Problem:
Assessment Diagnosis: F330 Major depressive disorder, recurrent, mild F1021 Alcohol dependence, in remission F410 Panic disorder [episodic paroxysmal anxiety] F1124 Opioid dependence with opioid-induced mood disorder F1229 Cannabis dependence with unspecified cannabis-induced disorder Medical Decision Making: The patient's report of low libido strongly suggests an adverse effect of Effexor. A decision was made to taper the venlafaxine XR and initiate Vilazodone as a potential alternative to improve mood while addressing sexual side effects. Abilify will continue to enhance mood stability. Progress Towards Treatment Goals: There have been improvements in mood, but the patient continues to struggle with libido, necessitating changes in pharmacotherapy. Safety Risk: The patient poses a low safety risk and denies any present suicidal thoughts. Need Assignment Help?