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Assessing And Treating Patients With Anxiety Disorders Refelection
Assessing And Treating Patients With Anxiety Disorders Refelection
Assessing and Treating Patients With Anxiety Disorders
Common symptoms of anxiety disorders include chest pains, shortness of breath, and other physical symptoms that may be mistaken for a heart attack or other physical ailment. These manifestations often prompt patients to seek care from their primary care providers or emergency departments. Once it is determined that there is no organic basis for these symptoms, patients are typically referred to a psychiatric mental health practitioner for anxiolytic therapy. For this Assignment, as you examine the patient case study in this week’s Learning Resources, consider how you might assess and treat patients presenting with anxiety disorders.
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week6casestudy.pdf -
wk6cases2.pdf
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AssessingandTreatingPatientsWithAnxietyDisorders.docx
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Generalized Anxiety Disorder Middle-Aged White Male With Anxiety
BACKGROUND INFORMATION The client is a 46-year-old white male who works as a welder at a local steel fabrication
factory. He presents today after being referred by his PCP after a trip to the emergency
room in which he felt he was having a heart attack. He stated that he felt chest tightness,
shortness of breath, and feeling of impending doom. He does have some mild
hypertension (which is treated with low sodium diet) and is about 15 lbs. overweight. He
had his tonsils removed when he was 8 years old, but his medical history since that time
has been unremarkable. Myocardial infarction was ruled out in the ER and his EKG was
normal. Remainder of physical exam was WNL.
He admits that he still has problems with tightness in the chest and episodes of
shortness of breath- he now terms these “anxiety attacks.” He will also report occasional
feelings of impending doom, and the need to “run” or “escape” from wherever he is at.
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In your o�ce, he confesses to occasional use of ETOH to combat worries about work. He
admits to consuming about 3-4 beers/night. Although he is single, he is attempting to
care for aging parents in his home. He reports that the management at his place of
employment is harsh, and he fears for his job. You administer the HAM-A, which yields a
score of 26.
Client has never been on any type of psychotropic medication.
MENTAL STATUS EXAM The client is alert, oriented to person, place, time, and event. He is appropriately dressed.
Speech is clear, coherent, and goal-directed. Client’s self-reported mood is “bleh” and he
does endorse feeling “nervous”. A�ect is somewhat blunted, but does brighten several
times throughout the clinical interview. A�ect broad. Client denies visual or auditory
hallucinations, no overt delusional or paranoid thought processes readily apparent.
Judgment is grossly intact, as is insight. He denies suicidal or homicidal ideation.
You administer the Hamilton Anxiety Rating Scale (HAM-A) which yields a score of 26.
Diagnosis: Generalized anxiety disorder
RESOURCES § Hamilton, M. (1959). Hamilton Anxiety Rating Scale. Psyctests, doi:10.1037/t02824-0
Decision Point One Select what you should do:
Begin Paxil 10 mg po daily
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ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS
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Begin Imipramine 25 mg po BID
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Begin Buspirone 10 mg po BID
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