see attached Topic: Panic Disorder Case scenario: Debbie is a 28-year-old woman who presents to an outpatient psychiatry

see attached

Topic: Panic Disorder

Case scenario:

Debbie is a 28-year-old woman who presents to an outpatient psychiatry clinic with a 1-month history of panic attacks. She has a past history of major depressive disorder (MDD) and is taking a low-dose serotonin norepinephrine reuptake inhibitor (SNRI). During the panic attacks, she experiences severe anxiety with the following symptoms: lightheadedness, accelerated heart rate, chest pain, shortness of breath, and nausea. The symptoms last between 2 and 20 minutes. She cannot identify any triggers for the panic attacks.

Debbie has been worrying about when the next panic attack will occur, and the symptoms are affecting her ability to function. She was previously effectively treated with venlafaxine and until now had experienced infrequent panic attacks. The patient reports numerous stressors at home, including conflicts with her husband, having a 7-month-old son, and recently taking in a friend who is homeless. She was restarted on venlafaxine 75 mg daily 5 months ago for depressive symptoms that reemerged after giving birth to her son. The venlafaxine had been stopped during her pregnancy to reduce the risk of teratogenicity. Psychiatric review of systems is positive for depression and generalized anxiety. Debbie does not have any medical history or symptoms that would suggest a medical cause for her panic attacks. She denies any history of alcohol use or substance use, and the toxicology screen was negative for illicit substances.

· What history is essential to obtain from Debbie when you suspect a panic attack?

· What questions will you ask to exclude other possible diagnoses in a client with panic attack?

· What is the possible differential diagnosis?

· What are the classical signs and symptoms of panic attack?

· How will you differentiate panic attacks from specific phobia?

· What laboratory tests would you recommend for Debbie?

· As a PMHNP, what are your treatment recommendations for Debbie? What is the prognosis for panic disorder?

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Select a health problem that primarily affect the older adult population. Suggested Topics: Anemia of Chronic Disease, Rheumatoid Arthritis, Restless

Select a health problem that primarily affect the older adult population. Suggested Topics: Anemia of Chronic Disease, Rheumatoid Arthritis, Restless Legs Syndrome, or Hypertension. Provide information about the incidence, prevalence, and pathophysiology of the disease/disorder to the cellular level. Educate advanced practice nurses on assessment and care/treatment, including genetics/genomics—specific for

1) In reviewing her medication list and current symptoms and clinical signs, which medication could the nurse practitioner consider de-prescribing. 2)

1) In reviewing her medication list and current symptoms and clinical signs, which medication could the nurse practitioner consider de-prescribing. 2) Once the patient has completed the prednisone taper, which medication could the nurse  practitioner begin to reduce given the patient’s reported symptoms. 3) Given the absence of an exacerbation

See attachment for instructions Use the resources linked below to help complete this assessment. Collapse All Protecting Patient

See attachment for instructions Use the resources linked below to help complete this assessment. Collapse All Protecting Patient Privacy · Assessment 3: Protecting Patient Privacy  reading list. Healthcare Regulatory Agencies · Assessment 3: Healthcare Regulatory Agencies  reading list. · These resources will further your understanding of the major healthcare regulatory