Pharmacological Treatment Plan It would be important to compare the associate features supporting diagnosis of generalized anxiety disorder and alcohol in the American Psychiatric Association (APA) (2013). The medication that Suzy physician may want to suggest to treat Suzy, who physician believes she is experiencing generalized anxiety disorder, would be fluoxetine. Perry, Alexander, Liskow, and DeVane (2007) state it is useful for clients’ with alcohol issues. This will allow the counselor and Suzy to focus on anxiety and alcohol issue. The medication can be used as a short-term to help her overcome the issue of not being able to sit still in counseling. It is important, as Suzy counselor, to help her not get addicted to prescription
Constructing a treatment plan for a client involves various components. Prior to starting a treatment plan, the human service worker should carry out a client assessment. The assessment should determine the basis of the difficulty or issues and assess the background of the client. After the completion of the assessment, a human service worker can start constructing a treatment plan to fulfill the needs of the client. The treatment plan should include goals that relate to the difficulties and issues the client is experiencing. This paper will discuss the components of Mr. Larry McCune’s personalized treatment plan.
Intravenous drug use is a dangerous, yet increasing activity around the world. Persons who inject themselves with illicit drugs are at risk for several complications such as infection caused by contaminated needles. These infections can be serious and often lead to hospitalization as well as other health-related complications. A situation that often arises is determining the best type of treatment for IV drug users who are being discharged from the hospital. Physicians and pharmacists are commonly faced with choosing outpatient IV antibiotic therapy versus oral antibiotics when treating infections caused by IV drug use. This presents an ethical dilemma, particularly concerning the ethical principles of beneficence and
The intake assessment is where the case manager get to know the client and what problems does it have you can also it can also help as a guide to start the treatment plan which is very important this help the client look at the possibilities that their goals are being taken care of. As a case manager you will have to give that little extra push or extra confident that they have lost in the past time. As a case worker you have to maintain that resiliently mood with the client and that is where the treatment plan comes in. In this dissertation will be discussing the treatment plan for the follow up client which is Belinda. Also what strategies can a
CBT stresses on the patient learning to view the triggering, or stressful situations from a different, more manageable perspective, and to use learned methods of relief that attempt to change the thoughts and behaviors that involves training the patient to detect internal and external stimuli that trigger anxiety and to apply newly learned coping skills that target the psychic and somatic symptoms of the disorder. The drawbacks to psychological therapy such as CBT stems from not only its limited availability, since few providers are trained in providing this type of mental health treatment, especially in rural areas, as but also from patient participation in the treatment. Psychotherapy is a gradual process which may take weeks to derive benefit. As such, many patients become unmotivated due to lack of immediate relief of symptoms. Pharmacotherapy via medications such as antidepressants or benzodiazepines is much more effective at relieving immediate symptoms with medications that have few adverse effects and a lower potential for abuse, though is not normally adequate at long term management of GAD. Combining psychotherapy and and pharmacotherapy is the ideal for improvement of symptoms and management of patients with GAD.The benzodiazepine antianxiety drugs relieve anxiety but should only be prescribed for 4 to 6 weeks because of the potential for abuse
Maria describes instances of panic attacks to which she is prescribed Xanax. Although she describes some anxiety is social events, more information is needed to provide an accurate diagnosis of any anxiety disorder. Also, a further exploration of the use of Xanax, Valium, Redux and alcohol is combination is necessary. Because it is unknown as to when the anxiety attacks started, an argument for Substance/Medication-induced Anxiety Disorder is unfitting. Still, it is argued that if her panic attacks started after the increase use of alcohol or Valium, a diagnosis for Substance/Medication-induced Anxiety Disorder may be
This process works by using opiate receptor antagonists which are medications that block the ability of opiates to have any effect on the brain and block the opiate craving as well.
Case Study #1 1. The diagnosis for Kristen is “Generalized Anxiety Disorder.” 2. The sources of distress are her faulty cognitions which had led to the presence of symptom including constant worrying about unrealistic fears such as job loss, providing for her children and homelessness. Being restlessness, having difficulty concentrating, insomnia due to thoughts keeping her awake occurred daily for the past eight months.
Drug replacement therapy is a widely-discussed topic and there are many concerns about whether it is a positive or negative alternative/solution to drug addiction. First, you must understand what drug addiction is. Drug addiction begins as a voluntary act proceeding on as the addiction progresses into a manic world of chaos. Quite often uncontrollable leading on into criminal activities and possibly death if recovery isn’t sought. Drug addiction in this instance becomes a disease not only affecting the individual consuming these substances, but also trickling down to each member of the family unit.
01/14/16 Psychotherapy session note indicated that the patient has reported increased improvement in mood and stability in anxiety. She continues to feel anxious about not having a job. She has applied to additional jobs and hopes that one of them will work out for her. She is attempting to stay positive and is looking forward to spend time with her family. Reviewed coping skills for anxiety and worry about future. There is provided support and empathy. Reviewed self-care strategies to decrease depression. A psychiatrist, who continued her on an anti-depressant, saw her. Plan: continue to review coping skills for depression and stress management.
A combination of descriptive statistics and analysis of variance were used to assess the results, for those patients who were enrolled in clinic for at least 90 days. Factors to be considered include: 1. medication used; 2. number of years of alcohol use disorder prior to entering this clinic; 3. use of other substances; 4. presence of depression, PTSD or other mental illness. In the initial seven months of this clinic accepting patients 68 referrals were received, and of those 51 patients
As I have mentioned, inhaled nitric oxide, epoprostenol, iloprost, and sildenafil are the common treatment for pulmonary hypertension that I would encounter in the hospital where I am currently employed. Nitric oxide and iloprost are administered through inhalation, epoprostenol by continuous intravenous infusion, and sildenafil is taken orally. The main advantage of inhaled route for the treatment of PH is the direct delivery of drug to the target organ thus, reducing the systemic side effects (Hill, Preston, & Roberts, 2015). It also improves the gas exchange by dilating the vessels supplying the ventilated areas (Hill et al., 2015).
This is the case of a patient who was physically and verbally abuse to peer patients and staffs even after the administration of multiple pharmacological interventions. Even though it was a locked unit, it is difficult when patient tries to be offensive and aggressive towards peer patients. The patient was not only being a threat to other patients but also to the staffs. Various distraction techniques were attempted but the patient’s behavior continued to escalate. The same patient was put in seclusion room multiple times the same week.
There is an abundance of effective treatments for individuals with disabilities in Rehabilitation Counseling: Basics and beyond, by Parker and Patterson, there is an entire chapter dedicated to counseling theories. A few therapies mentioned throughout Chapter 5, Counseling Theories, entail: Rational Emotive Behavioral Therapy, Person Centered Counseling, and Cognitive Therapy.
Medications approved by the FDA for treatment of alcohol and opioid dependence, including acamprosate, disulfiram, naltrexone, methadone, and buprenorphine, have not been widely studied in the dually diagnosed population. Often, study participation criteria exclude individuals with co-occurring substance use disorders and mental illness, and it is only in recent years that research specifically focused on this population has become more common.
Chief complaint: DM feels anxious; she would like to stay away from Xanax and to decrease her anxiety.