Therapeutic Interventions for Clients with Severe Anxiety or Panic

this discussion, we’ll discuss anxiety, effective and ineffective interventions, and stress management. Please include the following in your initial posting:

Describe a client from your clinical setting or work who experienced severe anxiety or panic. Include a brief history and three most pertinent medications.

Describe the assessment process for this patient.
Identify at least one effective and one non-effective nursing intervention. Why did they work? What didn’t work?
Name and describe two stress reduction techniques you have used and whether they were helpful or not in reducing stress.
Respond to at least to two other classmates 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.

Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials, be sure to provide proper attribution and/or citation.

2 Responses to your peers’ posts are due on Saturday of the week they are assigned

Each Response post should be a minimum of 1 paragraph with 5 sentences

Each Discussion post ( response) should have a minimum of 1 citation and reference–I don’t need initial post —

(1st response) I haven’t witnessed too many panic attacks in my clinical setting, but I have cared for many patients who suffer from anxiety. The causes of the patients experiencing anxiety can stem from many different things. Some patients may be nervous about an upcoming appointment or some type of event, and others feel anxious because it’s a symptom of their mental illness. Three medications that I have seen used for anxiety are Ativan, Xanax, and Buspar.

It’s essential to assess a patient suffering from anxiety so the issue can be appropriately addressed. A comprehensive assessment involves asking questions about a range of different aspects of a person’s life. This includes the patient’s home and environment, education, employment, drug, and alcohol use, relationships, eating habits, and many other things (Anxiety assessment & treatment | Headspace, n.d.) Some assessment tools used to assess anxiety disorder are Beck’s Anxiety Stress Scale, Depression Anxiety Stress Scale, Hamilton Anxiety Scale, and Yale-Brown Obsessive-Compulsive Scale.

I cared for a patient who was taking Lorazepam for years, and the psychiatrist discontinued the medication because it should have been used short-term. The psychiatrist tried other medications and combinations, but nothing seemed to work. The patient was constantly pacing, very restless, and unable to sit still. The medication intervention was not effective, so the therapist and counselors started frequent psychotherapy “talk therapy.” Over some time, this seemed to help the patient, and she was much more relaxed.

Many stress-reduction techniques can be used when dealing with anxiety. I have used music and breathing exercises when I’m feeling anxious. These things have helped me relax and gather my thoughts.

(2nd response)—The patient I have had are those who had already been diagnosed with anxiety and some with severe anxiety. One of these patients is involving a case of Miss J.G, a 40-year-old male patient who presented to the clinic with severe anxiety and complained of trembling and having a pounding heart. He is also complained of chest and reported to have occasionally some choking effects. He was given clonazepam, gabapentin, and Zoloft.

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