The patient is a 70-year-old female that presents to the ED complaining of right upper quadrant pain and nausea with sudden onset. The patient is known to be diabetic, fibromyalgia, has morbid obesity, and sleep apnea. She also is complaining of some chest pain and on presentation initial troponins were 0.032. She therefore is seen in consultation by Dr. Atul Prakash and the patient undergoes a stress test approximately 3 weeks ago after having presented to the ED with a similar complaints. Stress test was interpreted as normal. It is to be noted she has CO2 retention having PCO2 of 51. She is dehydrated having a urine specific gravity greater than 1030. On ultrasound she is noted to have cholelithiasis, fatty liver and mesenteric panniculitis.
Alleged disability: post-traumatic stress disorder (PTSD), traumatic brain injury, lower and upper back pain, and neck pain.
In analyzing the case study of Mr. Pete P., several factors become apparent. The patient is new to the dental practice, a recovering alcoholic, and suffers from anxiety, which can be assumed from a current prescription of Xanax. Anxiety disorder is a condition that affects everyday activities such as performances at work, school, and within relationships. Anxiety can be split into to three main categories including generalized, panic, and social anxiety disorder. As stated by the National Institute of Mental Health (2009), generalized anxiety disorder display excessive anxiety or worry for months and face several anxiety-related symptoms.” Anxiety disorder is long term and can worsen over time the. Generalized anxiety disorder is the traditional
This edgy electrician’s diagnosis would be generalized anxiety disorder. Generalized anxiety disorder is described as a disorder characterized by chronic distress and anxiety (Gerow, 2012). GAD is a common disorder found more often in men than women. Although some people don’t get diagnosed until adulthood most cases begin during childhood (Goldberg, 2014)
___[NAME] is a (52)-year-old female with a history of CVA, hypertension, hyperlipidemia ,hypothyroidism presenting with chest pain. She (was) admitted to the medical telemetry field were troponins were taken which were negative and the patient underwent nuclear stress testing, results of which are noted above, essentially showing an unremarkable nuclear stress test. She also had a D-dimer that was normal ruling out pulmonary embolus as a cause of her chest pain. She remained hemodynamically stable throughout the duration of her hospital course. On the day of admission, she had no complaints of chest pain. No events on telemetry were noted. She was stable for discharge.
This relates to what we have studied in class, we have directly studied Generalized Anxiety and panic attacks. We have also discussed types of treatments for anxiety. If someone wanted to take medication, they could take Zoloft, which is a popular type of antianxiety drug. For treatment without prescribed medicine, one could go to therapies. A popular type of therapy we have studied that could be beneficial could be Client-Centered therapy. The therapist would display active listening, where they listen and ask questions to the client to gain understanding. They would also demonstrate unconditional positive regard. The therapist would be completing accepting and caring for the client. This way, the patient could talk about their concerns in
Hanna was referred by her GP, because she has been experiencing some anxiety difficulties. Client reports that she began to have anxiety five or six years ago. Reportedly, she recently moved out of her parents’ home and this may have caused the anxiety to escalate. This is the first time client has moved away from her parents.
According to DSM-5 criteria, the client exhibited characteristics matching that of a Major Depressive Disorder with Anxious Distress. Loss of interest or pleasure in most activities is evident, changes in sleep habits, decrease in appetite. She has experienced feelings of guilt by blaming herself for the relationship breakdown with her long-term boyfriend and tends to worry about a myriad of things. Although she states that she has no suicidal ideation, in the past Emily engaged in substance use to help her relax and control her thoughts but has no contact since the breakup. These symptoms have continued for most of the day, every day, for at least 2 weeks since the breakup 3 months ago. Often anxiety accompanies these symptoms causing excessive worrying about the past, present and future. Emily ruminates about how she was responsible for the failure of the relationship, how she will never find another partner, as well as everyday
Most people have an internal issue they would like to change about themselves. Whether it be a specific phobia, social anxiety disorder, generalized anxiety disorder, panic disorder or agoraphobia many will hide those things that frustrate them. Confidentially speaking, I am a victim of generalized anxiety disorder. Until recently, I have hidden depression, fear and a nervous sickness from all my family and friends. “As of 2013, one in nine people worldwide has had an anxiety disorder in the past year.” (Craske & Stein, p. 3048) Fear is the result of sensing an imminent threat, whereas anxiety anticipates a perceived future threat. Both fear and anxiety are common reactions in everyday life. However, when anxiety persist and interferes with
What is a anxiety disorder? Anxiety disorder is any of several disorders that are characterized by a feeling of fear, dread, or apprehension that arises without a clear or appropriate cause. Some examples of anxiety disorders are generalized anxiety disorder, obsessive-compulsive disorder (OCD), Post traumatic disorder (PTSD) and many more. What causes an anxiety disorder? Anxiety disorders may develop from a complex set of risk factors, including genetics, brain chemistry, personality, and life events. Many people think having an anxiety disorder isn't a big deal but in actuality anxiety is much more than the basic nerves.
Anxiety disorders are the most common and prevalent of psychiatric disorders, yet less than 30% of individuals who suffer from anxiety disorders seek treatment (Lepine, 2002). The type of anxiety disorders are panic disorder, phobias, generalized anxiety disorder (GAD), obsessive-compulsive disorder (OCD), panic disorder and posttraumatic stress disorder (PTSD) (American Psychiatric Association, 2014). Studies showed that anxiety disorders afflict 15.7 million people in the United States each year at some point in their lives (Lepine, 2002).
Adolescence is a difficult time period in a young person’s transition into their later stage of both physical and mental development. Mood disorders are often overlooked during this time for the brain becoming more developed; however among children, anxiety disorders seem to be the most common disorders to be experienced (Nelson; Israel, pg 112). Barlow (2002) defines anxiety as a future-oriented emotion that is characterized by the inability to be in control and predict future events that can be potentially dangerous to the individual. Anxiety shares commonalities with fear, but the difference between the two being that fear is the initial response made from a present threat, where anxiety is due to a unknown future event. A common
The patient, a thirty-three year old female singer, is having difficulty sleeping, simple activities like getting groceries tire the patient easy, complains of neck pain, and cannot concentrate. The patient experiences worry and anxiety. However, when asked about what specifically, many things were brought up but none were more important than the other.
Anxiety disorder, one of the subjects, that is part of the Diagnostic and Statistical Manual of Mental Disorders IV (DSM - 5). "Anxiety disorders are the most common of mental disorders and affect nearly 30 percent of adults at some point in their lives" (Parekh, 2017). When we consider anxiety disorders, the problem with it is that it might take days or months where the anxiety may not even disappear and with that ultimately it may worsen (National Institute of Mental Health, 2016). Then imagine with an anxiety disorder that may not even go away and as the National Institute of Mental Health (NIHM) (2016) states, "The feelings can interfere with daily activities such as job performance, school work, and relationships". I can only picture those
The difference between social anxiety disorder and other disorders is that a person is capable of enjoying themselves. This is because they are not impacted as severely physically since their fear is only stimulated in the event that they will have to be
I chose to explore the topic of anxiety disorders. I chose this topic mainly because I suffer from extremely severe anxiety and I am always looking to learn more about it. I also chose this topic because I wanted to gain more knowledge about how to deal/cope with my anxiety; more specifically without using any kind of medication. I have struggled with anxiety since a very young age and the first thing my doctors did was put me on medication, and when that didn’t work they’d try another, and another. Nothing ever really helped because usually the side effects were not worth the little amount they would do to help my anxiety. When I turned 18, I said “no more pills”, and have been trying to deal with my anxiety in natural ways ever since. I will use this new information and treatment options to apply to my own life to help treat my anxiety.