I have to agree that it is hard to recommend anything without knowing the history of the patient. Many of the psych meds have the "benefit" of side effects that could be beneficial to the resident. (e.g. appetite stimulation, weight gain, weight loss, sedation, etc.) One thing to remember about Zyprexa is the weight gain that it can cause! Also, because it is an anti-psychotic, there are specific HCFA guidelines addressing its use. Chemical restraint meetings Q mos, attempts at tapers q6mos, etc. An antipsychotic will not really address the tearfulness, unless the resident is bipolar (and then it could only exacerbate the depression part, you know?) Maybe an attempt at an antidepressant would be beneficial. Also, with both of the residents that you mentioned (the crying one and the hollering one), check for pain. You'd be surprised how far some routine tylenol can go in removing behaviors. Most of the residents are elderly, and have pain of some sort. (Heck, I'm in my thirties and I have pain of some sort most days!
) It seems that once the mind begins to falter, a resident defaults to the most primal modes of communication - crying and yelling. Look at Maslow's triangle and see if it helps - Good luck!