Kevin is a 24-year-old male who seeks treatment for anxiety
Kevin is a 24-year-old male who seeks treatment for anxiety. Nevertheless, despite his risky lifestyle, he does not smoke cigarettes, and he does not use illicit drugs. He does not have panic attacks; he is always just ?amped up.? However, nevertheless, Kevin reports being ?constantly wired? and irritable. He denies any substance abuse and does not smoke. The PMHNP must evaluate his most likely organic causes of his symptoms:
Kevin is an anxious 24 year old. In his mind, if he has a disorder, it’s because he has the same problems that his mother does; she takes medications for anxiety. Kevin says he is always just ?amped up.? He does not have isolated panic attacks; he is always just ?amped up.? He denies any substance abuse and does not smoke cigarettes. The nurse prepares them for Kevin’s visit by reviewing the signs and symptoms of anxiety disorders. Kevin’s presentation is consistent with generalized anxiety disorder (GAD). The PMHNP reminds Kevin that he may benefit from some therapy sessions focusing on self-help techniques to manage his symptoms as well as a prescription medication that could help facilitate sleep.
The symptoms that Kevin has are typical of anxiety. He has a lot in common with his mother and the medications she takes for anxiety. However, the fact that he does not smoke cigarettes nor abuse alcohol or other substances helps rule out that he may be experiencing withdrawal from drugs. Organic causes of his symptoms must be taken into consideration.
Kevin is a 24-year-old male patient who seeks treatment for anxiety disorder. Think of a situation where you need to explain why you need to take action for a patient with an organic issue (ex. seizures, diabetes, cancer diagnosis, etc.).
For this patient’s panic disorder, the PMHNP must consider her patient’s past medical history and medications, family history of psychiatric disorders, situational stressors, chemical exposures, and new or worsening pre-exisiting conditions.
Anxiety disorder is a mental health condition characterized by excessive worry and fear. Often, the irrational thoughts that lead to anxiety are related to demanding environments (school and/or jobs), social events, family expectations, or concerns about personal health. In most cases, anxiety is a perfectly normal reaction to stress in our lives. However, some people find their anxiety overwhelming and debilitating; this may be an anxiety disorder. At times, anxiety disorders can have physical symptoms similar to those of some other medical conditions; it is important to consider medical causes of anxiety when evaluating a patient.
What other conditions might be causing your symptoms?
Isolated panic attacks, constant anxiety and irritability, chronic fatigue
Kevin is a 24-year-old male who seeks treatment for anxiety. He thinks he has an anxiety disorder because he has a lot of the same symptoms that his mother does, and she takes medications for anxiety. He reports being ?constantly wired,? irritable, and not sleeping well. Kevin says he always has energy, but it’s not a good kind of energy. He does not have isolated panic attacks; he is always just ?amped up.? He denies any substance abuse, and he does not smoke cigarettes. When considering organic causes of his symptoms, the PMHNP must evaluate his: