Question

Kristen is a 38 year-old divorced mother of two teenagers. She has had a successful, well-paying career for the past several years in upper-level management. Even though she has worked for the same, thriving company for over 6 years, she’s found herself worrying constantly about losing her job and being unable to provide for her children. This worry has been troubling her for the past 8 months. Despite her best efforts, she hasn’t been able to shake the negative thoughts. Ever since the worry started, Kristen has found herself feeling restless, tired, and tense. She often paces in her office when she’s there alone. She’s had several embarrassing moments in meetings where she has lost track of what she was trying to say. When she goes to bed at night, it’s as if her brain won’t shut off. She finds herself mentally rehearsing all the worse-case scenarios regarding losing her job, including ending up homeless.

Kristen made some vague comments to her husband about not wanting to live anymore , and he took her to her family Doctor . She agreed to impatient treatment because she does not want her behavior to affect their children . She admitted to the Adult behavior unit .

3. What are the most important initial intervention in treating Kristen use a care planning resource

4. What are the first choice of medications to be considered ?

Answer 1

3)Encourage patient to communicate all her feeling and fear this relaxes her and gives confidence that someone is hearing her.

Involve her in behaviour therapy

Provide diversional therapy

Make her realise her positivity and performance

provide psychological support

Do not ignore or avoid patient because this may make her feel more depressed

Involve her in group activities to prevent loneliness

Make her to lead a team of patients in supervising this makes her feel confident and develop her leadership skill

Avoid environment which makes her feel that she is worthless and landing up in suicidal thought

4)The first choice of medication to reduce her stress,fear is anti anxiety drugs ( benzodiazepine group ) This relaxes the patient from anxiousness and induces sleep.

If she has no improvement with this simple sedative drugs can be given to make her sleep and make her thinking away from suicidal ideas.