CASE STUDY - MENTAL HEALTH

Abstract

The following case vignette provides key concepts that could be considered when developing a plan of care for a patient who may require a controlled substance to manage their health concerns. As with any clinical situation, there are many patient variables that must be considered, including comorbid conditions, social determinants of health and their personal choices. You may choose to include different or additional health history and physical examination points, diagnostic tests, differential diagnoses and treatments depending on your patient’s context however this case vignette focuses on the aspects relevant to controlled substances.

Epilogue

Kevin is a 30 year old male who comes to the NP clinic feeling very anxious during exam week. He is in his last year of graduate course work and he is relying on high grades to keep his scholarships. He is complaining of loss...