Our Services

Get 15% Discount on your First Order

[rank_math_breadcrumb]

unit 7 discussion

see attached

Topic: Panic Disorder

Case scenario:

Debbie is a 28-year-old woman who presents to an outpatient psychiatry clinic with a 1-month history of panic attacks. She has a past history of major depressive disorder (MDD) and is taking a low-dose serotonin norepinephrine reuptake inhibitor (SNRI). During the panic attacks, she experiences severe anxiety with the following symptoms: lightheadedness, accelerated heart rate, chest pain, shortness of breath, and nausea. The symptoms last between 2 and 20 minutes. She cannot identify any triggers for the panic attacks.

Debbie has been worrying about when the next panic attack will occur, and the symptoms are affecting her ability to function. She was previously effectively treated with venlafaxine and until now had experienced infrequent panic attacks. The patient reports numerous stressors at home, including conflicts with her husband, having a 7-month-old son, and recently taking in a friend who is homeless. She was restarted on venlafaxine 75 mg daily 5 months ago for depressive symptoms that reemerged after giving birth to her son. The venlafaxine had been stopped during her pregnancy to reduce the risk of teratogenicity. Psychiatric review of systems is positive for depression and generalized anxiety. Debbie does not have any medical history or symptoms that would suggest a medical cause for her panic attacks. She denies any history of alcohol use or substance use, and the toxicology screen was negative for illicit substances.

· What history is essential to obtain from Debbie when you suspect a panic attack?

· What questions will you ask to exclude other possible diagnoses in a client with panic attack?

· What is the possible differential diagnosis?

· What are the classical signs and symptoms of panic attack?

· How will you differentiate panic attacks from specific phobia?

· What laboratory tests would you recommend for Debbie?

· As a PMHNP, what are your treatment recommendations for Debbie? What is the prognosis for panic disorder?

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

PPT

Assigment The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book,  The Landmarks of Tomorrow  (1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar? Nurses are

Mental Health PTSD

Mental Illness Creative Paper Assignment “A Day Living With My Mental Illness” Each student will write a one-page paper in first person as if you are living with your assigned mental illness. Be creative but realistic. The goal is to demonstrate understanding of what daily life might feel like for

discussion question

discussion question  Topic: healthcare providers shortages 1. Access the Policy Map Blog and view the blog listings (There are many pages of entries). 2. Briefly summarize (2-3 sentences) policy map blog and address the socio-political, ethical, and or nursing workforce implications of the topic. 3. APA format for references

Peer response

  The development of advanced practice nursing roles globally shows how important quality and safety competencies are in guiding practice. When looking at the variability in education, regulation, and scope of practice across countries, it becomes clear that standardized competencies are essential to ensure safe and consistent care (Wheeler et

nursing

see file In this two-part deliverable assessment, first, create a 5–7 slide elevator-speech style presentation that you will present to stakeholders that provides an overview of policy implementation, including rationale and data that reflect the need for the new policy. Second, create a detailed, annotated training agenda for the pilot

nursing

see file Propose an organizational policy and practice guidelines that you believe will lead to an improvement in quality and performance associated with the benchmark underperformance you advocated for improving in Assessment 1. Be precise, professional, and persuasive in demonstrating the merit of your proposed actions. The policy proposal requirements

case study

Nursing Skills & Reasoning © 2023 KeithRN LLC. All rights reserved. No part of this case study may be reproduced, stored in retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of KeithRN Blood Transfusion 1. Which

casestudy

Nursing Skills & Reasoning © 2023 KeithRN LLC. All rights reserved. No part of this case study may be reproduced, stored in retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of KeithRN Blood Transfusion 1. Which

CASE STUDY ANALYSIS

PLEASE READ ALL ATTACHED Week 2 Case Study Prompt  A 28-year-old African American woman presents with 4 months of worsening fatigue, joint  pain, and intermittent low-grade fevers. She reports: • Symmetrical pain and stiffness in hands and wrists (morning stiffness ~1 hour) • Photosensitivity • Facial rash that worsens with

STRENGTHS AND LIMITATIONS OF SECONDARY DATA SOURCES

find attached n use the rubrics In this information age, where data are readily accessible and there is both a great demand for accelerated research projects and strict limitations on research funding, using existing data makes sense. Data used in this way are called secondary data; they come in many

Evaluation and Management

Evaluation and Management (E/M) Insurance coding and billing is complex, but it boils down to how to accurately apply a code, or CPT (current procedural terminology), to the service that you provided. The payer then reimburses the service at a certain rate. As a provider, you will have to understand

EBP

Module 7:  Research Project As a DNP, you have been asked to identify why the patients that are undergoing surgery are complaining that pain experienced after a surgical procedure has not been managed adequately. The patients’ need of narcotics is around the clock until the pain subsides. The lack of

Home work

Determine the linear correlation and regression equation between two variables to make predictions for the dependent variable. Project Deliverable tie to Competency  In this assignment, you will demonstrate your understanding of how relationships between two variables can be analyzed and used to make informed predictions. By interpreting scatter plots, conducting

DESCRIPTIVE EPIDEMIOLOGY: DATA SOURCES AND DATA COLLECTION

Diabetes is a significant public health challenge in the United States, with Table 3.2 identifying Hemoglobin A1C levels, incidence of skin infections, obesity, peripheral neuropathy, and renal insufficiency as key measurable outcomes (Curley, 2024). The population selected for this discussion is Hispanic/Latino adults in the United States, a group disproportionately

Community Health

Please see attached. Create a slide presentation of the health promotion plan you developed in Assessment 1. Complete the following: · Prepare a 12–14 slide PowerPoint presentation with detailed speaker notes that reflects your presentation. This presentation is the implementation of the plan you created in Assessment 1. The speaker

Scholarship For Nursing practice

It is anticipated that the initial discussion post should be in the range of 250-300 words. . All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.

Week 1 clinic skills

Rate yourself according to your confidence level performing the procedures identified on the Clinical Skills Self-Assessment Form.   Based on your ratings, summarize your strengths and opportunities for improvement.    Based on your self-assessment and theory of nursing practice, develop three to four (3–4) measurable goals and objectives for this practicum experience. Include them on the designated area of the form.