identify one other model of psychotherapy that would be an effective option. Identify one research or evidence-based practice article related to your choice.