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Pandemic effects and solution
Client is a 27 year old female who reports she has always been an anxious person from a young age but since the pandemic her anxiety has started to effect her social and work life- has had to call off a couple of days of work because of her symptoms. Client reports she has tried it all to help her anxiety- OTC supplements, meditationtalk therapy, exercising, eating right and is still unable to shake it. Client reports anxiety is about a 7/10 on a day to day basis and cannot identify any specific triggers for her anxiety and that she worries about everything and anything. Client reports increasingly troublesome anxiety for the last seven months and no identifiable triggers. Client reports sleep is okay but has some trouble falling asleep.Pandemic effects and solution Client reports no change to appetite. Client reports some lack of motivation to get out of bed in the morning because she knows how much the anxiety will ruin her day. Client denies any panic attacks. Client reports she has been married now for about two years and would like to start family planning but feels like she needs her anxiety in a better place.Pandemic effects and solution Client would like to trial a medication for her mental health but is concerned about weight gain and personality changes that she sees depicted on TV shows.
Assessment Scores
GAD- 7- Pt score 16
MDQ- negative
ISI- negative
PHQ-9- Pt score 6
Other Pertinent Information
NKDA
Current Daily meds- none
No SI, HI or safety concerns
Question 1– Pandemic effects and solution What medication would you recommend the client to trial and why? How you would conceptualize the case to a colleague? Please type your response below *
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Question 2-Two weeks after starting the medication you prescribed, the client above reaches out to report that they are feeling worse and not getting any better. The client reports they are not having any side effects from the medication. What would you recommend as next best steps?*
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