feeling anxious
I NEED A RESPONSE FOR THIS ASSIGNMENT
3 REFERENCES
ZERO PLAGIARISM
Case 3: Volume 2, Case 21: Hindsight is always 20/20, or attention deficit hyperactivity disorder
This case study presents a 31-year-old male who presents with a chief complaint of “anxiety of different types.” He has had a history of feeling anxious throughout college and reports having symptoms of feeling tense, restless, irritable, and worried, which has made him argumentative and temperamental. He is employed, married, denies substance use, and denies having any medical history. He has had psychotherapy in the past, which reveals that he encountered issues with his abusive, alcoholic father. In the past, he has taken hydroxyzine for his allergic skin reaction and noticed anxiety with that medication and has taken paroxetine augmented with tiagabine, in which he has had a reasonable response. Three different providers prescribe all three medications that he is on. This client has a chronic generalized anxiety disorder and reported to be adherent to his medication and reports minor sexual side effects and fatigue from the medications.
Three Questions to Ask
It was reported that the client likes to stay busy all of the time and that he has no time for all of the things. I would ask this client if he has any hyperactivity or impulsivity symptoms, such as fidgeting, often on the go, talks excessively, difficulty waiting his turn, or interrupting or intruding on others. These symptoms are aligned in the criteria within the Diagnostic and statistical manual of mental disorders 5th edition (DSM-5) that is characterized by the hyperactivity portion of attention deficit hyperactivity disorder (ADHD) diagnosis (American Psychiatric Association, 2013). I would also ask about the inattention symptoms of ADHD, such as failing to give close attention to detail, not listening when spoken to, difficulty organizing tasks, forgetful in daily activities, or easily distracted by extraneous stimuli (American Psychiatric Association, 2013). I would ask about his history with his father and inquire about the type of abuse he had with him and then assess if the patient has experienced any dreams, flashbacks, avoidance of certain places or people, and having any reactivity associated with the traumatic event, such as irritable behavior, hypervigilance, startled response, or sleep disturbances; in which these symptoms align with the criteria of having posttraumatic stress disorder (PTSD) (American Psychiatric Association, 2013). The client did mention that he noticed to be more argumentative and temperamental, so it would be ideal to rule out PTSD.
