What non-pharmacological management strategies would you recommend to Lakeri to manage his problem?

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BlackTom AI · Accepted Answer

The prompt asks for non-pharmacological management strategies to recommend for Lakeri’s problem, but no specific options are provided. In such cases, it’s helpful to outline a comprehensive, multi-component plan that targets common non-pharmacological approaches for a broad range of problems (e.g., mood, anxiety, sleep disturbances, stress, or behavioral concerns).

First, begin with a solid assessment framework: gather a brief history, identify triggers, assess sleep patterns, daily routines, stressors, and support systems. This informs which strategies are most relevant and feasible for Lakeri.

Sleep hygiene and daily routine optimization: advise a consistent sleep-wake schedule, a calming pre-sleep routine, limiting screen time before bed, and creating a dark, quiet sleep environment. Encourage regular physical activity, preferably most days, while avoiding vigorous exercise close to bedtime.

Behavioral activation and activity scheduling: for someone with low motivation or depressive symptoms, plan small, achievable activities to increase engagement and avoid withdrawal. Break tasks into steps, set realistic goals, and monitor progress.

Stress management and coping skills: introduce relaxation techniques such as diaphragmatic breathing, progressive muscle relaxation, mindfulness or guided imagery. Train in cognitive restructuring to challenge unhelpful thoughts and reduce rumination.

Nutrition and substance use considerations: promote balanced meals, hydration, and caffeine moderation, especially later in the day. If applicable, discuss smoking cessation and limiting alcohol intake as these can affect mood and sleep.

Social and environmental support: assess social connections, involve family or friends where appropriate, and consider group-based activities or peer support. Address occupational or educational stressors by exploring time management and problem-solving strategies.

Education and self-management tools: provide psychoeducation about the condition, create a personalized written plan, and offer self-help resources or structured programs (e.g., CBT-based workbooks, sleep logs).

Stepped-care and follow-up planning: propose a schedule for regular follow-up to monitor response, adjust strategies, and escalate to pharmacologic care only if non-pharmacological methods are insufficient or if symptoms worsen.

Safety considerations: screen for risk factors such as self-harm or suicidality if mood concerns are present, and establish safety planning and crisis resources as needed.

Given the lack of specific options, these components collectively form a practical, non-pharmacological management plan that can be tailored to Lakeri’s presentation, preferences, and feasibility. If more information or context becomes available (e.g., the primary problem area, severity, comorbidities), the recommendations can be refined to target those domains more precisely.

PHR1012 S2 2025 PA Practice Questions

What non-pharmacological management strategies would you recommend to Lakeri to manage his problem?

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