My site evaluation was performed via FaceTime due to the COVID-19 scare. In the beginning, I was to present one of my History & Physicals, and shared my assessment and treatment plan for the patient. The reason I picked to present this patient was because I had a great consult with her, as she was a reliable historian, well educated (an algebra high school teacher), and had good insight on her prescription drug (Adderall) abuse. Besides the patient taking Adderall for her self-reported ADHD, the patient was also on medications for anxiety and depression. The site evaluator’s feedback resulted in good learning points. In my treatment plan, I explained to discontinue the Adderall, and continue the other medications. I was told that the treatment team should have also informed the Adderall prescriber of the patient’s abuse, and to ask for their cooperation in discontinuing the medication. Additionally, since the patient did not seem to present with depressive nor anxiety symptoms, the treatment team could have considered discontinuing those respective medications as well, and continue monitoring the patient on the unit. Towards the end of the meeting, I also presented a journal article regarding exercises that incorporated meditative movements, and its effectiveness in treating patients with Major Depressive Disorder. We discussed that as ideal as this “treatment” sounds, there is still the same issue of non-adherence as any other treatment for MDD (ie: psychotherapy and antidepressants).

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