Psychopharmacologic Approaches to Treatment of Psychopathology

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Many practitioners have a difficult time figuring out exactly what a client may be experiencing.

Often we can get someone to sleep but they are unable to stay that way even with a longer acting med (ex. Temazepam).

Other disease states or other issues may be the cause and these must be included in the differential.

Is the patient experiencing sleep apnea or hypoglycemia(diabetic with too much insulin at night) or a myriad of issues.

What other tests would you use to ensure that you are treating properly?

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-Free Essay Sample
Psychopharmacologic Approaches to Treatment of Psychopathology
Treating properly, effectively, and accurately is the focus of every care provider. In determining whether a patient is suffering from sleep apnea or hyperglycemia, a variety of tests are required. The purpose of differential diagnosis is to rule out one of the conditions and proceed with the appropriate treatment (Reutrakul et al., 2018). The differential diagnosis will involve testing for sleep apnea using polysomnography and Mixed Meal Tolerance Test (MMTT). The tests may take a longer time than normal tests, but they are critical, especially while making a decision.
Polysomnography test is necessary to detect sleep apnea. A patient will be hooked to equipment that will monitor their hearts, breathing, oxygen levels, brain activity, heart, lungs, and arm, and leg movement (Kaplan et al., 2017). The medical equipment will rate the performance of various organs and functions such as blood oxygen levels and breathing. Various scales are used to determine if a patient is suffering from a sleep disorder (Reutrakul et al., 2018). For example, unusual and frequent movement of legs may indicate the possibility of a sleep disorder.
MMTT is necessary to determine if a patient is suffering from hyperglycemia. The test involves taking a beverage, and then a provider will take blood samples every 30 minutes for two hours (Forbes et al., 2018). MMTT is necessary to determine a patient’s ability to make the insulin that can be used by the body to regulate glucose.
The two tests are critical in determining the condition a patient is suffering from. The results of the differential diagnosis will help a provider to make the right decisions about a patient. It will also help rule out one of the conditions and enhance the safety of treatment with accuracy.
Forbes, S., Lam, A., Koh, A., Imes, S., Dinyari, P., Malcolm, A. J., … & Senior, P. A. (2018). Comparison of metabolic responses to the mixed meal tolerance test vs the oral glucose tolerance test after successful clinical islet transplantation. Clinical Transplantation, 32(8), 13301.
Kaplan, K. A., Hirshman, J., Hernandez, B., Stefanick, M. L., Hoffman, A. R., Redline, S., … & in Men, O. F. (2017). When a gold standard isn’t so golden: Lack of prediction of subjective sleep quality from sleep polysomnography. Biological Psychology, 123, 37-46.
Reutrakul, S., Anothaisintawee, T., Herring, S. J., Balserak, B. I., Marc, I., & Thakkinstian, A. (2018). Short sleep duration and hyperglycemia in pregnancy: Aggregate and individual patient data meta-analysis. Sleep Medicine Reviews, 40, 31-42.

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