Understanding Generalised Anxiety Disorder and Panic Disorder

This document discusses the differences between Generalised Anxiety Disorder (GAD) and Panic Disorder, the importance of empathy in establishing a therapeutic relationship with patients, communication skills needed for effective treatment, and information about Paroxetine 20mg PO medication.

Clinical scenario

Table of Contents
INTRODUCTION...........................................................................................................................1
MAIN BODY ..................................................................................................................................1
CONCLUSION................................................................................................................................3
REFERENCES ...............................................................................................................................3

INTRODUCTION
This includes the health and social care aspects of the patient and case scenario situation.
One has to understand all the factors which define and explain certain mental and physical
condition. This will explain why its needed to tell all medication methods to the patient by
doctor. It influnecs also on relation between doctor and patient. The important things is to create
certain things which have to be as per guidelines given to doctor. They (Dickison, Haerling and
Lasater, 2019).
MAIN BODY
Clinical scenario
Describe Generalised Anxiety Disorder and explain how it differs from Panic Disorder.
Introduction: It's gives brief information about panic attack and GAD. also it provide difference
between both the diseases.(Biesecker and Green, 2014).
These two disorders are very much similar due to having same types of symptom but still
bifurcate at many levels. The GAD and panic disorder have similarities such as excessive stress
and worrying but they main thing which distinct them both from each other is the desperate
distinct mental disorder. Firstly discussing panic disorders and its psychological and physical
symptoms, which are mentioned below:
panic disorder is generally characterised to be unexpected in nature and can occur to any person
who has a lot of stress or is going through a condition of either losing a loved one or work frame
stress, this pertains them to overthink a lot and increases the heart rate. This leads to mental
trauma created in brain and leads for the heart to produce blood at high rates. This occurs and a
person starts feeling their chest to become heavy and starts breathing unevenly. All these are
symptoms of direct panic attacks. The basic symptoms one can notice are mentioned below:
 excessive sweating
 shaking or trembling by walking or doing some work.
 Sensation of short breath (Erdös, Basciani and Eberle, 2014).
 Chest pain and disorder of feeling chest tightening.
These symptoms occur suddenly and the person become enable to act as per the guidelines and
becomes unconscious to perform any task (Wilson and et. al., 2019).

The features of GAD is when a person works aggressively thinks a lot this could include about
controlling things in the day to day life or though process become unmanageable in nature
(Abdul-Jabbar and et. al.. 2019). The basic symptoms seen a an individual are as mentioned
below:
 sleep issues.
 Fatigue.
 Irritation.
 restlessness,
 chronic headache.
These are generally seen in the patient suffering from GAD. A person starts to suffer
from attack and its symptoms are breathing heavily and becoming unconscious. Both the
disorders are merely connected and basic cause of them is same which is stress. Their has to be
correct solution to rectify this nature and give irregular constructions which can help them in
achieving the health and recovery of this person suffering from any of such diseases (Judson and
et. al.,. 2014).
Summary: It emphasis over the fact that there are certain levels of symptoms which can
bifurcate both these mental issues. The symptoms are physical but the mental issues are different
and it leads to being sick mentally.
Discuss how empathy might assist you to establish a therapeutic relationship with Peter.
Introduction: this will explain certain levels of reasons in which peter should be connected to
his practitioner and they shall generate an empathy bond. This has helped in past for patients to
recover from serious mental trauma's as well (Hanauer, Sandborn and Lichtenstein, 2019).
These have to have certain guidelines which can be done for correct situations and have
to be coordinated as per guidelines given by health intervention (Ward and et. al., 2019).
Empathy is something which connected two people on emotional levels, this is to be done by the
practitioner treating peter so that all sorts of issues and emergency conversations can be done.
The reason certain patients do not recover properly even after they are very much well efficient
in nature is because they cannot share their issues correctly with doctors or practitioner (Marcoux
and et. al., 2015). Since peter is being the patient of anxiety and disorders he has certain levels of
issues in sharing his issues with any person. Its very important to make him comfortable and
2

have a breezy conversation with him. Their are many reasons which are medically proven to
have good conversation and creating empathy for patients some of them are mentioned below:
 many studies have found that patients have considered empathy as integral part of their
recovery process, as them having a good relationship with their doctor. Peter will be able
to recover once he can explain himself clearly and can open up about his difficulties. All
these issues are connected to brain and his thinking process.
 This generates trust between tow people and lets them have free mind conversations, and
in this profession the patients opinion and thoughts matter the most. Trusting practitioner
needs time, it takes time for a patient from insomnia to believe between reality and things
his brain have created due to no sleep. Trusting the doctor will make him heal out of his
condition effectively and make himself aware of reality (qureshi and et. al.,2019).
 Even mental recovery is very important for a patient to recover from his trauma. Creating
such will help him get out of it sooner and makes it easy to share the experience. All such
things are connected to brain and peter needs to get treated mentally first and all these
physical symptoms will vanish with time (Zardavas and et. al. 2015).
 The amount of empathy and connection is also certain times the reason of getting better
in less period of time. It has been survived and concluded that patients like peter have
tendency to get emotionally connected. Peter has to get connected to his practitioner and
tell him all sorts of reasons which are stopping him to get treated in the function.
Conclusion: These credentials help in defined the relation and bond between two people. There
are certain levels to be incompetent in nature. These symptoms are several elements Which will
help the patient in recovering the element of directly being concerted to the nature of the patient
(Selva-O’Callaghan and et. al., 2015).
Communication skills you would use in your interview with Peter and provide a rationale for
their use.
Introduction: The correct skills which will be beneficiary in treating peter. Certain skills are
required for keeping patient in regular schedule. Also without any stress put on him, explain him
his treatment concepts and methods. While working with a patient like peter the following skills
are required the most:
Communication skills are the key aspects of developing friendship and maintaining
healthy environment in the working zones. Treating patients is a very crucial and important job
3

which needs full concentration and a relaxed mind for taking decisions rapidly in different
situations. These help in taking care of people and at some time being able to make a strong
support network with them. People are generally not born to be good communicators, they have
to develop and enhance this skills, being the practitioner of peter, one has to have proper skills of
communication and be a lot well efficient in nature to conclude and understand the basic nature
of him(Rubin and et. al.,2019). The communication skills will help in providing information
regarding the treatment to peter. Also, it will make it easy to have a normal conversation and
having, an opinion for certain levels of development of changes the patient seeks. There are
certain levels of communication skills which ahead be learn by a medical practitioners, which are
needed for treating patients like peter. Some of them are mentioned below:
Easy conversation: one should have nature who can talk to any person. Make small
conversations and make other person effective in their natures. Being easy to talk is what peter
required the most. He is always very anxious and hyperactive when he comes in contact with a
new person. The practitioner should know how to ease him out of his scared zone. Listening to
him is very important so one should get to know, express and take out things form him. Plus this
will give him more advantage of becoming close to peter (Judson and et. al.,. 2014).
Patience: this is most important skill required by the practitioner of peter to have. Peter is very
choose in making any decision, which generally takes time as he is not flexible towards any
change in the routine. Patience is needed to, calmly hear all things which are required by medical
practitioner. peter will be able to become happy in some time period, once he opens up and talks
about his feelings and opinion.
Formal interview before starting treatment: the practitioner shall conduct a proper formal and
informal conduct of interview which will help him make a strategic opinion about how does.
(Thiele and et. al., 2017).
Conclusion: this includes the fact the importance of relationship between the patient and the
effective reasons of having good conduct with the doctors.
Peter has been commenced on Paroxetine 20mg PO daily. Briefly describe the relevant
information you need to provide Peter about this medication.
Introduction: This will help in analysis all cost, effects, reasons and method by which peter
shall pertain to take this medication.
4

Its basic duty of practitioner to explain all the medical treatment and medications to the
patient. The crucial aspects it's that nothing shall be hidden from them while treating them. Peter
needs to understand the usage of Paroxetine 20mg PO since he is being medicated over it on
daily basis. Its general duty of each practitioner to explain all the effects, dosage, system and
workings of all medications given to the patient.
Paroxetine 20mg PO, is generally used in the treatment of diseases like depression, panic
attacks and obsessive compulsive disorder also anxiety attacks and in certain cases it is given to
patients which suffer from post traumatic stress disorder. These are generally given to make
them restore the mental balance of chemicals in brain and relax the brain from certain activities
in nature. Its known to be as a selective serotonin reuptake inhibitor (SSRI), it's very important
for peter to understand why he is being given this medication. Health condition of peter is not
stable as he is very much conscious about his actions. Taking this medication will make him
relaxed a bit and help him in constructing better understanding of his health condition. Peter has
to understand the reasons and causes of his condition and should support doctors in treating him.
He should open up about any new queries and give feedbacks in case there is any confusion in
his head regarding treatment. (Zardavas and et. al.,2015).
Conclusion: this explanation is going to clarify several things to peter, weather there are any
confusions or question related to his medication all will get clear once practitioner will explain
all features of it.
CONCLUSION
This file explains the basic aim of an doctor and patient relationship which is aimed. this
is essential for correct rectification has to be done. The physical and mental attributes shall
contain the fact that he has to understand the basis understanding of this treatment. The main
purpose of this file is to understand all factors related to the medication required by the patient
(peter). This file will conclude the fact that the condition in which patients are getting treated are
differ due to having certain levels of disorders. They have to explain the fact that the condition
they are going through are no normal and have to adjust as pert he guideline s and medication
given by doctor's.
5

REFERENCES
Books and journals
Abdul-Jabbar, A & et. al.. (2019). Disaster Scenarios in Spine Surgery: A Survey
Analysis. Spine. 44(14). 1018-1024.
Biesecker, L. G., & Green, R. C. (2014). Diagnostic clinical genome and exome
sequencing. New England Journal of Medicine. 370(25). 2418-2425.
Dickison, P., Haerling, K. A., & Lasater, K. (2019). Integrating the National Council of State
Boards of Nursing Clinical Judgment Model Into Nursing Educational
Frameworks. Journal of Nursing Education. 58(2). 72-78.
Erdös, G., Basciani, R. M., & Eberle, B. (2014). Etomidate–a review of robust evidence for its
use in various clinical scenarios. Acta Anaesthesiologica Scandinavica. 58(4). 380-389.
Hanauer, S. B., Sandborn, W. J., & Lichtenstein, G. R. (2019). Evolving considerations for
thiopurine therapy for inflammatory bowel diseases—a clinical practice update:
commentary. Gastroenterology. .156(1). 36-42.
Judson, M. A and et. al.,. (2014). The WASOG Sarcoidosis Organ Assessment Instrument: an
update of a previous clinical tool. Sarcoidosis vasculitis and diffuse lung disease. 31(1).
19-27.
Marcoux, I and et. al., (2015). Health care professionals’ comprehension of the legal status of
end-of-life practices in Quebec: study of clinical scenarios. Canadian Family
Physician. 61(4). e196-e203.
Qureshi, S. P & et. al.,(2019). Preparation for making clinical referrals. The clinical
teacher. 16(2). 152-156.
Rubin, E. B & et. al., (2019). Intuitive vs deliberative approaches to making decisions about life
support: a randomized clinical trial. JAMA network open. 2(1). e187851-e187851.
Selva-O’Callaghan, A and et. al., (2015). Inflammatory myopathy: diagnosis and clinical course,
specific clinical scenarios and new complementary tools. Expert review of clinical
immunology. 11(6). 737-747.
Thiele, M and et. al., (2017). Reliability criteria for liver stiffness measurements with real-time
2D shear wave elastography in different clinical scenarios of chronic liver
disease. Ultraschall in der Medizin-European Journal of Ultrasound. 38(06). 648-654.
Ward, R. C & et. al., (2019). Computer-Based Case Simulations for Assessment in Health Care:
A Literature Review of Validity Evidence. Evaluation & the health professions, 42(1),
82-102.
Wilson, M. R & et. al., (2019). Clinical metagenomic sequencing for diagnosis of meningitis and
encephalitis. New England Journal of Medicine. 380(24). 2327-2340.
Zardavas, D and et. al.,(2015). Clinical management of breast cancer heterogeneity. Nature
reviews Clinical oncology. 12(7). 381.
6

7

1

2