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Walden University Generalized Anxiety Disorder Middle Aged Male Case Study

Walden University

Question Description

I’m working on a Nursing exercise and need support.

Decision Point One

Begin Zoloft 50 mg orally daily

RESULTS OF DECISION POINT ONE

  • Client returns to clinic in four weeks
  • Client informs you that he has no tightness in chest, or shortness of breath
  • Client states that he noticed decreased worries about work over the past 4 or 5 days
  • HAM-A score has decreased to 18 (partial response)

Decision Point Two

Increase dose to 75 mg orally daily

RESULTS OF DECISION POINT TWO

  • Client returns to clinic in four weeks
  • Client reports an even further reduction in his symptoms
  • HAM-A score has now decreased to 10. At this point- continue current dose (61% reduction in symptoms)

Decision Point Three


Maintain current dose

Guidance to Student
At this point, it may be appropriate to continue client at the current dose. It is clear that the client is having a good response (as evidenced by greater than a 50% reduction in symptoms) and the client is currently not experiencing any side effects, the current dose can be maintained for 12 weeks to evaluate full effect of drug. Increasing drug at this point may yield a further decrease in symptoms, but may also increase the risk of side effects. This is a decision that the PMHNP should discuss with the client. Nothing in the client’s case tells us that we should consider adding an augmentation agent at this point as the client is demonstrating response to the drug. Avoid polypharmacy unless symptoms cannot be managed by a single drug.

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Final Answer

Attached.

Running Head: ANXIETY DISORDER

1

MANAGEMENT OF ANXIETY DISORDER
Student's Name
Institutional Affiliation

ANXIETY DISORDER

2

Treatment of Generalized Anxiety Disorder
This paper summarizes the treatment interventions for a middle-aged white male with a
generalized anxiety disorder. Upon examining the patient, a course of treatment was developed
whereby the patient would receive Sertraline administration, given orally, for the next 12
months. The patient would visit the facility at intervals of four weeks to assess the course of the
condition and adjust the treatment accordingly. Generally, the treatment procedure involved
three decisional steps within the confines of clinical ethics.
Decision # One
The case in question is an anxiety disorder, and according to Stahl & Grady (2010),
Sertraline (Zoloft), 50 mg tablets are the most appropriate drugs to manage the condition.
Sertraline tablets are indicated for the treatment of symptoms of anxiety and symptoms of
depressive illness and administered orally. This was mainly the reason behind the first decision
in the management of the case at hand. Patient was presenting with symptoms of anxiety, which
include frequent worries, restlessness, and sometimes, shortness of the breath can improve those
questions following the administration of Sertraline. It is for this reason that the patient in
question demonstrated such an improvement after the first four weeks of treatment. According to
Kaysen, et al. (2019), the Sertraline therapy is highly effective in preventing the relapse of the
initial episode of anxiety disorder, and the recurrence of further incidents of the anxiety
disord...

TheHess (7639)
UIUC

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