Question

A 37-year patient comes into the urgent care and presents with chest pain and hyperventilation. During the assessment process, his vitals are recorded, a brief health history is recorded, he is inspected visually from head to toe, asked about current medications and his chief complaints are addressed. Asking him to breathe through pursed lips or into cupped hands alleviates his hyperventilation. He was also given the option to hold his breath for 10-15 seconds at a time. After lying down for a few minutes, there was little relief for his chest pains therefore an ECG was conducted Recurring panic attacks and high levels of anxiety characterize panic disorder.

Panic attacks can occur without warning or stressor however the patient mentioned being stressed due to taking on more responsibilities at work. He was diagnosed with panic attacks and prescribed paroxetine daily and lorazepam prn. Two stress reducing techniques are medication and psychotherapy or cognitive behavior therapy. CBT is a model that challenges negative thinking and behaviors. It is rooted in the idea that attitude impacts behavior (Plehn, 2002). The meditation was not effective whereas the cognitive behavior therapy proved effective. I believe CBT helped because it allowed the patient to share his feelings in a structured yet intimate environment opposed to being alone with meditation. The patient was reminded that each treatment plan is personalized, to remain compliant with his medications, and continue to ask questions.

Respond and explain if you agree or disagree with how they would handle a client who was having severe anxiety. If you do not agree, please provide how they could have approached the client differently, and provide supporting rationale and citations. in 5 paragraph

Answer 1

Answer:- Yes iam strongly agree ,

Cognitive behavioural therapy is a choice therapy use in anxiety disorders by therapist.
CBT is a short term goal oriented therapy ,

CBT helps to patient identify the problem and change destructive or disturbaning behaviour.

Here patient needs support and encouragement not put pressure of anything.

Because Cognitive Behaviour Theory is a common type of talk therapy, (psychotherapy) . As a therapist we work in structured way, attending a limit number of sessions . CBT helps The patient to become overcome from inaccurate or negative thinking.

(CBT session is about 30 to 60 minutes weekly utpo 12 to 20 weeks )

Here in question patient suffering from severe anxiety due to thier responsibilities and workload in office.

Therapist ask some questions about thier workload and responsibilities + Support them as well:-

• Then advise them to break down the works in parts
• Focus on short term goals
• Distribute work to thier other workers
• sleep upto 8 hours per day
• Give positive attitude
• Advise them everyone have stress, stress is good for do work efficiently.
• Advise to stop smoking and alcohol intake.
• Advise patient eat nutritional food avoid junk food .
• Male daily life routine

These CBT sessions change the thought of the patient and helps in resolving the problem.