Scenario

You are seeing Ms. Clara Johnson, a 32-year-old white female, in the office today with a chief complaint of “I just feel like I can’t get my mind to stop racing, and it’s making It hard to focus on anything.”

· Johnson appears slightly disheveled, but is quiet and polite. She sits frequently fidgeting with her hands and avoids direct eye contact today.

· She reports excessive worry over several aspects of her life and feels this has been steadily worsening over the last year.

· She also reports frequent neck and shoulder pain, fatigue despite sleeping 7 to 8 hours a night, and difficulty concentrating.

· She has a past medical history of mild seasonal allergic rhinitis and takes cetirizine intermittently for this.

· She is married and lives with her husband and one child.

· He does not have any similar pain or swelling elsewhere.

· Upon examination today her BP is 118/76, HR 82, RR 16, and temp is 98.6F. She is alert and oriented, and auscultation reveals a regular heart rate and rhythm and clear lung sounds in all fields. No neurologic deficits on exam. No hallucinations or delusions. Thought process is logical but dominated by worries.

Please develop a discussion post that responds to each of the following prompts. Where appropriate your discussion needs to be supported by scholarly resources. Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion post:

· Provide your diagnosis.

· Discuss how you would manage the patient’s current presentation and provide a rationale supported by scholarly reference for your treatment plan.

· Include your specific prescription(s) for the patient. (This must include the medication name, dose, route, and frequency as well as any special instructions that apply as you would include when writing a prescription).

· Describe the patient education you would provide in relation to your treatment plan.

· Provide your plan for follow-up and/or referral (if indicated)

Please be sure to validate your opinions and ideas with citations and references in APA format.

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