The reason why the client is coming for treatment
Paula is coming for treatment because of the problem that she has. She is afraid of leaving her home because of the episodes she usually experiences. These episodes include sweating profusely and showing the symptoms of terror and fear. She has come for treatment so that she may recover from this disorder and have the strength and courage to go out of her house comfortably. She has also come for treatment so that the episodes she tends to have to go away. She indeed wants to have a normal life like other people.
The current symptoms of the client
Paula tends to have some symptoms which show the disorder that she is suffering from. One symptom is sweating profusely because of being afraid. She also experiences shortness of smothering or breathing mainly because of her heart pounding which causes lack of breath and hence causing difficulty in breathing (Contractor, Elhai, Fine, Tamburrino, Cohen, Shirley and Calabrese, 2015). Another symptom that Paula has is shaking or trembling. This symptom has been caused because she is having fear and terror. Another symptom is the sensation of choking which is mostly caused by her difficulty in breathing.
Whether Paula has a history with her current problem
When looking at the current status of Paula, it can be clearly seen that she indeed has a history with this problem. Recently, Paula fears to go out of her house because of the anxiety she gets. Her current problem can be seen to have started when she would have instances of her heart pounding and sweating profusely. At first, it seemed a little normal but now the small instances of heart pounding and sweating profusely is what is causing her to be afraid of getting out of her house. Thus, she indeed had a history with her current problem.
How the problem could affect her daily functions
Paula’s current problem could indeed affect her daily functions. For starters, she cannot get out of the house which shows that some of her functions have been affected. for instance, she cannot go out to the shop or mall to purchase things which is usually one of her daily functions. Secondly, she can also not go out and exercise which was usually one of her main daily functions. Hence, this shows that any functions that Paula used to do out of her house cannot be done because of her fear of getting out of the house.
Paula’s special diagnosis
Looking at the current problem that Paula faces, the special diagnosis would be to examine the symptoms that Paula has, ask for her medical history and also identify if the symptoms are deterring her from conducting her normal activities. Since the symptoms that she has tended to be persistent, then it is important to ask for her medical history to determine if it is a problem she has developed recently or is something she has had for a long time. Also, another social diagnosis is determining if the symptoms are keeping her away from carrying out her normal activities. It can be seen that indeed the symptoms are affecting some of the daily activities that she usually undertakes.
A general class of disorder that Paula is suffering from
After analyzing Paula’s case, one can clearly see that she is suffering from a mental disorder. The general class of the disorder that she is suffering from is termed as an anxiety disorder (Lader, 2015). This is because anxiety disorder usually causes the patient to have distress which keeps them from carrying out their normal activities, which has been clearly witnessed in Paula’s case. Therefore, because of the symptoms that Paula has, she can be seen to be suffering from anxiety disorder.
Recommendations of the treatment plan for Paula
Since Paula has been determined to be suffering from anxiety disorder, the two treatments that may help her are psychotherapy and medications (Cuijpers, Sijbrandij, Koole, Huibers, Berking and Andersson, 2014). Paula may be taken to a therapist who will help her reduce the anxiety symptoms that she possesses. Through using cognitive behavioral therapy, the therapist will help Paula to be able to manage her worries and slowly get back to performing her normal functions. The other treatment will be medication. Paula will be asked to take medicines such as fluoxetine and escitalopram which will help lower her anxiety. With these two treatment plans, Paula will be able to fully recover.
How to get Paula’s family involved
There are several ways which will help ensure that Paula’s family gets involved with Paula’s treatment. One way is through educating her family members about anxiety disorder. This is important and will, therefore, enable her family members to understand her behavior and how to help her recover from her anxiety. Another way to get her family involved is through informing them about her treatment. This will ensure the family takes her to a therapist and also identify when she needs to take her medication. These two ways will indeed ensure her family gets involved with her treatment.
Contractor, A. A., Elhai, J. D., Fine, T. H., Tamburrino, M. B., Cohen, G., Shirley, E., ... & Calabrese, J. R. (2015). Latent profile analyses of posttraumatic stress disorder, depression and generalized anxiety disorder symptoms in trauma-exposed soldiers. Journal of psychiatric research, 68, 19-26.
Cuijpers, P., Sijbrandij, M., Koole, S., Huibers, M., Berking, M., & Andersson, G. (2014). Psychological treatment of generalized anxiety disorder: a meta-analysis. Clinical psychology review, 34(2), 130-140.
Lader, M. (2015). Generalized anxiety disorder. In Encyclopedia of Psychopharmacology (pp. 699-702). Springer Berlin Heidelberg.