| Zhang Jinran,Li Jie,Zhong Liping,Zhang Daolong,Interview and treatment of hyponatremia secondary to adaptive disorders[J].SICHUAN MENTAL HEALTH,2020,33(1):76-78 |
| Interview and treatment of hyponatremia secondary to adaptive disorders |
DOI：10.11886/scjsws20191222001 |
| English keywords:Adjustment disorder Hyponatremia Psychotherapy |
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| The purpose of this article was to present the clinical diagnosis and the treatment ideas of adaptation disorders through reporting detail case study. The patient was a 54-year-old married men. He had a irregular life, often stayed up late and gradually appeared insomnia. He was prescribed with SSRIs medication (Prozac, Zoloft), but took medicine made him short-spoken, often felt tired after light physical labor. Then he was found to have hyponatremia by laboratory tests. After the consultation, he was diagnosed with hyponatremia secondary to adjustment disorder. Biological-psychological-social integrated intervention was recommended including emphasis on exercise, with the NaSSA antidepressant Mirtazapine taken orally to relieve anxiety. Meanwhile, a low-salt diet which could prevent water and salt metabolism was recommended. Psychotherapy recommendation was mindful stress reduction. |
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