open access

Vol 8, No 1 (2011)
Case report
Published online: 2011-04-05
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”I do need more medication” — when ideal-self prevents from seeing improvement in the course of pharmacotherapy. The case of escitalopram treatment description

Sławomir Murawiec
Psychiatria 2011;8(1):25-30.

open access

Vol 8, No 1 (2011)
Prace kazuistyczne
Published online: 2011-04-05

Abstract

The paper presents the case description of 36 years old women in the course of her depression treatment. The patient had been previously treated with the three compounds in the same time: bupropion (300 mg/day), escitalopram (30 mg/day) and wenlafaxine (150 mg/day). After discontinuation of treatment (because of poor subjective tolerability) the depressive symptoms occur. The therapy with only escitalopram (20 mg/day) was proposed. The results were good in the sense of depressive symptoms resolution and improvement in functioning but not in subjective patient’s assessment. The patient wanted more medication because she wanted to be more active in her professional career. Despite the clinical improvement she was unable to admit that improvement because of her aspirations and ego-ideal demands.
In the case of patients whose response to medication is problematic it’s necessary to consider their personality traits and psychological reaction to medication
Psychiatry 2011; 8, 1: 25–30

Abstract

The paper presents the case description of 36 years old women in the course of her depression treatment. The patient had been previously treated with the three compounds in the same time: bupropion (300 mg/day), escitalopram (30 mg/day) and wenlafaxine (150 mg/day). After discontinuation of treatment (because of poor subjective tolerability) the depressive symptoms occur. The therapy with only escitalopram (20 mg/day) was proposed. The results were good in the sense of depressive symptoms resolution and improvement in functioning but not in subjective patient’s assessment. The patient wanted more medication because she wanted to be more active in her professional career. Despite the clinical improvement she was unable to admit that improvement because of her aspirations and ego-ideal demands.
In the case of patients whose response to medication is problematic it’s necessary to consider their personality traits and psychological reaction to medication
Psychiatry 2011; 8, 1: 25–30
Get Citation

Keywords

depression; pharmacotherapy; personality; psychology

About this article
Title

”I do need more medication” — when ideal-self prevents from seeing improvement in the course of pharmacotherapy. The case of escitalopram treatment description

Journal

Psychiatria (Psychiatry)

Issue

Vol 8, No 1 (2011)

Article type

Case report

Pages

25-30

Published online

2011-04-05

Bibliographic record

Psychiatria 2011;8(1):25-30.

Keywords

depression
pharmacotherapy
personality
psychology

Authors

Sławomir Murawiec

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