Medication Management at Carolina Outreach is provided by on-staff psychiatrists and/or licensed nurse practitioners to determine whether or not a medication is indicated for a client who is experiencing difficulties at home, school, work, or in the community. Typical complaints addressed through medication management include depression, anxiety, nightmares and sleep disturbances, post traumatic stress disorder (PTSD), bipolar disorder, attention and concentration issues (ADD and ADHD), and psychotic illnesses, such as schizophrenia and related disorders.
An initial psychiatric evaluation entails a review of the client’s chief complaint or current difficulty, history of present illness, psychiatric history, medical history, developmental history, family psychiatric history, and social history. Other factors (such as work/school performance, and input from family, natural supports, outside agencies working with the client, Carolina Outreach staff, therapists, etc.) are considered, and medical records (such as discharge summaries from other agencies or hospitals, or other psychological testing results) are also reviewed. Lab work is also considered in the determination, to rule out organic causes of current symptoms, and to address these as necessary.
Follow-up visits are scheduled at regular intervals to help assess whether or not the medications have been effective, are being tolerated, and to address further symptoms or changes in the client’s mental health state.