Generalized Anxiety Disorder Discussion Essay Paper
Discussion eight
Case Overview
A 30-year-old female complains of anxiety, panic attacks and insomnia.
Assessment
Differential diagnosis
Generalized anxiety disorder: according to Munir S; Takov V (2022), is a mental disorder characterized by worry, fear and a constant feeling of being overwhelmed.
Panic disorder is a psychiatric disorder characterized by a sudden surge of discomfort or intense fear, reaching a peak within minutes (Kim, 2019). The attacks usually occur without warning. Generalized Anxiety Disorder Discussion Essay Paper
Posttraumatic stress disorder: is a syndrome that results from exposure to threatened or real death, sexual assault or serious injury (Miao et al., 2018).
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Diagnosis tests
GAD-7: a questionnaire used as a scale for anxiety and scores common anxiety symptoms.
Panic disorder severity scale: a self-report questionnaire that assesses the severity of panic attacks and symptoms.
The clinician Administered PTSD scale: used for PTSD symptoms assessment.
Plan
- Do the following tests; thyroid function tests
- Toxicology screen
- Pharmacological intervention
- Enroll for cognitive behavioral therapy.
- Patient education: educate the patient on the importance of medication compliance and follow up with the therapist. The patient should also be advised to stop stimulants such as caffeine.
Intervention
Pharmacological
- PO duloxetine 30mg OD
Non-pharmacological
- Cognitive behavioral therapy involves psychoeducation, changing thought patterns and gradual exposure to anxiety-provoking events.
- Follow up after one week to allow for dosage adjustment. Generalized Anxiety Disorder Discussion Essay Paper
Endocrine consideration
Hyperthyroidism is a pathological disorder of the thyroid gland characterized by excessive synthesis of the thyroid hormone. According to Doubleday & Sippel (2020), excessive thyroid hormones affect several organs, with patients presenting with disturbing symptoms, anxiety, fatigue, palpitations and others. Thyroid function tests will help to check thyroid hormone levels.
References
Miao, X.-R., Chen, Q.-B., Wei, K., Tao, K.-M., & Lu, Z.-J. (2018). Posttraumatic stress disorder: from diagnosis to prevention. Military Medical Research, 5(1). https://doi.org/10.1186/s40779-018-0179-0
Doubleday, A. R., & Sippel, R. S. (2020). Hyperthyroidism. Gland Surgery, 9(1), 124–135. https://doi.org/10.21037/gs.2019.11.01
Kim, Y.-K. (2019). Panic Disorder: Current Research and Management Approaches. Psychiatry Investigation, 16(1), 1–3. https://doi.org/10.30773/pi.2019.01.08
Munir S;Takov V. (2022, October 17). Generalized Anxiety Disorder. https://pubmed.ncbi.nlm.nih.gov/28722900/ Generalized Anxiety Disorder Discussion Essay Paper