Implementation and evaluation plan - Assignment Example

The evidences focus on the systematic reviews of the recommendation and literature according to evidence level, using criteria that are pre-defined. The treatment lines are flagged out based on methods that included expert clinical support and evidence. Interpersonal Therapy (IPT) and Cognitive-Behavioral Therapy (CBT) have the most evidence efficiently. Additionally, both maintenance and acute MDD phases, and have undergone study in combination with the anti-depressants. Cognitive-Behavioral Therapy is well researched in connection with bibliography and Computer-Developed methods.

The evidence of Cognitive-Behavioral Analysis Systems of Psychotherapy and Behavioral Activation are significant. However, the evidences need replication. Modern psychotherapies that include Commitment Therapy and Acceptance, Motivational Interviewing, and Mind-fullness-Based Cognitive therapy have no relevant evidence as psychodynamics therapy and acute treatments. Although various forms of psychotherapy have been studied, only a few types have been subjected to evaluation in RCTs. Evidence of combination of various kinds of antidepressant and psychotherapy medication is confined despite the vast use of the therapies concomitantly.

Lamotrigine is appropriate to the client's problem because according to RCT, almost half of the patients responded positively. This is two times experienced with the placebo group according to level 1 (22, 23). Additionally, recent RCT in clients who responded positively on bipolar depression under lithium revealed that Lamotrigine add-on is superior compared to placebo add-on when used to treat depressive symptoms. This is evident by greater rise in the MADRS scores. According to large RCT, combining olanzapine and fluoxetine is slightly but significantly better compared to lamotrigine immunotherapy.

However, Lamotrigine is highly tolerated. Combination of fluoxetine and Olanzapine was linked with statistical significance and positive results in maniac and depressive systems when compared to Lamotrigine. On the other hand, the size of its effect was small, and no difference was recorded in their response rate. According to the guidelines of 2005 bipolar, only a single RCT had shown antidepressant efficiency of quetiapine monotherapy in treating bipolar depression (25). Its rate of remission was 52.

9 percent in the group consuming 600mg per day and 300 mg per day of quetiapine relative to 28.4% for placebo (Sagar et al., 2009). At earlier stages of testing, quetiapine monotherapy was thought to be immature as an antipsychotic depressant for bipolar. The second RCT confirmed the efficiency of quetiapine monotherapy (26). The study recommended quetiapine monotherapy as bipolar depression first-line option. Further evaluations (25) showed an improvement in health-related standard of life. Client's input can be obtained by conducting a randomized controlled trial.

This involves assessing a period's systematic intervention program. This includes carrying out a psycho education program of structured group, monthly telephone evaluation and monitoring of medication adherence and mood symptoms, feedback during the treatment of mental health providers. Additionally, facilitate proper follow-up care and as-required crisis and outreach intervention. The patients can be monitored by augmenting their self-management skill through psycho education. Consequently, the decision support of the provider by