Decision Making When Treating Psychological Disorders

Home>Homework Answsers>Nursing homework helprentpractice decision making when treating patients with psychological disorders. You will recommend the most effective pharmacotherapeutic to treat the psychological disorder presented and examine potential impacts of pharmacotherapeutics on a patient’s pathophysiology.Posta brief explanation of the psychological disorder presented and the decision steps you applied in completing the interactive piece for the psychological disorder. Then, explain how the administration of the associated pharmacotherapeutics you recommended may impact the patient’s pathophysiology. How might these potential impacts inform how you would suggest treatment plans for this patient? Be specific and provide examples.Generalized Anxiety DisorderMiddle-Aged White Male With AnxietyBACKGROUND INFORMATIONThe client is a 46-year-old white male who works as a welder at a local steel fabrication factory. He presents today after being referred by his PCP after a trip to the emergency room in which he felt he was having a heart attack. He stated that he felt chest tightness, shortness of breath, and feeling of impending doom. He does have some mild hypertension (which is treated with a low sodium diet) and is about 15 lbs. overweight. He had his tonsils removed when he was 8 years old, but his medical history since that time has been unremarkable. Myocardial infarction was ruled out in the ER and his EKG was normal. Remainder of physical exam was WNL.He admits that he still has problems with tightness in the chest and episodes of shortness of breath- he now terms these “anxiety attacks.” He will also report occasional feelings of impending doom, and the need to “run” or “escape” from wherever he is at.In your office, he confesses to occasional use of ETOH to combat worries about work. He admits to consuming about 3-4 beers/night. Although he is single, he is attempting to care for aging parents in his home. He reports that the management at his place of employment is harsh, and he fears for his job. You administer the HAM-A, which yields a score of 26.Client has never been on any type of psychotropic medication.MENTAL STATUS EXAMThe client is alert, oriented to person, place, time, and event. He is appropriately dressed. Speech is clear, coherent, and goal-directed. Client’s self-reported mood is “bleh” and he does endorse feeling “nervous”. The effect is somewhat blunted but does brighten several times throughout the clinical interview. Affect broad. The client denies visual or auditory hallucinations, no overt delusional or paranoid thought processes readily apparent. Judgment is grossly intact, as is insight. He denies suicidal or homicidal ideation.You administer the Hamilton Anxiety Rating Scale (HAM-A) which yields a score of 26.Diagnosis: Generalized anxiety disorderDecision Point OneBegin Zoloft 50 mg orally dailyRESULTS OF DECISION POINT ONEThe client returns to the clinic in four weeksThe client informs you that he has no tightness in the chest, or shortness of breathClient states that he noticed decreased worries about work over the past 4 or 5 daysHAM-A score has decreased to 18 (partial response)Decision Point TwoIncrease the dose to 75 mg orally dailyRESULTS OF DECISION POINT TWOThe client returns to the clinic in four weeksClient reports an even further reduction in his symptomsHAM-A score has now decreased to 10. At this point- continue the current dose (61% reduction in symptoms)APA Citation 3 to 4 References with 5 years5 years ago14.04.202025Report issueAnswer(1)Catherine Owens4.7(3k+)4.7(183)ChatPurchase the answer to view itNOT RATEDTREATINGPSYCHOLOGICALDISORDERS.docxturnitinreport6776778.pdf5 years agoplagiarism checkPurchase $25Bids(104)Teacher A+ WorkProf Double RnicohwilliamYourStudyGuruGreat-Writerswriter respectDr AngelenaAmanda SmithDr. Elahihassan0906American TutorWriting WondersEARNESTWRITERProfRubbsJane the tutorwizard kimBrainy BrianKelly JacobsQuickly answerSheena A+Eastonother Questions(10)LensCrafters Case StudyUsing the simplified OOD methodology:Write down a detailed description of the problem.Identify all the (relevant) nouns and verbs.From the list…extraM5:A1 Learning Assessment System Assighnment #22 Papa PaperA3-A2-Linear RegressionThe Question is to be submitted in exactly 24 HOURS. No additional time.English Composition: Discussion and PaperBlackboard Assignment #3.  Select one of the following prompts, and write a paper of 3-4 pages double spaced of your own…Assignment 3 – Risk Management

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