Discussion 5
Psychotic & Cognitive Disorders
Answer the questions below based on the following case study.
TM is a 79-year-old man who was diagnosed with dementia 6 years previously. He lives
with his 72-year-old wife. He was a chain smoker for 45 years. She describes a gradual
deterioration in his condition such that in recent months she has found it increasingly
difficult to manage him. He has become increasingly hostile and aggressive, though he
has not actually assaulted her. He has begun to complain about seeing people
wandering around the house, and that frightens him. On two occasions he has left the
house and been found wandering along the road. She has noticed that his condition
fluctuates – sometimes he is very aggressive and confused, while at other times he is
more calm and lucid.
1. Summarize the clinical case.
2. What is the DSM 5-TR diagnosis based on the information provided in the case?
3. Which pharmacological treatment would you prescribe according to the clinical
guidelines? Include the rationale for this treatment.
4. Which non-pharmacological treatment would you prescribe according to the
clinical guidelines? Include the rationale for this treatment excluding a
psychotherapeutic modality.
5. Include an assessment of the treatment’s appropriateness, cost, effectiveness,
safety, and potential for patient adherence to the chosen medication. Use a local
pharmacy to research the cost of the medication and provide the most costeffective choice for the patient. Use great detail when answering questions 3-5.
Submission Instructions:
• Your initial post should be at least 500 words, formatted and cited in the current
APA style with support from at least 2 academic sources. Your initial post is
worth 8 points.
Discussion 5
Psychotic & Cognitive Disorders
Answer the questions below based on the following case study.
TM is a 79-year-old man who was diagnosed with dementia 6 years previously. He lives
with his 72-year-old wife. He was a chain smoker for 45 years. She describes a gradual
deterioration in his condition such that in recent months she has found it increasingly
difficult to manage him. He has become increasingly hostile and aggressive, though he
has not actually assaulted her. He has begun to complain about seeing people
wandering around the house, and that frightens him. On two occasions he has left the
house and been found wandering along the road. She has noticed that his condition
fluctuates – sometimes he is very aggressive and confused, while at other times he is
more calm and lucid.
1. Summarize the clinical case.
2. What is the DSM 5-TR diagnosis based on the information provided in the case?
3. Which pharmacological treatment would you prescribe according to the clinical
guidelines? Include the rationale for this treatment.
4. Which non-pharmacological treatment would you prescribe according to the
clinical guidelines? Include the rationale for this treatment excluding a
psychotherapeutic modality.
5. Include an assessment of the treatment’s appropriateness cost effectiveness
safety, and potential for patient adherence to the chosen medication. Use a local
pharmacy to research the cost of the medication and provide the most costeffective choice for the patient. Use great detail when answering questions 3-5.
Submission Instructions:
• Your initial post should be at least 500 words, formatted and cited in the current
APA style with support from at least 2 academic sources. Your initial post is
worth 8 points.