4. What medication would you suggest including dosing, medication education and counseling would you provide? (25pts)
My prescription for Mr. RS would be Alprazolam 0.5 mg three times daily along with Zoloft 25mg daily. Titration on Zoloft to be increased to 50mg by the end of the first week and further increased to 100mg after another week. Starting at week 4, Alprazolam could be gradually tapered off and discontinued over the next 2 weeks. Meanwhile, referral is made by clinicians for the patient to meet with a psychiatric nurse practitioner (NP), and/or the psychiatrist for treatments and CBT therapy. It is critical to follow up patient’s progress on counseling and CBT therapy in order to adjust the treatment plan. (McCarron, R. M., Xiong, G. L., & Bourgeois, J. A., 2009).
While taking BZPs, patients should avoid driving and drinking, and consult with the provider if they want to use BZPs in combination with …show more content…
The precautions that should be implemented for seeing patients with anxiety disorders in primary care settings are as follows. The precaution interventions for patients with anxiety disorders starts from the beginning to the end of the visit. First, perform a comprehensive diagnostic interview, screening and assessment. Second, establish a sound working relationship with the patient by using motivational interviewing techniques to assist patients reflect their mental issues. Third, provide education (CBT, psychotherapy, etc.) and simple skills (relaxation technique and diaphragmatic breathing skill) to patients for reducing the level of anxiety. Fourth, intervene with medication approach by carefully selecting medication and adjusting the dosage for patients who are experiencing anxiety disorders. (Roy-Byrne, P et al.,
My prescription for Mr. RS would be Alprazolam 0.5 mg three times daily along with Zoloft 25mg daily. Titration on Zoloft to be increased to 50mg by the end of the first week and further increased to 100mg after another week. Starting at week 4, Alprazolam could be gradually tapered off and discontinued over the next 2 weeks. Meanwhile, referral is made by clinicians for the patient to meet with a psychiatric nurse practitioner (NP), and/or the psychiatrist for treatments and CBT therapy. It is critical to follow up patient’s progress on counseling and CBT therapy in order to adjust the treatment plan. (McCarron, R. M., Xiong, G. L., & Bourgeois, J. A., 2009).
While taking BZPs, patients should avoid driving and drinking, and consult with the provider if they want to use BZPs in combination with …show more content…
The precautions that should be implemented for seeing patients with anxiety disorders in primary care settings are as follows. The precaution interventions for patients with anxiety disorders starts from the beginning to the end of the visit. First, perform a comprehensive diagnostic interview, screening and assessment. Second, establish a sound working relationship with the patient by using motivational interviewing techniques to assist patients reflect their mental issues. Third, provide education (CBT, psychotherapy, etc.) and simple skills (relaxation technique and diaphragmatic breathing skill) to patients for reducing the level of anxiety. Fourth, intervene with medication approach by carefully selecting medication and adjusting the dosage for patients who are experiencing anxiety disorders. (Roy-Byrne, P et al.,