Posted: April 24th, 2022

Anxiety and depression

Common mental health problems such as depression, generalized anxiety disorder, panic disorder, obsessive-compulsive disorder (OCD), post-traumatic stress disorder, and social phobia may affect up to 15% of the population at any one time. The severity of symptoms experienced will vary considerably, but all of these conditions can be associated with significant long-term disability. Good communication skills including active listening are key components for building a trusting relationship with patients, for example through demonstrating empathy, by making eye contact and explaining and talking through diagnoses, symptom profiles, and possible treatment options. The evidence base shows that adopting a collaborative approach with patients can help facilitate a greater engagement from them in any resulting treatments.

Jerome is a 35-year-old welder who lives with his partner and two children aged 3 and 5 years. Jerome has come to see you at your primary care clinic as he is feeling tired all the time. Medical history Jerome has a history of anxiety and depression. He joined your clinic as a patient 5 years ago, at which time he was taking sertraline for moderately severe depression and associated panic attacks. This was prescribed by his previous provider. The sertraline was effective and Jerome stopped taking the medication after 6 months of treatment. He has not returned to the clinic since that time. Jerome is otherwise physically fit and well and is not prescribed any medication. On examination, Jerome describes a lack of drive and energy for the past six weeks. He feels stressed at having to face his job, but is still going to work. Jerome admits trying to cope with disrupted sleep patterns by drinking more alcohol than usual. He is now drinking 3 bottles of beer every night instead of only twice per week as he used to. His physical examination is normal but he appears to be sad and apathetic.

What will be your approach to addressing Jerome’s anxiety and depression?
What assessment and screening tools will you use to support your diagnosis?
What might be the physiological causes of Jerome’s anxiety and depression?
Does Jerome fit into a DSM-5 category/classification?
What is your plan of care for Jerome?
Please support with up-to-date evidence-based standard of care guidelines. 3 references with in-text citations. Must be within 5 years.
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Depression, generalized anxiety disorder, panic disorder, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), and social phobia are all common mental health problems that can affect up to 15% of the population at any given time. The severity of the symptoms experienced will vary greatly, but all of these conditions have the potential to cause significant long-term disability. Good communication skills, including active listening, are essential for developing a trusting relationship with patients. For example, demonstrating empathy, making eye contact, and explaining and talking through diagnoses, symptom profiles, and possible treatment options are all important components of developing a trusting relationship with patients. According to the evidence, taking a collaborative approach with patients can help to facilitate a greater level of engagement on their part in any resulting treatments or procedures.

Jerome is a 35-year-old welder who lives with his partner and their two children, who are three and five years old, respectively. Jerome has come to see you at your primary care clinic because he is constantly fatigued and has been for some time. Medico-legal background Jerome has struggled with anxiety and depression in the past. He first came to your clinic as a patient five years ago, when he was prescribed sertraline for moderately severe depression and panic attacks that accompanied it. This medication was prescribed by his previous healthcare provider. Jerome found the sertraline to be effective, and after six months of treatment, he stopped taking the medication. Since then, he has not returned to the clinic for any reason. Jerome is otherwise physically fit and healthy, and he does not require any medication. Jerome claims that he has been lacking motivation and energy for the past six weeks, according to the examination. He is stressed out about having to face his job, but he is determined to go to work. Jerome acknowledges that he has been attempting to cope with his disrupted sleep patterns by consuming more alcohol than usual. He is now consuming three bottles of beer every night, rather than only twice a week as he was previously doing. Despite the fact that his physical examination is normal, he appears to be depressed and apathetic.

When it comes to dealing with Jerome’s anxiety and depression, how will you go about it?
What assessment and screening tools will you employ to help you arrive at your conclusion?
Was it possible that Jerome’s anxiety and depression were caused by physiological factors?
Is Jerome a candidate for any of the DSM-5 categories or classifications?
What is your treatment strategy for Jerome?
Please provide up-to-date evidence-based standard of care guidelines to demonstrate your support. a total of three references with in-text citations The event must take place within 5 years.

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