As the number of cars increases, more money has to be spent on road systems. Some people think the government should pay for this. Others, however, think that car users should cover the costs. Discuss both views and give your opinion.

#cars #increases #money #road #systems #people #government #car #users #costs

Local Community Mental Health Team Copper Mental Health Team Perth Australia September 20, 2022 RE:

Jake

Cruz

, 24 years old. Dear Team, I am writing in regard to

Jake

Cruz

, who has Major Depression accompanied by deliberate self-poisoning. He is for discharge today and he needs your support and management.

Cruz

presented with troubled sleep and a lack of

the

Correct article usage

apply

show examples

mood.

Although

his mood is decreasing, he is improving and has a low risk of self-injury and no suicidal ideation at present.

Additionally

, he demonstrates a better response to Cognitive Behavior Therapy after one-on-one counselling. Medically,

Cruz

had the

first

episode of DSP and Major depression a year ago.

In addition

, he sees a psychologist intermittently. Currently, his

second

self-poisoning symptoms prompt him for admission. He was been prescribed Mirtazapine 30 mg.

Cruz

, a permanent resident is living together with his mother, he has been depressed,

subsequently

, and his wife divorced him a year ago. He has a history of depression prior to divorce and is unemployed. His mother has traditional superstitions regarding taking medications,

consequently

, his mother was re-educated concerning the importance of Antidepressants. To conclude, it would be beneficial if you could monitor and observe

Cruz

for increased adverse reactions and side effects in regard to Mirtazapine, which is 15mg more potent. Please be advised to avoid prescribing him benzo medications as he uses those for his DSP. It is recommended to monitor him in the community for suicidal attempts. Could you remind him to continue his CBT sessions and

also

encourage him to do physical exercise, it is best for him to look for a job.

Finally

, If possible assign him to a Filipino clinician for his needs or utilize an interpreter service as he is not fluent in a foreign language. If you have any questions, do not hesitate to contact me. Yours faithfully, Nurse

Submitted by d_jayson08 on Fri Sep 23 2022

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Fully explain your ideas

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