YULE CASE

CASE STUDY 4 - Depression, Anxiety, Substance Use, and Chronic Pain

Case Scenario

Ms. R.D. is a 45-year-old female presenting with insomnia, fatigue, chronic low back pain, and mood changes.

History

• PMH: Chronic pain, prior opioid exposure
• Reports alcohol use nightly
• PHQ-9: 17, GAD-7: 15

Student Assignment Requirements

1. Pathophysiology (25%)

• Neurobiology of depression and anxiety
• Substance use impact on CNS
• Pain–mood interaction

2. Mental Health Assessment (35%)

• Diagnostic differentiation
• Suicide risk screening
• Substance use screening
• Safety planning

3. Pharmacology & Integrated Treatment (30%)

• Antidepressant selection and titration
• Avoidance of high-risk medications
• Non-pharmacologic and referral planning

4. APA & Evidence Use (10%)

RUBRIC – CASE STUDY 4 - Mental Health, Substance Use & Chronic Pain (100 Points)

2 PAGES

DUE DATE AUGUST 4, 2026

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