Becci is a 31-year-old female who presents to the PMHNP for evaluation after being referred by her friend who is a patient of the practice
Becci, a 31-year-old woman, comes to the PMHNP for an evaluation after a friend who is a practice patient recommended it. She talks about a recent onset of panic attacks that were rather intense. ?It came out of nowhere,’ Becci adds. Her heart starts to race, her mouth starts to dry up, she becomes wobbly, and she feels out of breath. Becci is concerned because her friend has panic disorder, and she knows that if she doesn’t seek treatment, she will be frightened to leave the house in case of an attack. Becci, a 31-year-old woman, comes to the PMHNP for an evaluation after a friend who is a practice patient recommended it.
After a friend, who is also a patient at the office, discovers Becci’s anxiety and becomes concerned, she seeks help from the PMHNP. More discussion reveals that Becci’s symptoms are similar to those of her friend prior to therapy. The first step in the evaluation is to determine whether Becci’s panic attacks are due to trauma or a stressful incident.
The first step in evaluating Becci is to figure out how serious her symptoms are. A vital aspect of this interview is establishing rapport and trust with Becci so that she is willing to share information about her symptoms. In view of Becci’s apprehension, it would be crucial to use active listening skills. Active listening abilities would demonstrate that you are paying attention and grasping what Becci is saying, resulting in an empathetic response to her concerns. Active listening skills include summarizing key points in the patient’s communication, reflecting those points back to the patient, and asking permission to repeat what they’ve just stated. Anxiety attacks are common.
Recognizing that Becci’s top objective during the evaluation is to teach her about panic attacks and the difference between a panic attack and a heart attack on the way, this can be accomplished by looking into what causes her panic attacks, learning about the symptoms of a panic attack, avoiding triggers to avoid repeat episodes, and encouraging her to seek treatment for panic disorder. After experiencing panic attacks and being referred by a friend who is a patient of the office, Becci, a 31-year-old woman, is sent to the PMHNP for examination.
Based on a grasp of case conceptualization for panic disorder and the therapeutic interaction, which priority should the PMHNP address first in assessment? a. A personal history of panic attacks; b. A history of how panic attacks affect relationships and activities; and c. A history of what causes panic attacks. b. Listening intently for unsaid feelings and concerns. Becci, a 31-year-old woman, comes to the PMHNP for an evaluation after a friend who is a practice patient recommended it. Anxiety attacks are common.
The initial purpose of Becci’s assessment is to collect and define her panic attacks. This information would determine the treatment plan. A panic attack is described as a brief period of intense fear or discomfort in which at least four of the following symptoms develop unexpectedly and peak within ten minutes: Sweating; trembling or shaking; palpitations (a hammering sensation in the chest or belly); feeling out of breath or having difficulty breathing; a feeling of choking Aches and pains in the chest; Nausea or stomach pains; dizziness, unsteadiness, lightheadedness, or faintness; fear of losing control or going insane; fear of dying; derealization (a sense of disconnection from oneself) or depersonalization (a sense of alienation from oneself); Paresthesias (numbness or tingling sensations); hot flashes or chills Becci, a 31-year-old woman, comes to the PMHNP for an evaluation after a friend who is a practice patient recommended it.
A. To confirm Becci’s diagnosis of panic disorder. Anxiety attacks are common.
Panic disorder is a treatable mental illness characterized by irrational and excessive fear of everyday situations. Causes:
To see if you have agoraphobia, examine your fear of heights. Becci, a 31-year-old woman, comes to the PMHNP for an evaluation after a friend who is a practice patient recommended it.