ABSTRACT
Specific behaviors or expressed thoughts may signal a need for screening. Take into account an individual's strengths and limitations when designing a Tx approach.
Subject(s)
Personality Disorders/diagnosis , Personality Disorders/therapy , Humans , Personality Disorders/psychologyABSTRACT
Lorna D was seen by her primary care physician as follow-up to a visit she made to the emergency department (ED). The 37 year old had gone to the ED 4 times in the previous year. Each time she presented with tachycardia, dyspnea, nausea, numbness in her extremities, and a fear that she was having a heart attack. In spite of negative work-ups at each visit (electrocardiogram, cardiac enzymes, complete blood count, toxicology screen, Holter monitoring), Ms. D was terrified that the ED doctors were missing something. She was still "rattled" by the chest pain and shortness of breath she had experienced. Mild symptoms were persisting and she was worried that she would have a heart attack and die without the treatment she believed she needed. How would you proceed with this patient?
Subject(s)
Antidepressive Agents/therapeutic use , Cognitive Behavioral Therapy , Panic Disorder/diagnosis , Panic Disorder/therapy , Sertraline/therapeutic use , Adult , Algorithms , Combined Modality Therapy , Diagnosis, Differential , Female , Humans , PrognosisABSTRACT
Here's how to use the 5 As, the FRAMES protocol, and 5 other techniques to encourage patients to address issues such as diet, exercise, smoking, and substance use.