anxiety disorders

Week 14 Discussion: Anxiety Disorders

L.P., age 23, is a white woman who graduated from college last year. She began working as an accountant 1 month after graduating. Approximately 2 months ago, she moved into a two-bedroom apartment with another woman who works at the same accounting firm. She states that her roommate recommended that she see a doctor to find out if she has anemia or “some sort of fatigue syndrome.” She states that she has felt “restless” and “on edge” for most of the past 9 months. She becomes easily fatigued and irritable and has difficulty concentrating and falling asleep. She states that sometimes her mind “just goes blank,” and she is worried that her work performance is no longer excellent. She reports that all her life she had good grades in school and was very successful in everything she attempted. Although she has been “a worrier from the day I was born,” now she worries more than she ever has and feels nervous “all the time.” L.P. reports that she has a good relationship with her boyfriend, but they do not get to see each other very often because he is attending graduate school 100 miles away. She reports having a satisfying sexual relationship with him. She denies having any problems with relationships with her parents, roommate, or peers. She denies having any financial worries unless she is fired from her job for poor work performance. She reports that she has always been healthy and has taken good care of herself. The only medication she takes is birth control pills, which she has taken for the past 4 years without any adverse effects.

Diagnosis: Generalized Anxiety Disorder

Questions:

1. List specific treatment goals for L.P.

2. What drug therapy would you prescribe? Why?

3. What are the parameters for monitoring the success of the therapy?

4. Describe specific patient monitoring based on the prescribed therapy.

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What would be the choice for second-line therapy?

7. What dietary and lifestyle changes should be recommended for this patient?

Provide 3 Postings (Initial Posting and Respond to 2 Peer Based on APA Guidelines). Respond in complete sentences, 2-3 paragraphs. Work must be supported by peer-reviewed article published within 5 years.

Thanks!

Dr. Seraphin


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Anxiety Disorders

Human emotions can be positive or negative experiences. The brain manages the impact of emotions on overall mental functioning with its “executive processing” function area of the cortex which inhibits the activity of the emotion-processing region. When negative emotions are too strong for this inhibition process to work, a state anxiety can occur.  Anxiety can be acute, short-term and, while distressing to the person experiencing it, not a mental health concern; or it can chronic and recurring and significantly life disruptive.  There are nearly a dozen different anxiety related conditions classified as disorders in the medical literature. New research has found differing patterns of brain activity associated with each of two types of anxiety, anxious apprehension with verbal rumination and worry the predominant symptoms, and anxious arousal with intense fear, panic, or both, the predominant symptoms.

After watching the video Anxiety Overview located at http://www.youtube.com/v/_Cr7IomSy8s?version=3  share which anxiety disorder you believe would be the most challenging to have and explain why.  Include in your decision about which disorder would be the most challenging for you what you learn from the video and this week’s assigned readings about anxiety disorder symptoms, how disruptive to everyday function they are and the treatment options available for the various disorders.  enlightened Although the video says anxiety is “easily treated” that statement compares it to other psychological disorders, some of which can be very resistant to treatment.  Some anxiety disorders may have more treatment options and be more responsive to treatment but also may be more significantly life disruptive symptoms than others and your choice point in considering them would be one of more treatment options to try if one or more doesn’t work vs. the symptoms being more severe than symptoms of other disorders with fewer treatment options.  Your choice of disorder to post about will be personal; your post will need to show knowledge gained from engaging with learning materials.

 

300 word minimum


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