Discussion Forum for 10/11/18

A  37AA transgender F with hx of Bipolar disorder type 1, and tobacco dependence is taking duloxetine 120mg/day x 8 months, and olanzapine 25mg qpm x 1 year. The client smokes 1ppd x 9 years. The client  just received news of her first housing placement which has a no smoking policy.The client is ecstatic and comes to you for med management and states, “I got my new place but I need to quit smoking!” 

1) Discuss your approach to this client

2) To what extent did this session’s article affect  your treatment plan or recommendations?