Assessing And Treating Clients With Anxiety Disorders Reflection

• 

  chapter9_introduction.pdf

  Save your time - order a paper!

  Get your paper written from scratch within the tight deadline. Our service is a reliable solution to all your troubles. Place an order on any task and we will take care of it. You won’t have to worry about the quality and deadlines

  Order Paper Now
• 

  chapter5_introduction.pdf

• 

  GeneralizedAnxietyDisorder.docx

• 

  GeneralizedAnxietyDisordercase.docx

Generalized Anxiety Disorder Middle-Aged White Male With Anxiety

 

Decision Point One

 

Begin Zoloft 50 mg orally daily

RESULTS OF DECISION POINT ONE

·  Client returns to clinic in four weeks

·  Client informs you that he has no tightness in chest, or shortness of breath

·  Client states that he noticed decreased worries about work over the past 4 or 5 days

·  HAM-A score has decreased to 18 (partial response)

 

Select what the PMHNP should do next:

 

Increase dose to 75 mg orally daily

 

Increase dose to 100 mg orally daily

 

No change in drug/dose at this time

 

Decision Point One

 

Begin Tofranil (imipramine) 25 mg orally BID

RESULTS OF DECISION POINT ONE

·  Client returns to clinic in four weeks

·  Client reports a “slight” decrease in symptoms

·  Client’s states that he no longer gets chest tightness, but still has occasional episodes of shortness of breath

·  HAM-A score decreased from 26 to 22

Decision Point Two

Select what the PMHNP should do next:

Decision Point Two

Select what the PMHNP should do next:

 

Increase Tofranil to 50 mg orally BID

 

Continue current dose and reassess in 4 weeks

 

Add an augmentation agent such as BuSpar (buspirone) 5 mg orally TID

 

 

 

Generalized Anxiety Disorder Middle-Aged White Male With Anxiety

 

Decision Point One

 

Begin Buspirone 10 mg orally BID

RESULTS OF DECISION POINT ONE

·  Client returns to clinic in four weeks

·  Client reports slight decrease in symptoms

·  Client states that he still feels very anxious

·  HAM-A score decreased from 26 to 23

· Decision Point Two

· Select what the PMHNP should do next:

·

· Increase buspirone to 10 mg orally TID

·

· Increase buspirone to 20 mg orally TID

·

· Discontinue buspirone and begin Lexapro 10 mg orally daily

·