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

pls read insturctions attached  Genogram Family Analysis This scholarly paper is an interpretive analysis of the comprehensive genogram

pls read insturctions attached  Genogram Family Analysis This scholarly paper is an interpretive analysis of the comprehensive genogram illustration which highlights trends in family relationships, marital status, family issues, family patterns of mental illness, and substance abuse. Develop a scholarly paper that addresses the following criteria: 1. Complete a 5

Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions. General

Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions. General Instructions Complete the Addressing Ethical Dilemmas Assignment by following the steps below. Download the Week 6 Addressing Ethical Dilemmas PowerPoint template Download Download the Week 6 Addressing Ethical Dilemmas PowerPoint template.

2 Emerging Technologies Your Name (without credentials) Chamberlain University College of Nursing NR583NP: Informatics

2 Emerging Technologies Your Name (without credentials) Chamberlain University College of Nursing NR583NP: Informatics for Advanced Nursing Practice Emerging Technologies Assignment Name of Instructor Assignment Due Date Delete all yellow highlighted words throughout this template. Article Summary Provide a clear summary of the article. Identify and define the emerging technology

I Need your expertise  Title Outlining for the “Cultural Assessment” Assignment · Go to 

I Need your expertise  Title Outlining for the “Cultural Assessment” Assignment · Go to  Module 4 Assignment: Cultural Assessment for detailed instructions. · Create an outline for your comprehensive assessment of how your selected cultural group’s beliefs and practices might impact healthcare decision-making, treatment adherence, your communication, your interventions, and your education

see attachment  Table 1 Definition Presentation/ Sign and Symptoms Management Mastalgia Pain or discomfort in one or both breasts classified

see attachment  Table 1 Definition Presentation/ Sign and Symptoms Management Mastalgia Pain or discomfort in one or both breasts classified as cyclic (associated with menstrual cycle) or non-cyclic (unrelated to the menstrual cycle) (UpToDate, 2025). Dependent on the cause: cysts, stretching of cooper’s ligament, mastitis, inflammatory breast cancer, or ductal