Mental Health Providers

Do not change my sources or using filler words. I need to edit what I wrote to make it succinctly and use more abstract words. Less than 1 pg. is fine. No need for double space or cover letter.

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Reply to Merilyn:

Thank you, Merilyn, for an excellent post on the Swiss Cheese Model and how EBP might not be a one-size-fit-all, especially with mental health.  I believe mental health is emerging and in high demand.  Mental health is more acceptable and less stigmatized in the U.S. population (Harris Poll, 2018; APA (2019). However, I cannot imagine the struggle that mental health practitioners encounter for each different situation.  It is not like a kidney failure where there are lab and diagnostic procedures to analyze and treat.  In my opinion, mental health is dynamic and complicated to assess and treat. Most of the mental health symptoms might mistake physical conditions i.e., tachycardia in anxiety or insomnia in manic clients.  I had a comorbid client with diabetes, obesity, PTSD, chronic pain, dizziness, easily agitated and combative, cardiovascular conditions, and dependent on the Hoyer lift and wheelchair. He was on oxycontin 15mg TID.  I suspected his falls, dizziness, drowsiness, chronic pain, and weakness were from side effects of OxyContin, and his dependency was from his mental health of majorly depressed/bipolar.  It took me three mos. to finally able to get both of his PMD and psychiatrist to taper his oxycontin, then tried Zoloft and later switched to Abilify at 2.5-10mg dose.  After two weeks, he was independent with all ADLs. He walked around and smiling. He graduated from our place to live in his apartment without home care to ensure his meds are appropriately taken.   I was able to convince the patient to try my way as most substance abuse clients are very smart with their medications and work the system for pain meds.

I have great respect for all mental health providers.  In my opinion, mental health is a part of the holistic health that medicine often failed to integrate as a priority.


American Psychological Association. (2019). Survey: Americans becoming more open about mental health [Press release]. https://www.apa.org/news/press/releases/2019/05

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Harris Poll. (2015). Results of new survey show nearly two thirds of surveyed adults with major depressive disorder (MDD) who report taking their medication as prescribed still experience symptoms at least weekly. https://theharrispoll.com/results-from-a-recent-survey6-of-adults-with-major-depressive-disorder-mdd-psychiatrists-and-primary-care-providers-show-that-nearly-two-thirds-of-surveyed-adults-with-mdd-who-self-report-that-they/


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