Your patient in the outpatient behavioral health center has…

Your patient in the outpatient behavioral health center has come in for his appointment today.  You are running behind and front desk staff notifies the patient that there will be about a 10-minute delay.  The patient begins shouting at the front desk staff that this isn’t fair and kicks over the trash can in the lobby.  He then paces throughout the lobby and loudly declares his indignation.  What are some appropriate management strategies?

A 16-year-old boy with a history of substance use disorder r…

A 16-year-old boy with a history of substance use disorder reports fatigue, apathy, and anhedonia almost every day and his mother reports increasing irritability and raging behavior.  The boy says he smokes marijuana daily just to feel good and is unwilling to give it up.  The mother wants some sort of medication to help him feel better so that he stops smoking marijuana.  The PMHNP agrees to prescribe fluoxetine 20 mg daily.  What is the most common side effect associated with this medication?