Assignment: The patient is a 38-year-old male with a 6-year history of anxiety, previously well-managed with medication, who has experienced heightened anxiety following the beginning of a new work.
Client Information: The patient is a 38-year-old male with a 6-year history of anxiety, previously well-managed with medication, who has experienced heightened anxiety following the beginning of a new work. The patient expresses intermittent anxiousness since adolescence Assignment: Generalized Anxiety Disorder
Visit Information: The patient expressed a marked escalation in worry during the last four months following the commencement of a new employment position. His anxiety symptoms encompass persistent concern, excessive worry, and challenges in concentration at his new employment. The patient has a history of anxiety during examinations in high school. Although he was previously stable on his current drug regimen, the stress of the new situation has intensified his anxiety.
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Practice Management: The patient is evaluated, and therapy started. Assignment: Generalized Anxiety Disorder The patient is presently prescribed Sertraline (Zoloft) at a dosage of 100 mg daily for anxiety, without therapy. The patient’s dosage of Sertraline (Zoloft) is increased to 125mg daily for the treatment of anxiety. Recommended cognitive-behavioral therapy (CBT) targeting trauma and occupational anxiety, together with provision of emergency contact numbers for mental health assistance. The patient is advised to participate in regular therapy sessions, with a follow-up visit arranged in four weeks to evaluate the effectiveness of the medication and therapy.
Diagnosis: Generalized Anxiety Disorder (GAD)
Treatment Plan/ Note: The patient is alert and oriented to person, place, time, and situation during assessment, although exhibit signs of anxiety and agitation. The patient denies experiencing suicidal ideation or auditory hallucinations. A follow-up session has been scheduled in two weeks to evaluate progress and implement any required modifications to the treatment plan. Encouraged the patient to engage in support groups. Advise initiating Cognitive Behavioral Therapy to address anxiety associated with the new employment. Promote consistent physical activity, mindfulness practices, and a nutritious diet to enhance overall mental well-being. Assignment: Generalized Anxiety Disorder
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