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.
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
Alleged disability: post-traumatic stress disorder (PTSD), traumatic brain injury, lower and upper back pain, and neck pain.
According to the Anxiety and Depression Association of America, roughly 40 million American adults suffer from one form of anxiety disorder or another, with only about one-third of those sufferers getting treatment despite the fact that many of disorders can be treated with pharmaceutical drugs. For example, selective serotonin reuptake inhibitors (SSRIs) like Prozac and Zoloft are two of the most common forms of drugs used to treat anxiety-related disorders, along with tranquilizers such as such as Valium and Xanax. Not always effective, these drugs can have adverse effects and tranquilizers can be extremely addictive. These factors have created a void for alternative forms of treatment, and this is where cannabis comes into play. The non-psychoactive
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
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
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).
The rationale for the diagnosis is that client Brittany cannot control her anxieties and has been feeling them more intensely and for longer duration's, she also reports feelings “keyed up” and tightness in her chest. Another diagnostic observation is that she reports having trouble concentrating and that affects her job performance during the day. The final diagnosis for Brittany is that her worries are irrational at times and she states that she just cannot stop it from happening, and once it is there, it is “hard to shake”. From all the details, Brittany with has the Generalized anxiety disorder and is part of the rational. Some of the components of Generalized anxiety disorder deals with an individual that has muscle tension, difficulty
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)
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
___[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.
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.
It has been established that Karen’s problems are not physiological. The case shows that she is overly obsessed with the desire from anything that could jeopardize her health. For example, she constantly sanitizes her hands and also uses glasses to shield the eyes from the fluorescent rays. Most of the things that may be affecting Karen could be beyond her control, but she doesn’t admit this. She also hates hospitals as she believes they are hotbeds of illnesses.
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
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