Morrison (2014) notes that experienced clinicians are often concerned that patients exhibiting anxiety symptoms might develop generalized anxiety disorders (GAD). Morrison (2014) argues that such patients might exhibit depressive symptoms related to bipolar disorders or adjustment disorder. Also, Morrison (2014) states that treatment and management of generalized anxiety disorders (GAD) is based on newer confirmed symptoms that determine the diagnosis of a mental disorder. Thus, clinicians should use the patient’s recent history in accurately conducting a diagnosis because older history might change. Finally, Morrison (2014) indicates that patients with generalized anxiety disorders (GAD) might not experience panic attacks but may exhibit anxiousness and tension in various situations.
Kilgus and Rea (2014) highlight the major symptoms exhibited by patients with generalized anxiety disorders (GAD) such as Katherine. Similar to Katherine, patients with GAD have symptoms ranging from anxiety to depression and somatic symptoms. Patients like Katherine with GAD tend to be fatigued, have sleeping problems, show relentless irritability, exhibit tension, and present several somatic complaints. Kilgus and Rea (2014) note that patients with strong support systems, stable relationships with friends and family, and with high job satisfaction tend to increase a patient's response to treatment regimens and positive clinical outcomes. Based on Katherine's demographic factors and the general epidemiology of the disease, Kilgus, and Rea (2014) demonstrate that women and older patients are highly susceptible to developing generalized anxiety disorders.
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In the mental status exam (MSE) with the patient, it became apparent that panic disorders are identified by common symptoms such as palpitations, choking sensations, dizziness, various types of fears, and chest pains (Kilgus, 2016). In conducting the MSE for the patient, we understood that the development of panic disorders is affected by a myriad of factors, and clinicians must evaluate the previous history of the patient in conjunction with factors such as thought, perception, sensorium, behavior, and emotions (APA, 2013).
References
APA. (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5®) . [VitalSource Bookshelf]. Retrieved from https://bookshelf.vitalsource.com/#/books/9780890425572/ .
Kilgus, M. D. (2014). Essential Psychopathology Casebook . [VitalSource Bookshelf]. Retrieved from https://bookshelf.vitalsource.com/#/books/9780393709803/ .
Kilgus, M. D. (2014). Essential Psychopathology Casebook . [VitalSource Bookshelf]. Retrieved from https://bookshelf.vitalsource.com/#/books/9780393709803/ .
Morrison, J. (2016). Diagnosis made easier (2nd Ed.). The Guilford Press.
