Among the most frequent medical issues you will deal with as a PMHNP is insomnia.edited.docx

Among the most frequent medical issues you will deal with as a PMHNP is an insomnia. The
signs of insomnia might occur at night and throughout the day. “It comprises a primary complain
of poor quality or short-duration sleep and is followed by problems starting to fall asleep at
evening, frequent or protracted awakenings, or early morning awakenings with difficulty going
back to sleep.”(Morin et al., 2015). Nearly half of individuals who suffer from sleeplessness have
a mental disease. Anxiety disorders and mood disorders, such as bipolar anxiety and depression,
have been found to have the greatest comorbidity rates. ( The Link Between Insomnia and Mental
Illness | Psychology Today , n.d.)Up to 90% of people with a serious depressive illness experience
sleep problems. When sleep problems persist for more than three months and occur three or more
evenings a week, insomnia is diagnosed.
Treatment planning is used by physicians, psychologists, therapists, counselors, and other
psychological healthcare providers to treat patients successfully. “The treatment plan is the
blueprint a patient will take while going through treatment.”( GoodTherapy | Treatment Plan ,
n.d.)
PATIENT INFORMATION
A 75-year-old patient with PMH of DM, HTN, and MDD. Ten months ago, her spouse of 41
years passed away. She states that her sadness and her sleeping patterns have worsened since
then. Before her husband's demise, the Patient had no history of depression. She’s awake,
attentive, and focused x3. The Patient usually visits their primary care physician once or twice a
year. The patients experience having no suicidal thoughts. Today, the Patient came to the office
in a personal car. The Patient is currently taking the following drugs:
 Metformin 500mg BID