Case Study #3 1. Based on the history given, what type of disorder is Mark experiencing? Panic Disorder with Agoraphobia 2. What data supports this diagnosis? He experienced multiple panic attacks over 2 months, which is longer than one month minimum for diagnosis. He will not go to work for fear of experiencing another attack. He will not leave the house without wife which verifies the agoraphobia component. Tests ruled out heart attack. 3. What will be done to test or verify this diagnosis? Tests in emergency department ruled out heart attack. They should have done an EKG, CBC, and thyroid function tests, UA, CT/MRI 4. What medication will be prescribed for Mark and what teaching should be included? SSRIs-first line defense, Benzodiazepines short term for anxiety symptoms while SSRIs begin to take effect. SSRIs may take up to 4 weeks to reach effectiveness. Assess for suicidal ideations. Do not stop taking abruptly. Assess for substance abuse, benzos not for those with history of substance abuse. Benzos only for short term use, they have addictive properties. Instruct on signs and symptoms ataxia and decrease cognitive functioning. 5. What other treatment will be essential in helping improve condition? Mark’s Therapy; one on one or group therapy will be included. Systematic desensitization should be included where client slowly gets out of house with wife at first, then eventually without wife. Relaxation techniques should also be included. Case Study #4 1. Based on the history given, what type of disorder is Gary experiencing? Acute Stress Disorder 2. What type of treatment will be beneficial for Gary? Benzos to treat anxiety symptoms and therapy. 3. If the symptoms persist for longer than one month, what does this mean? Post-Traumatic Stress Disorder (PTSD)
Case Study #3 1. Based on the history given, what type of disorder is Mark experiencing? Panic Disorder with Agoraphobia 2. What data supports this diagnosis? He experienced multiple panic attacks over 2 months, which is longer than one month minimum for diagnosis. He will not go to work for fear of experiencing another attack. He will not leave the house without wife which verifies the agoraphobia component. Tests ruled out heart attack. 3. What will be done to test or verify this diagnosis? Tests in emergency department ruled out heart attack. They should have done an EKG, CBC, and thyroid function tests, UA, CT/MRI 4. What medication will be prescribed for Mark and what teaching should be included? SSRIs-first line defense, Benzodiazepines short term for anxiety symptoms while SSRIs begin to take effect. SSRIs may take up to 4 weeks to reach effectiveness. Assess for suicidal ideations. Do not stop taking abruptly. Assess for substance abuse, benzos not for those with history of substance abuse. Benzos only for short term use, they have addictive properties. Instruct on signs and symptoms ataxia and decrease cognitive functioning. 5. What other treatment will be essential in helping improve Mark’s condition? Therapy; one on one or group therapy will be included. Systematic desensitization should be included where client slowly gets out of house with wife at first, then eventually without wife. Relaxation techniques should also be included. Case Study #4 1. Based on the history given, what type of disorder is Gary experiencing? Acute Stress Disorder 2. What type of treatment will be beneficial for Gary? Benzos to treat anxiety symptoms and therapy. 3. If the symptoms persist for longer than one month, what does this mean? Post-Traumatic Stress Disorder (PTSD)
stress-and-coping-case-study.docx