discussion post
L.P., age 23, is a white woman who graduated from college last year. She began working as an accountant 1 month after graduating. Approximately 2 months ago, she moved into a two-bedroom apartment with another woman who works at the same accounting firm. She states that her roommate recommended that she see a doctor to find out if she has anemia or “some sort of fatigue syndrome.” She states that she has felt “restless” and “on edge” for most of the past 9 months. She becomes easily fatigued and irritable and has difficulty concentrating and falling asleep. She states that sometimes her mind “just goes blank,” and she is worried that her work performance is no longer excellent. She reports that all her life she had good grades in school and was very successful in everything she attempted. Although she has been “a worrier from the day I was born,” now she worries more than she ever has and feels nervous “all the time.” L.P. reports that she has a good relationship with her boyfriend, but they do not get to see each other very often because he is attending graduate school 100 miles away. She reports having a satisfying sexual relationship with him. She denies having any problems with relationships with her parents, roommate, or peers. She denies having any financial worries unless she is fired from her job for poor work performance. She reports that she has always been healthy and has taken good care of herself. The only medication she takes is birth control pills, which she has taken for the past 4 years without any adverse effects.
Diagnosis: Generalized Anxiety Disorder
Questions:
1. List specific treatment goals for L.P.
2. What drug therapy would you prescribe? Why?
3. What are the parameters for monitoring the success of the therapy?
4. Describe specific patient monitoring based on the prescribed therapy.
5. List one or two adverse reactions for the selected agent that would cause you to change therapy.
6. What would be the choice for second-line therapy?
7. What dietary and lifestyle changes should be recommended for this patient?
Answer preview
Based on the description given, L.P suffers from one of the major psychiatric disorders, Generalized Anxiety Disorder (GAD). The patient is diagnosed with this condition since she has anxiety for about six months, with symptoms such as fatigue, irritability, restlessness, and difficulty sleeping. The suitable treatment for L.P is pharmacotherapy (Bandelow, Michaelis, and Wedekind, 2017). Therefore, the specific treatment goals for generalized anxiety disorder include a complete remission of symptoms and eliminating any feeling of anxiety. This treatment does not aim to cure the illness; instead, it allows remission and manages symptoms.
(554words)