J.F. is a 40-year-old Caucasian male with depression treated with Wellbutrin XL

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J.F. is a 40-year-old Caucasian male with depression treated
with Wellbutrin XL 150 mg daily for three months. During his visit today,
he divulges that he does not sleep more than two to three hours per
night. J.F. reports this has occurred for the last two years. He
indicates he lays down around 9:30 PM but does not fall asleep until roughly
2:00 AM. He is awake most mornings before 5:00 AM. J.F. complains
that sometimes he will fall asleep and his wife awakens him due to his snoring.
He reports that he has tried melatonin and Unisom over-the-counter, meditation,
and improved his sleep hygiene routine. He reports no notable difference
in his sleep patterns with those interventions but does admit that a shot or
two of whiskey will help him get to sleep a little sooner. He mentions
that his grandmother takes alprazolam 0.5 mg every night for sleep and asks if
this would help him sleep, too.
Answer the following questions in a 3 to 5-page paper, not
including title and reference pages, about the case above. Follow APA
formatting.
What
is the definition and diagnostic criteria of insomnia?
What
risks are associated with insomnia?
In
which classification of drugs does alprazolam fall, what is its mechanism
of action, and how does it differ from others in the classification?
What
are the side effects of alprazolam and what are your concerns about its
use based on the details provided in the case study?
Which
alternative treatments would you consider for J.F. and what education
would you provide about this/these medication(s)?
What
sleep hygiene changes would you explore with J.F.?
Describe
your treatment plan and include the following:
Pharmacologic
treatment
Nonpharmacologic
treatment
Patient
education
Provider
referral
Follow-up
Conclusion
References
(minimum of 3)

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