WEEK 6 SUMMARY Patient Information: L.K., 33, F, Hispanic, State Insurance Setting : Family Practice in a busy suburban region S CC: Nightmares, waking up at night and screaming, HPI: 33 y/o female presents to clinic with c/o scary nightmare and constant uncontrollable thoughts of a dangerous violence that she witnessed in the street 9 months ago. She is traumatized by the event. She states she does not like talking about it because 'it was horrible'.When she hears loud noise, she panics and hides under table. She does not want to go anywhere. Her husband is the one that does grocery. Current Medications: None Allergies: NKDA PMHx: Childhood/previous illnesses: None Chronic illnesses: None Surgeries: Appendectomy in 2001 …show more content…
Appropriate, in NAD. Affect appropriate. Coherent and cooperative. Maintains good eye contact. Husband sitting next to her. HEENT: Head normocephalic and atraumatic. PERRLA, EOMs intact. Noninjected. Fundoscopic exam unremarkable. Ear canal non erythemic, no drainage, TMs intact and clear, pearly grey. No otalgia. Neck supple. No thyromegaly. No lymphadenopathy noted. Skin: intact, no lesions. Normal skin turgor. CV: S1 and S2 RRR, no murmurs, no rubs Pulmn: Clear to auscultation bilaterally. Abdomen: Soft, nontender, nondistended, bowel sounds present in all 4 quadrants, no organomegaly. Extremities: No edema , + pedal pulse Neuro: Intact A Primary Diagnosis PSTD (ICD-10-CM – F43.10) – This is an anxiety disorder due to exposure to traumatic events. Symptoms of the disorder include persistent re-experiencing of the event, avoidance of traumatic trigger, hyper activity such as irritability and sleeplessness (Sareen, 2014). Rationale: L.K. is re-experiencing the dangerous street violence that has led to her being fearful and hides when she hears loud sounds. She is sleepless and experiences nightmares. She is experiencing constant flashbacks of the event. Secondary Diagnosis Anxiety disorder , unspecified (ICD-10-F41.9) – This condition is manifested by excessive worry and fear than lasts for more than six months. Some of the symptoms include irritability, sleeplessness, fatigue, muscle tension and shortness of breath (Bystritsky et al., 2013).
Anxiety disorders: everyone experiences anxiety differently, this can be when a person feels very nervous, worried, and conscious. They can also have visible signs such as unable to sit still, sweating, short of breath.
Post-Traumatic Stress Disorder or PTSD is a mental health condition that is generally classified as an anxiety disorder. It is often caused by a traumatic events or emotional trauma in one’s life that leads to terrifying flashbacks, nightmares and extreme anxiety. The main cause of this disorder is the conscious and subconscious fear-memories that have developed. In essence the ‘fight or flight” response that we all have is severely damaged, even when not in a stressful or dangerous situation those suffering from PTSD may feel stressed and in danger.
Posttraumatic stress disorder (PTSD) is a severe anxiety disorder that can develop after exposure to any event that results in psychological trauma. This event may involve the threat of death to oneself or to someone else, or to one's own or someone else's physical, sexual, or psychological integrity, overwhelming the individual's ability to cope. As an effect of psychological trauma, PTSD is less frequent and more enduring than the more commonly seen acute stress response. Diagnostic
Just following up on our discussion on Friday regarding Which agencies should be memo billed VS direct billed in FY 15-16. One of the action items from that meeting was you will confirm with DOB that all funds identified for FY 15-16 for ITS was already received. Please let me know the status, so I can schedule a follow up meeting to finalize this
| A. Excessive anxiety and worry (apprehensive expectation) about two (or more) domains of activities or events (for example, domains like family, health, finances, and school/work difficulties)B. The excessive anxiety and worry occur on more days than not for three months or more (APA, 2000) Examination of Classifications and SymptomsC. The anxiety and worry are associated with one or more of the following symptoms: 1. Restlessness or feeling keyed up or on edge2. Being easily fatigued3. Difficulty concentrating or
For the last eight or nine years we have been hearing about a disorder that is new. Post-traumatic stress disorder (PTSD) is a mental health condition that's triggered by a terrifying event — either experiencing it or witnessing it. Symptoms may include flashbacks, nightmares and severe anxiety, as well as uncontrollable thoughts about the event. Odysseus developed (PTSD) after coming back home, he developed (PTSD) by remembering and witnessing he’s comrades die.
Gentle active movement of the ankle, circulatory exercise of the foot and knee flexion/extension with straight leg raises (repeat 5-10 times for each exercise)
18.1% of American adults have some sort of anxiety disorder. That percentage may seem low, but when calculated person for person it adds up to approximately 42 million people. Anxiety symptoms include feeling powerless, nervous, or helpless, even over mundane tasks; having a sense of impending doom or increased heart rate; sweating and shaking; restricted breathing or hyperventilating; and trouble thinking about or concentrating on anything other than the present worry. Anxiety disorders can have specific focuses, like phobias, or just be about everyday trivial tasks, known as generalized anxiety.
I will discuss what Anxiety is, how to diagnose it, and also how to treat it. It is very common and I’m pretty sure most of you know basically what it is. But just in case I will go over the main important things to know about Anxiety. According to the National Institute of Mental Health, anxiety disorders involve more than temporary worry or fear. For a person with an anxiety disorder, the anxiety does not go away and can get worse over time. The feelings can interfere with daily activities such as job performance, school work, and relationships. There are several different types of anxiety disorders. Examples include generalized anxiety disorder, panic disorder, and social anxiety disorder. According to the American psychological association, Anxiety is an emotion characterized by feelings of tension, worried thoughts, and invisible changes like increased blood pressure. You can have OCD, phobias, panic attacks, and PTSD. OCD is basically anxiety that takes the form of obsessions and compulsions. I know many of you guys are scared of spiders or bees and that is
PTSD (Post Traumatic Stress Disorder) is a mental disorder that can stem from a traumatic experience. “The risk of exposure to trauma has been a part of the human condition since we evolved as a species.” Traumatic experiences are part of being human and will always be a part of our existence. PTSD can stem from anything as small as a fender bender in a parking lot to being in a war zone and seeing your friend get shot. We can see many soldiers from World War II and Vietnam that have this disorder. Any experience a human finds traumatic could eventually cause PTSD.
PTSD, or Post Traumatic Stress Disorder, is defined as an anxiety disorder that may develop after exposure to a traumatic event or occurrence in which severe physical harm occurred or was potential. Traumatic ordeals that may trigger PTSD include aggressive personal assaults, natural or unnatural disasters, accidents, or military combat, by Psychology Today.
There are three different types of symptoms that can help identify PSTD: re-experiencing the trauma, avoiding certain places and people that remind them of the trauma, and an increase of emotional arousal (Post Traumatic Stress Disorder, 2007). When reliving a traumatic experience, an individual can become upset when they think about or confronted with the event which will affect their everyday life. A traumatic reminder can range from a veteran combat hearing fireworks to a "rape victim seeing a news report of a recent sexual assault," causing a terrible flashback to the event (Post Traumatic Stress Disorder, 2007). Another symptom of PTSD is the intention to avoid any situation that can trigger flashbacks to the traumatic
Southwestern University: F The recent success of Southwestern University’s football program is causing SWU’s president, Joel Wisner, more problems than he faced during the team’s losing era in the early 1990s. For one thing, increasing game-day attendance is squeezing the town of Stephenville, Texas and the campus. Complaints are arising over parking, seating, concession prices, and even a shortage of programs at some games. Dr. Wisner, once again, turns to his stadium manager, Hank Maddux. This time, he needs a guaranteed revenue stream to help fuel the stadium expansion. One source of income could easily be the high-profit game programs. Selling for $6 each, programs are a tricky business. Under substantial pressure from
PTSD is an anxiety disorder that can develop after exposure to a terrifying event in which grave physical harm occurred or was threatened. Traumatic events that may trigger this anxiety include violent personal assaults, natural or human-caused disasters, accidents, or military combat.
Traumatic Stress Disorder (PTSD) was seen as a condition where people are shocked into fear of facing situations. Over the years, it was labeled as “Soldier’s Heart” in the post Civil war era and “Shell Shock” in the World War I. In a situation of ‘fight-or-flight’ an individual is triggered to escape from danger, however in PTSD this reaction is reversed in which case the individual feels a constant threat of danger even when there is no danger present.The person diagnosed with PTSD can be anyone from a child to an adult. Many causes of this disorder include traumatic events, knowing someone who is in danger, genetic factors, and more. Symptoms include