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.

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