Posted: September 8th, 2022

Assessing and Treating Anxiety Disorders

Assessing and Treating Anxiety Disorders
Introduction
Anxiety dysfunction is a typical situation that causes shortness of breath, and anxiousness assaults. Shoppers ought to search speedy therapy to keep away from hostile results of the signs. Within the present case research, the affected person requires Zoloft, since it’s a Meals and Drug Authority (FDA) authorized medicine (Mula, 2018). The collection of choices relies on affected person outcomes and anticipated outcomes. It’s not essential to introduce different medicine since evidence-based apply reveals Zoloft can deal with anxiousness issues alone. Psychiatrists ought to educate sufferers on anxiousness issues, the unwanted side effects of their drug, and the necessity to take the medicine persistently (Stahl, 2013). They need to additionally think about numerous moral points that information the therapy of tension issues. Sufferers of tension issues ought to take drugs corresponding to Zoloft to suppress signs and keep away from hostile results.
Choice #1
The perfect medicine originally of treating anxiousness issues is Zoloft. The primary determination will contain prescribing Zoloft 50mg orally each day. The affected person ought to take the drug for 4 weeks. The drug is authorized to be used amongst adults and youngsters to deal with generalized anxiousness issues (Mula, 2018). It is without doubt one of the standard medicine amongst clinicians because it has excessive therapeutic power and fewer unwanted side effects. The one recognized aspect impact of Zoloft is weight acquire, which subsides when a consumer stops taking the medicine (Mula, 2018). Clinicians additionally desire the drug because it has no addictive capabilities in comparison with different medicine used to deal with anxiousness issues.
Zoloft is an efficient drug since it really works on the mind by eliminating an imbalance of chemical compounds that set off temper modifications or melancholy. Sufferers with anxiousness issues expertise anxiousness assaults, chest tightness, and negativity about their life (Stahl, 2013). Through the administration of the drug, it’s important to warning the affected person in opposition to taking different medicine and substances. For instance, the consumer ought to cease taking any alcohol or different unlawful or over-the-counter medicine since they’ll intrude with the mind chemical compounds and hinder restoration.
The aim of choosing the drug amongst different out there choices is to appreciate particular affected person outcomes. One of many expectations was to get rid of anxiousness assaults, relieve chest tightness, and concern in regards to the future. Sufferers of generalized anxiousness dysfunction endure from numerous signs corresponding to anxiousness assaults or shortness of breath, emotions of impending doom, and chest tightness (Olthuis et al., 2016). The affected person additionally involves the clinic complaining of worrying about his job or a detrimental incidence that’s about to unfold in his life.
The expectation is that the affected person will report again to the clinic with minimal anxiousness assaults, shortness of breath, and positivity about his job safety. The affected person ought to return to the clinic after 4 weeks to permit adequate time for the drug to have a noticeable impact on the affected person.
The affected person reviews again to the clinic after 4 weeks with solely minor enhancements. In response to the HAM-A score scale, the affected person has 19 scores. This can be a minimal enchancment in comparison with the preliminary rating of 26 when the affected person first reported to the clinic. In response to the affected person, panic assaults are nonetheless evident together with shortness of breath regardless of taking the medicine persistently. One of many causes for the variations between expectations and outcomes is the low dosage of the drug (Olthuis et al., 2016). The affected person additionally reviews he isn’t taking alcohol. Due to this fact, within the second determination, there’s a want to extend the dosage. One more reason is the quick time the affected person has been taking the medicine. Analysis reveals that sufferers with generalized anxiousness dysfunction can take even 12 weeks to expertise a full restoration. Due to this fact, the administration of the drug for an additional 4 weeks can be important to the therapy.
Choice #2
The second determination relies on the end result of determination #1. In response to the end result, the affected person is responding positively to the drug with none unwanted side effects. It’s thus important to proceed with the drug with out altering it. Proof-based apply reveals that throughout the therapy of psychological issues, clinicians mustn’t consistently change the medicine (Love & Love, 2019). The reason being that medicine might take a number of weeks earlier than vital enchancment is realized.
The choice is thus to proceed with Zoloft however to extend the dosage to 75mg orally each day. One of many causes for growing the dose is to boost the therapeutic capacity of the drug. It is usually recommendable to begin with a low dosage within the therapy of psychological situations (Love & Love, 2019). Excessive doses may cause unwanted side effects which may undermine restoration. For instance, Zoloft causes suicidal ideas if taken in massive quantities. Clinicians thus take precautions to begin with a low dose and make observations for the necessity to improve the dosage. Pediatricians treating such situations with Zoloft needs to be additional cautious since their physique techniques reply otherwise.
The expectations whereas administering the drug is to cut back the HAM-A rating significantly. A discount within the HAM-A rating is an indication that the affected person is bettering. One other expectation was to cut back the severity and frequency of signs corresponding to anxiousness assaults, chest tightness, and emotions of impending doom. For instance, I count on that the consumer will come again to the clinic with an optimistic perspective on his job. Persistent signs of generalized anxiousness dysfunction might undermine the standard of lifetime of a person (Vicario et al., 2019). Due to this fact, efficient therapy is critical to advertise restoration. In response to analysis, medicine prescribed for anxiousness issues might take a number of weeks, and thus I’m looking forward to a optimistic report.
The consumer reviews again to the clinic after 4 weeks. The consumer has made vital progress within the discount of the severity of the signs. For instance, the affected person states that the panic assaults aren’t any extra and he’s optimistic about his job safety. He additionally explains that the chest rightness and anxiousness assaults have improved considerably. In response to the HAM-A rating, the affected person has 10 factors, which point out over 60 p.c enchancment within the signs. Due to this fact, if the affected person continues to take the medicine, there’s a risk that within the subsequent 4 weeks the affected person may have achieved full restoration.
Choice #three
The third determination has a number of choices. The primary choice is to proceed with the medicine, improve the dosage or change the medicine. The most effective choices is to proceed with Zoloft 75mg orally each day since it’s already attaining appreciable enhancements (Vicario et al., 2019). Zoloft is without doubt one of the antidepressant medicine that can be utilized alone within the therapy of generalized anxiousness dysfunction. Clinicians can suggest a change of the drug or introduction of a brand new one in case the situation isn’t bettering (Umylny et al., 2017). The affected person is thus required to take the medicine for an additional 4 weeks and report again to the clinic on the 12th week. Moreover, it’s not advisable to introduce a brand new drug at such a stage of therapy. The reason being that the brand new drug might intrude with the present drug, set off unwanted side effects or lengthen the therapy (Umylny et al., 2017). Polypharmacy is thus not an choice at this stage. The choice may even contain educating the affected person in regards to the weight acquire weight however encourage them to take the medicine persistently.
The expectation of continuous with the medicine is that the affected person will expertise a whole restoration. After the 4 weeks, I count on that the consumer will file 100 p.c within the HAM-A rating score scale. One other expectation is that the affected person will stay optimistic about his job safety. He must also not expertise chest tightness. I additionally count on that the affected person mustn’t expertise anxiousness assaults (Umylny et al., 2017). The expectations are hinged on the aim of administering Zoloft. The drug is authorized by FDA for the profitable therapy of generalized anxiousness dysfunction.
The final clinic is on the 12th week because the preliminary go to to the well being facility. In response to the affected person, he’s nonetheless optimistic about his job safety. He signifies that he reviews to the office with pleasure and satisfaction with out worries in comparison with one month in the past. The HAM-A rating additionally signifies the affected person has a 100 p.c enchancment. The consumer additionally signifies there aren’t any extra anxiousness assaults or shortness of breath.
The end result is much like the expectations which present that Zoloft is an efficient antidepressant. Zoloft is authorized by the FDA for the therapy of various anxiousness issues attributable to its capacity to steadiness the mind chemical compounds (Gilbert et al., 2017). Due to this fact, the affected person ought to stop taking the drug after full restoration.
Moral Concerns Impacting Remedy and Communication
Remedy of tension issues requires psychiatrists to tell their sufferers about medicine. A affected person must know the drug they’re taking and any unwanted side effects. For instance, within the present case research, Zoloft will set off weight acquire (Gilbert et al., 2017). The clinicians ought to comprehensively clarify to the affected person that the aspect impact is regular. Nonetheless, within the case that weight acquire triggered hostile results, the psychiatrist would want to alter the medicine.
Clinicians must also clarify to the affected person that a excessive dosage of the drug may cause suicidal ideas. The dosage is aligned to the age of the affected person attributable to pharmacodynamics and pharmacokinetics elements. Due to this fact, the affected person ought to take the medicine solely as prescribed with out growing frequency or dosage (Vicario et al., 2019). Psychiatrists must also monitor sufferers throughout the clinics to make sure the drug isn’t inflicting hostile detrimental results (Stahl, 2013). The psychiatrists should take the mandatory precautions to keep away from authorized points. Educating the affected person can be important to make sure correct adherence to the prescription.
Conclusion
Remedy and administration of generalized anxiousness issues require a collection of correct and evidence-based choices. Clinicians ought to make choices that may relieve shortness of breath, anxiousness assaults, and enhance optimistic ideas. The most effective choices is to prescribe Zoloft 50mg orally each day. The drug is authorized by the FDA for the therapy of generalized anxiousness issues. Psychiatrists ought to improve the drug progressively relying on the affected person outcomes. It is usually important to keep away from polypharmacy since it could set off detrimental results that may undermine restoration. Remedy of tension issues additionally requires moral issues. The issues are vital to attenuate unwanted side effects and promote regular and fast restoration. The present case research of a affected person with anxiousness dysfunction requires a prescription of Zoloft which is correct and dependable.

References
Gilbert, A. L., Balio, C., & Bauer, N. S. (2017). Making the authorized and moral case for common screening for postpartum temper and anxiousness issues in pediatric main care. Present Issues in Pediatric and Adolescent Well being Care, 47(10), 267-277. https://doi.org/10.1016/j.cppeds.2017.08.001
Love, A. S., & Love, R. (2019). Anxiety Disorders in Major Care Settings. Nursing Clinics, 54(four), 473-493. DOI: https://doi.org/10.1016/j.cnur.2019.07.002
Mula, M. (2018). Pharmacological therapy of tension issues in adults with epilepsy. Skilled Opinion on Pharmacotherapy, 19(17), 1867-1874. https://doi.org/10.1080/14656566.2018.1527905
Olthuis, J. V., Watt, M. C., Bailey, Ok., Hayden, J. A., & Stewart, S. H. (2016). Therapist‐supported Web cognitive behavioral remedy for anxiousness issues in adults. Cochrane Database of Systematic Opinions, (three). https://doi.org/10.1002/14651858.CD011565.pub2
Stahl, S. M. (2013). Stahl’s important psychopharmacology: Neuroscientific foundation and sensible functions (4th ed.). New York, NY: Cambridge College Press.
Umylny, P., German, M., & Lantiere, A. (2017). Treating postpartum temper and anxiousness issues in main care pediatrics. Present Issues in Pediatric and Adolescent Well being Care, 47(10), 254-266. https://doi.org/10.1016/j.cppeds.2017.08.003
Vicario, C. M., Salehinejad, M. A., Felmingham, Ok., Martino, G., & Nitsche, M. A. (2019). A scientific overview of the therapeutic effectiveness of non-invasive mind stimulation for the therapy of tension issues. Neuroscience & Biobehavioral Opinions, 96, 219-231. https://doi.org/10.1016/j.neubiorev.2018.12.zero12

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