Case Study 3: A man who is displaying symptoms of moderate anxiety
Your writing Assignment should:
· follow the conventions of Standard English (correct grammar, punctuation, etc.);
· be well ordered, logical, and unified, as well as original and insightful;
· display superior content, organization, style, and mechanics; and;
· use APA formatting and citation style.
Allen, a university graduate aged 21 years, attends the pharmacy of the campus counseling health center and asks to speak to the pharmacist in private. He states he is worried about heart palpitations that he has been experiencing. He is visibly sweating and looks on edge. The pharmacist calls the provider on duty at the psychiatric clinic for the counseling health center and she arrives.
Assessment
As the PMHNP on duty, you invite Allen into the consultation room and ask him about his symptoms. He states that he has started a new job and that the palpitations start when he is feeling anxious. His symptoms are occurring most days of the week and he says it makes him “feel on edge.” He adds that he does not want to socialize with his co-workers. It is starting to affect his sleep and he does not know what to do. He also states that he has occasional pain in his chest.
Treatment options
Allen is demonstrating symptoms of moderate anxiety, given his desire to avoid socializing, and has a degree of functional impairment. However, as he has potential cardiac symptoms, these issues could be related to another condition.
When questioned, he confirms he has no other problems with his health, but you feel the patient needs further investigation. For example, tests to measure the electrical activity of his heart to rule out underlying cardiac problems should be considered. His presentation concerns you and you feel he needs these tests today to assess the differential diagnosis, as you are worried about his chest pain and palpitations.
Vitals:
· 138/80
· 4
· 20
· 78
· 99%
· 5’10”
· 188 lbs.
Advice and recommendations
You encourage Allen by saying that it is great that he felt he could talk to a pharmacist about this, but explain that he would benefit from continued management with you as the PMHNP and possibly some additional psychotherapy. You explain that his symptoms could be related to anxiety and that you think he may need something to help him manage. He agrees to let you continue the assessment and design a treatment plan.
Use the to complete the documentation with the information provided, diagnose the patient and design a treatment plan.
If you’re a man, and you’re exhibiting signs of moderate anxiety, it’s important to reach out for help. The symptoms of anxiety can be scary and difficult to deal with, but there are things that people can do if they recognize the signs early enough. If someone has been experiencing excessive fatigue and difficulty sleeping, they may be having thoughts of suicide or self-harm. This person should immediately seek out professional help through their doctor or therapist.
A man who is displaying symptoms of moderate anxiety has the following symptoms:
Excessive fatigue and difficulty sleeping are common symptoms of moderate anxiety. When you’re feeling exhausted and your sleep is interrupted by frequent awakenings, it’s worth considering whether you might have a mild case of generalized anxiety disorder (GAD).
This is not just tiredness or being able to function at work; it’s more like feeling like you can’t function because everything feels overwhelming. It may also be hard for you to concentrate on tasks that usually require complete focus, or even make sense when they’re read out loud. Your thinking may feel unclear if there are conflicting thoughts competing with one another in your head—and this is especially true when trying something new like learning how to play guitar or starting a new job!
Your partner may become irritable and moody, especially if he’s anxious about something. This can be caused by anxiety or other medical conditions that affect his brain chemistry. If these symptoms last for more than a few weeks, see your doctor to rule out any serious underlying problems.
If you notice that your friend is having suicidal thoughts, contact him immediately. He may be suffering from depression or substance abuse and need professional help. Suicidal thoughts are a symptom of anxiety disorders like panic attack disorder and obsessive-compulsive disorder (OCD). If he has never experienced these symptoms before, then it’s possible that his current symptoms are the result of another condition such as depression or substance abuse.
If your friend does express suicidal ideation, get him help immediately! The sooner he gets treatment for his mental health problems, the better chance he will have at beating them down permanently
You might have noticed that your friend has increased alcohol or drug use, which is a common way to self-medicate. For example, he may have started drinking more often or mixing prescription drugs with alcohol in an effort to deal with his anxiety. This can make you feel guilty because you know it’s not healthy for him, but it’s also understandable why he would want to try something different from what’s working now.
However, if your friend continues down this path and becomes addicted (and we all know how hard that can be), then his symptoms of moderate anxiety will probably get worse—not better—as time goes on.
If you see someone exhibiting these signs of anxiety, you should consider reaching out for the help that’s available.
If you see a man who is displaying symptoms of moderate anxiety, you should consider reaching out for the help that’s available. The following symptoms may indicate that your friend or loved one needs professional treatment for his or her anxiety:
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