A grandmother reports that her grandson has been taking an SSRI for the past month, along with St. John's Wort. The grandmother states that there have been no changes in the adolescent's behavior
She is concerned that the medications are just for "junkies.". The mental health nurse knows that: 1. St. John's Wort can cause serotonin syndrome, so no benefit may occur.
2. The SSRI is probably the wrong medication for the adolescent.
3. The adolescent is exhibiting serotonin discontinuation syndrome
4. The SSRI needs to be stopped immediately because it is causing the adolescent more harm.
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1. St. John's Wort can cause the SSRI to be ineffective and should be stopped.
2. Because of the use of St. John's Wort, a true assessment of the SSRI cannot be done.
3. The adolescent has not had a therapeutic effect of the SSRI because of the St. John's Wort. He is experiencing serotonin syndrome, not discontinuation syndrome.
4. The St. John's Wort needs to be discontinued, not the SSRI.
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