Client Name: Jim
Diagnosis/Relational/Developmental:
• F41.9 Unspecified Anxiety Disorder
Objectives of Treatment:
• Locate cause(s) of panic attacks
• Restore psychosocial functioning
• Recognize triggers; Recognition of early warning symptoms and early intervention
• Reduce impact of psychosocial factors related to episode
Assessments as Needed:
• Clinical examination to identify the presence of other illnesses with symptoms that overlap with those of other Mood and Anxiety Disorders.
• Comprehensive client and family history
• Drug & Alcohol screen
• Patient Health Questionnaire (PHQ-9) – to screen for depression
• Mental status examination (MSE)
• Mood Disorder Questionnaire (MDQ)
• Pharmacotherapy assessment
Clinicians Characteristics Viewed as Therapeutic:
• Non-judgmental
• Genuineness
• Unconditional support
• Empathy
• Shared agreement on goals in therapy
Location of Treatment:
• Outpatient
• Tele-med (e.g., Skype) as alternative
Interventions to Be Used:
• Psycho-education about anxiety and its treatment
• Relaxation techniques
• Cognitive-behavioral therapy for panic disorders
• Psychotherapy if identity or intimacy issues exist or if …show more content…
Currently there is insufficient data to diagnose the following anxiety disorders as well as applying the provisional specifier: Specific Phobia; Social Anxiety Disorder (Social Phobia); Panic Disorder; Agoraphobia; Substance/Medication-Induced Anxiety Disorder; and Anxiety Disorder Due to another Medical Condition. Aside from the information yet provided by the assessments, information such as the type of attacks (cued, uncued, or situationally predisposed), their occurrence frequency (in how many situations do they happen?), and if they occur at night will be helpful in not only making an accurate diagnosis, but also provide a clearer picture for