Psychiatric Diagnosis and Evaluation Case Study

Psychiatric Diagnosis and Evaluation Case Study Jeremy Stewart is a 44-year-old, white, married father of three who sees you for a

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Jeremy is a college professor at a local college, where he teaches art. He also has a small art studio close to campus where he paints. You diagnose Jeremy with bipolar I disorder. As you think about possible medications to offer Jeremy, you decide to start him on lamotrigine (Lamictal) for his symptoms. Jeremy questions you, asking why you are using medication for seizures to manage his mood.

From your perspective as his psychiatric nurse practitioner, answer the following questions in a paper in APA format.

Articulate why lamotrigine (Lamictal) is an effective medication for bipolar I management.

Explain how lamotrigine is dosed for a patient starting the medication and explain the rationale for why this is done.

Explain the metabolism, excretion, and mechanism of action for lamotrigine.

Discuss the most important side effects associated with lamotrigine and note how you should educate the patient about these side effects.

After Jeremy has been on the medication for four weeks, he calls you stating he has had flu-like symptoms for two days and he has several small blisters on the left side of his chest and on his left arm. What should your next step be in this case?

Identify what type of monitoring should be done when prescribing lamotrigine for a patient.


Meyer, J. S., & Quenzer, L. F. (2018). Psychopharmacology: Drugs, the brain, and behavior (3rd ed.). Sunderland, MA: Sinauer Associates. ISBN-13: 978-1605355559

Sadock, B., Sadock, V., & Ruiz, P. (2014). Kaplan and Sadock’s synopsis of psychiatry:

American Psychological Association. (2013). Diagnostic and statistical manual of mental disorders (DSMñ5) (5th ed.). Washington, DC: Author. ISBN-13: 978-0-8904-2555-8

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