WEEK 5 GAD.docx - Running head GENERALIZED ANXIETY DISORDER Assessing and Treating Clients With Anxiety Disorders

WEEK 5 GAD.docx - Running head GENERALIZED ANXIETY DISORDER...

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Running head: GENERALIZED ANXIETY DISORDER Assessing and Treating Clients With Anxiety Disorders NURS-6630D-3/NURS-6630N-3/NURS-6630F-3-Approaches to Treatment of Psychopathology Walden University March 29, 2019 Dr. Earl Reome 1
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GENERALIZED ANXIETY DISORDER Assessing and Treating Clients with Anxiety Disorders Anxiety disorders are the most common mental illnesses in the United States, affecting over forty million adults 18-65 yearly (CDC). It is normal to have feelings of anxiety, unease, and apprehension, throughout the various stages of life. However, excessive worry, nervousness, overly concern with career, health, family money or other issues, with the anticipation of the disaster which interferes with activities daily of living, may be symptoms of Generalized Anxiety Disorder (GAD) (Lader, 2015). GAD has similar symptoms as obsessive/compulsive, panic disorders and various types of anxiety, but it is a different syndrome. GAD affects almost 7 million adults only 43% untreated; women are twice as likely to diagnosis than men, it can be throughout, the life span, highest among children 7-13 and middle adulthood 40-60 (CDC). Clients living with GAD can be challenging to treat; it is often chronic, challenging and problematic to treat. GAD often coincides with other mood disorders, such as substance abuse, schizoaffective, bipolar, major depression, cyclothymia, etc (Schellekens et al. 2015). GAD symptoms can include but not limited, to difficulty concentrating overthinking, experiencing uncertainty and perceived threats (CDC). Physical symptoms can consist of tremors, insomnia, aches/pains, elevated heart rate, gastrointestinal disturbances (nausea, diarrhea, etc.), increase use of substances, alcohol, nicotine, marijuana and other illicit drug use. GAD is like other mental illness; there is not a known cause; it could be a complex interaction between biological and environmental factors. This paper will discuss a 46YO Caucasian male, referred by primary care 2
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GENERALIZED ANXIETY DISORDER physician, post emergency visit after experiencing “heart attack symptoms,” which was ruled out. My Client The client is single, mildly obese, with a history of diet-controlled hypertension, and tonsillectomy at eight years of age. The client was evaluated at local ED for complaints of chest tightness, shortness of breath and “feelings of impending doom.” The client had an EKG and lab work; both WNL, Myocardial infarction ruled out, the client was discharged and referred to PMHP for assessment. He is, alerts Oriented to 4 spheres; the client is appropriately dressed for the weather. The client speech is coherent and goal-directed; he reports “feelings of nervousness” and mood “bleh,” has endorsed “chest tightness, anxiety attacks, run, escape.” The client does
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  • Spring '19
  • Generalized Anxiety Disorder, Selective serotonin reuptake inhibitor, Social anxiety disorder, 46 Yo Male, Week 5 Decision Paper

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