Executive Solution Overview
### **CASE STUDY 4 – Depression, Anxiety, Substance Use, and Chronic Pain** ### **Case Scenario** Ms. R.D. is a **45-year-old female** presenting with insomnia, fatigue, chronic low back pain, and mood changes. **History** – PMH: Chronic pain, prior opioid exposure – Reports alcohol use nightly – PH…
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### **CASE STUDY 4 – Depression, Anxiety, Substance Use, and Chronic Pain**
### **Case Scenario**
Ms. R.D. is a **45-year-old female** presenting with insomnia, fatigue, chronic low back pain, and mood changes.
**History**
– PMH: Chronic pain, prior opioid exposure
– Reports alcohol use nightly
– PHQ-9: 17, GAD-7: 15
### **Student Assignment Requirements**
### **1. Pathophysiology (25%)**
– Neurobiology of depression and anxiety
– Substance use impact on CNS
– Pain–mood interaction
### **2. Mental Health Assessment (35%)**
– Diagnostic differentiation
– Suicide risk screening
– Substance use screening
– Safety planning
### **3. Pharmacology & Integrated Treatment (30%)**
– Antidepressant selection and titration
– Avoidance of high-risk medications
– Non-pharmacologic and referral planning
### **4. APA & Evidence Use (10%)**
### **RUBRIC – CASE STUDY 4 – Mental Health, Substance Use & Chronic Pain (100 Points)**
**2 PAGES**
**DUE DATE AUGUST 4, 2026**
**NO MORE THAN 10% PLAGIO OR AI TEXT, WILL BE SUBMITTED VIA TURNITIN**
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